An epidermiological study on neonatal septicemia at Morogoro regional referral hospital, Tanzania

dc.contributor.authorNDAWEKA, NURU BE DA
dc.date.accessioned2025-03-04T08:05:27Z
dc.date.available2025-03-04T08:05:27Z
dc.date.issued2014
dc.descriptionThesis
dc.description.abstractNeonatal septicaemia remains a major cause of morbidity and mortality in neonates worldwide and majority of the cases are in developing countries. This cross sectional study was conducted between December 2013 and March 2014 with the aim of determining the epidemiology of neonatal septicaemia among the neonates admitted at Morogoro Regional Referral Hospital. The study was subdivided into two sub sections which are retrospective and prospective. In retrospective section records of neonates hospitalized between month 2011 and month 2012 were used. In prospective study a questionnaire was administered to 303 mothers/caregivers on risk factors for neonatal septicaemia. Subsequently, blood samples from 303 neonates clinically suspected to have septicemia and pus swabs from 17 neonates with pus discharging umbilicus were collected for bacterial culture and sensitivity testing to commonly used antibiotics using standard methods. Retrospective results showed that the prevalence of neonatal septicaemia is 53.7% while prospective study showed a prevalence of 13.5%. The significant risk factors for neonatal septicaemia were age, weight, sex, umbilical cord discharge and poorly cared cord. Whereas, maternal factors associated with neonatal septicaemia were fever, excessive vaginal examination and caesarean section. Mortality rate due neonatal septicaemia was significantly high (12.7% retrospective and 7.9% prospective). Commonly isolated bacteria were Staphylococcus aureus, Escherichia coli, Klebsiella spp. and Pseudomonus auriginosa which showed multi-drug resistance. This study shows that the magnitude of neonatal septicaemia is high and therefore deliberate measures aimed at minimizing the problem need to be taken
dc.identifier.urihttps://www.suaire.sua.ac.tz/handle/123456789/6611
dc.language.isoen
dc.publisherSokoine University of Agriculture
dc.subjectEpidermiological study
dc.subjectNeonatal septicemia
dc.subjectMorbidity
dc.subjectMortality
dc.titleAn epidermiological study on neonatal septicemia at Morogoro regional referral hospital, Tanzania
dc.typeThesis

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