Incidence of Septicemia among Infants at El-Nassr Hospital Gaza Governorate - 2007
Date
2009-03-07
Authors
Ameed Awny Mushtaha
عميد عوني فوزي مشتهى
Journal Title
Journal ISSN
Volume Title
Publisher
Al-Quds University
Abstract
A descriptive and analytical cross sectional study was performed in Gaza Governorate
from 1 October (2006) to 30 September (2007). The aim of this study was to identify the
incidence, the distribution and the risk factors of septicemia disease among infants less
than 1 year admitted to El-Nassr pediatric hospital, and to assess the association between
certain laboratory results and the severity and prognosis of the disease. Data was collected
through a structural questionnaire administered to 366 subjects parents. Response rate
was 100%. The incidence rate of septicemia disease in El-Nassr pediatric hospital was
58/1000 infant. Clear variations were found in the incidence according to sex, age groups,
governorates, socio-demographic, economic status, microorganisms causing septicemia
and antibiotic resistance. The disease was prominent among neonates with age less than
28 day with percentage 49.5%. The risk age group was children less than 8 days with
fatality rate 20%. The total fatality rate was 10.1%, and it was higher among females.
Low socio-economic status, families of high crowding index, parents of low educational
level and with low income jobs were associated with the disease, and its severity. There
was clear seasonal variation in incidence of disease with a peak in winter and summer.
Gram positive bacteria was more prominent in our study pateints with percent of 79%,
while Gram-negative bacteria was less prominent in percent of 21%. However the fatality
rate in Gram-negative bacteria was 23.4% compare with 6.6% in Gram-positive bacteria.
Results show that high percentage of bacteria was resistant to cloxacillin (77.8%) while it
was lower with Meropenem (25%). On other hand the study demonstrates that bacteria
were sensitive to Ciprofloxacin (100%), Penicilline (90%) and Amikacin (86.2%).
Our study contributes in highlighting the major risk factors for implementing strategies that
could help in prevention of Septicemia disease. Therefore, we recommend the need for
application of vaccination programs against some types of bacteria that cause Septicemia
iv
as H. influenzae type b, S. pneumoniae and N. meningitides serogroup W135 especially
for infants. Furthermore, high index of suspicion is needed among the medical staff for
early diagnosis and treatment of septicemia.
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Citation
Mushtaha، Ameed Awny. (2009). Incidence of Septicemia among Infants at El-Nassr
Hospital Gaza Governorate - 2007 [رسالة ماجستير منشورة، جامعة القدس، فلسطين]. المستودع
الرقمي لجامعة القدس. https://arab-scholars.com/39083f