Early diagnosis of neonatal sepsis in primary health care unit

Authors

  • Aditya Prasad Sarkar Associate Professor, Community Medicine, Bankura Sammilani Medical College, Bankura, West Bengal
  • Goutam Dhar Associate Professor, Community Medicine & Deputy Director, West Bengal Medical Education Service, Government of West Bengal
  • Munmun Das Sarkar Assistant Professor, Microbiology & Assistant Secretary, West Bengal Medical Education Service, Government of West Bengal
  • Tapan Kumar Ghosh Department of Pathology, Bankura Sammilani Medical College, Bankura, West Bengal
  • Sulekha Ghosh Professor, Department of Pathology, Bankura Sammilani Medical College, Bankura, West Bengal

DOI:

https://doi.org/10.3329/bjms.v14i2.21806

Keywords:

neonatal sepsis, micro-ESR, I/T ratio

Abstract

Aim: The aim of the study is to find out the role of common haematological parameters along with micro-ESR, I/T ratio in diagnosis of neonatal sepsis for initiating early management.

Methods: This is a descriptive study consisting of 35 neonates admitted at a sophisticated institute with clinical suspicion of septicaemia along with 40 neonates as the comparison group. The neonatal haematological parameters including total leucocytes count, absolute neutrophil count, immature neutrophil count, I/T ratio, platelet count were measured in all the neonates. Micro-ESR was measured as a bed side test. CRP was also measured using slide agglutination method and the results were compared with turbidimetric method. Blood culture was done as a gold standard test for sepsis. Micro-ESR more than age of the patient in days +3 mm in 1st hour was considered significant for sepsis. I/T ratio more than or equal to 0.2 was considered positive for sepsis.

Results: The study revealed that micro-ESR and I/T ratio were significantly higher (p<0.001) in suspected cases of septicaemia as compared to the neonates in the comparison group. Sensitivity and specificity of micro-ESR were 87.09% and 75.0% respectively. Sensitivity and specificity of I/T ratio were 93.54% and 95% respectively.

Conclusion: Micro-ESR and I/T ratio can be used effectively as cheap and simple tests to screen for septicaemia in neonate which is possible even in a primary health care centre.

Bangladesh Journal of Medical Science Vol.14(2) 2015 p.169-172

Downloads

Download data is not yet available.
Abstract
333
PDF
275

Downloads

Published

2015-04-18

How to Cite

Sarkar, A. P., Dhar, G., Sarkar, M. D., Ghosh, T. K., & Ghosh, S. (2015). Early diagnosis of neonatal sepsis in primary health care unit. Bangladesh Journal of Medical Science, 14(2), 169–172. https://doi.org/10.3329/bjms.v14i2.21806

Issue

Vol. 14 No. 2 (2015)

Section

Original Articles

License

Authors who publish in the Bangladesh Journal of Medical Science agree to the following terms that:

  1. Authors retain copyright and grant Bangladesh Journal of Medical Science the right of first publication of the work.

  2. Creative Commons Licence
    Articles in Bangladesh Journal of Medical Science are licensed under a Creative Commons Attribution 4.0 International License CC BY-4.0.This license permits use, distribution and reproduction in any medium, provided the original work is properly cited.
  3. Authors are able to enter into separate, additional contractual arrangements for the distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  4. Authors are permitted to post their work online (e.g., in institutional repositories or on their website) as it can lead to productive exchanges, as well as greater citation of published work.