NHẬN XÉT TÌNH TRẠNG NHIỄM KHUẨN SƠ SINH TẠI BỆNH VIỆN NHI THANH HÓA NĂM 2022

Abstract

Neonatal infections is common disease of newborn including the inflammation of one or more organs in the body due to infection.Objectives: To evaluate the characteristics of neonatal infection at Thanh Hoa Pediatric Hospital in 2022. Subjects and methods: A cross-sectional study was conducted on 465 patients diagnosed with neonatal infection in the Neonatal Intensive Care Unit and  Neonatal Department of Thanh Hoa Pediatric Hospital from January 1, 2022, to December 31, 2022. Results: The neonatal infection rate of the full-term group was 80.2%, the preterm group was 20.8%, there was no gender difference. There was a difference between the late-onset neonatal infection group at 74.2%, which was higher than the early-onset neonatal infection group at 25.8%. The main reason for admission was cough accounted for34.2%, dyspnea is  29.3%, fever is 9.7%, poor feeding is 7.1%. Neonatal infections accounted for the highest rate, pneumonia diagnosed: 55.9%, sepsis 16.1%, enteritis 10.1%, cellulitis: 5.6%, meningitis: 2.2%, urinary tract infection: 1.1%, omphalitis: 0.9%. Pneumonia and cellulitis aremost seen in the late-onset neonatal infection group. A total of 23.9% of the samples showed positive culture, including 11.7% positive blood culture, 32.3% positive cerebrospinal fluid culture, 11.4% positive tracheal fluid culture, and 22.2% positive cerebrospinal fluid culture. The most common bacteria causing infections in newborns were Hemophilus influenzae, which is 29.9%. Conclusion: Late-onset neonatal infection are common in the neonatal period with pneumonia accounting for a high rate the pathogenic bacterium Hemophilus influenzae.