Prevalence and Associated Factors of Neonatal Sepsis among Neonates Admitted at Neonatal Intensive Care Units of Hargeisa Hospitals, Somaliland, 2023

Abdinasir Abdilahi Mahamed, Mustafe Mohamed Ahmed
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Abstract

Background: Neonatal sepsis is the main cause of neonatal death and morbidity worldwide. It is characterized by a systemic inflammatory response during the clinical course of infection which manifests within the first month of life of a newborn. Neonatal sepsis accounts for 7% of all neonatal deaths in Somalia. However, we know little about the prevalence and factors associates with neonatal sepsis in Somaliland. As a result, this study is aimed to assess the prevalence of neonatal sepsis and associated factors among neonates admitted to intensive care units at Hargeisa Hospitals in Somaliland. Methods: Institutional-based cross-sectional study was conducted among 244 medical records of neonates admitted in neonatal intensive care units of Hargeisa Hospitals from May, 2023 to June, 2023. The medical records selected at random using lottery method. Neonatal record review used to collect data using structured pretested checklist. Data entered into Epidata version 3.1 and analyzed with SPSS version 22. Bivariable and multivariable binary logistic regression used to identify associated factors at a 95% confidence interval. Significance is considered at p-value < 0.05, Multi-collinearity is examined (VIF <10) and Model fitness is evaluated using Hosmer-Lemeshow statistic test (P< 0.05). Result: The overall prevalence of neonatal sepsis in this study was 28.69% (95% CI, 22.97-34.40). Neonates whose mothers’ membranes had ruptured before giving birth (AOR=1.9; 95% CI: 1.01-3.61) and neonates delivered through assisted vaginal delivery (AOR=3.9; 95% CI: 1.19-12.64) had a positive association with neonatal sepsis than their counterparts. Recommendations: Hospitals and health professionals should enhance early detection and management of mother with PROM. Health professionals should give particular consideration to the neonate through vaginal delivery.
索马里兰哈尔格萨医院新生儿重症监护病房新生儿脓毒症患病率及相关因素
背景:新生儿败血症是全世界新生儿死亡和发病的主要原因。它的特点是在感染的临床过程中出现全身炎症反应,表现在新生儿出生后的第一个月。新生儿败血症占索马里所有新生儿死亡的7%。然而,我们对索马里兰新生儿败血症的患病率和相关因素知之甚少。因此,本研究旨在评估索马里兰哈尔格萨医院重症监护病房收治的新生儿脓毒症的患病率及其相关因素。方法:对哈尔格萨医院2023年5月至2023年6月新生儿重症监护病房收治的244例新生儿病历进行机构横断面研究。采用摇号法随机抽取病历。新生儿记录回顾采用结构化预测试检查表收集数据。数据输入Epidata 3.1版本,使用SPSS 22版本进行分析。采用双变量和多变量二元逻辑回归在95%置信区间内确定相关因素。p值<处考虑显著性;0.05,多重共线性检验(VIF <10),模型适应度采用Hosmer-Lemeshow统计检验(P<0.05)。结果:本研究中新生儿脓毒症的总患病率为28.69% (95% CI, 22.97-34.40)。产前胎膜破裂的新生儿(AOR=1.9;95% CI: 1.01-3.61)和通过辅助阴道分娩分娩的新生儿(AOR=3.9;95% CI: 1.19-12.64)与新生儿败血症呈正相关。建议:医院和卫生专业人员应加强早PROM母亲的早期发现和管理。卫生专业人员应特别考虑通过阴道分娩的新生儿。
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