原创力文档the study of etiological and demographic characteristics of neonatal mortality and morbidity - a consecutive case series study from pakistan病因学研究和人口特征的新生儿死亡率和发病率u2014u2014一个来自巴基斯坦的连续病例系列研究.pdfVIP
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the study of etiological and demographic characteristics of neonatal mortality and morbidity - a consecutive case series study from pakistan病因学研究和人口特征的新生儿死亡率和发病率u2014u2014一个来自巴基斯坦的连续病例系列研究
Manzar et al. BMC Pediatrics 2012, 12:131
/1471-2431/12/131
RESEARCH ARTICLE Open Access
The study of etiological and demographic
characteristics of neonatal mortality and
morbidity - a consecutive case series study from
Pakistan
1,2* 1 1 1 1
Nabeel Manzar , Bushra Manzar , Anum Yaqoob , Muneer Ahmed and Jai Kumar
Abstract
Background: To determine the etiology, management, bacteriological spectrum and outcome of neonatal patients
admitted in Civil Hospital Karachi (CHK) and to examine the factors associated with it.
Methods: This hospital based descriptive study of 1463 patients from both sexes who were admitted to Paediatric
department, CHK from 1st January 2008 till 31st December 2010 with an established cause according to modified
Wigglesworth classification and fulfilling other inclusion criteria were included in the study. Data regarding their
demographic profile and potential risk factors was collected on a well structured proforma. Cases were followed
until discharge or expiry. Data was analyzed using descriptive statistics.
Results: The male to female ratio in our study was 1.12:1. Seven hundred and thirty-four patients were delivered at
home (50.2%) and 1010 were less than 7 days old (69%). Out of the total cohort of expired subjects, 89 participants
(74.8%) were 7 days of life. Mortality was more in neonates born at home in rural areas to illiterate mother; 74
patients (62.2%). Most of the deaths; 57 were in neonates suffering from specific infections (47.9%) followed by 38
deaths in immaturity group (31.9%) and 19 related to asphyxial conditions (15.9%). The most common isolates were
Staphylococcus aureus (28.7%) followed by Klebsiella (24.8%) and Pseudomonas aeruginosa (16.6 ). One hund
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