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KMID : 0365919930290080029
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Journal of the Pusan Medical Association
1993 Volume.29 No. 8 p.29 ~ p.33
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A Clinical Study on Early Diagnosis in Neonatal Bacterial Infection
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Abstract
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Neonatal bacterial infection is a major contributing factor for increased mortality and morbidity in the newborn and its successful outcome depends on early detection and prompt institution of an effective antimicrobial therapy. Accurate
diagnosis of the neonatal bacterial infection, however, is quite difficult because its early signs and symptoms anre rather subtle. A total of 100 newborns, over 16 month period(7/91-10/92), who were evaluated for neonatal bacterial infection were analysed. The results are as follows.
1. Among the total of 100 high risk infants, the incidence of bacterial infection was 15%.
2. The most common clinical menifestation is jaundice.
3. Among the types of infections, sepsis was the most frequently encountered by 10 cases.
4. The hematologic score of four or above had sensitivity of 47% and specificity of 96%.
5. The hematologic scoring system and the APR scoring system can be used as a early diagnostic indicator for neonatal bacterial infection.
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