J Pediatr Infect Dis 2015; 10(04): 108-112
DOI: 10.1055/s-0036-1584354
Original Article
Georg Thieme Verlag KG Stuttgart · New York

A Comparative Study of Clinicomicrobiological Profile of Late-Onset Neonatal Sepsis between Family Nursing Care and Hospital Care Groups of Extramural Neonates

Tamoghna Biswas
1   Department of Pediatric Medicine, Medical College Kolkata, Kolkata, West Bengal, India
,
Archan Sil
2   Department of Pediatric Medicine, Burdwan Medical College, Burdwan, West Bengal, India
,
Rakesh Mondal
1   Department of Pediatric Medicine, Medical College Kolkata, Kolkata, West Bengal, India
,
Moumita Samanta
1   Department of Pediatric Medicine, Medical College Kolkata, Kolkata, West Bengal, India
,
Somosri Ray
3   Department of Neonatology, Medical College Kolkata, Kolkata, West Bengal, India
,
Tapas Kumar Sabui
1   Department of Pediatric Medicine, Medical College Kolkata, Kolkata, West Bengal, India
› Author Affiliations
Further Information

Publication History

27 January 2016

29 March 2016

Publication Date:
13 June 2016 (online)

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Abstract

A hospital-based, descriptive, observational cross-sectional study was conducted over 6 months to analyze differences in the clinicomicrobiological profile of late-onset neonatal sepsis between extramural neonates referred from hospitals and those cared for at home after delivery. Among 205 included neonates, 165 (80.49%) received “hospital care” before admission while the rest received “family nursing care.” There were no significant differences in sepsis screen and blood-culture positivity between the “hospital care” and “family nursing care” groups. However, clinically significant gram-negative bacteria were isolated more frequently from neonates coming from “hospital care” group (odds ratio, 6.00; 95% confidence interval, 1.31–27.47; p = 0.021). Thus, extramural neonates might be susceptible to different patterns of infections based on the environment of care.