Sagar Sonawane ¹, Milind Suryawanshi ¹, Priyanka Patil ¹, Ravidra Sonawane ¹, M. K. Tolani ¹

Affiliations
1 Department of Paediatrics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Adgaon, Nashik, IN

Abstract

Objective: To study the clinical profile of Neonatal Sepsis & the sensitivity of various markers of sepsis screen. Material & Methods: This was a prospective study of neonates admitted to our NICU from January 2010 to October 2011 with diagnosis of neonatal sepsis or those who developed sepsis later on during their stay in NICU. All newborns diagnosed as a case of neonatal sepsis, based on clinical features with positive sepsis screen and/or positive blood culture, were included in our study. Blood Culture & Sensitivity was done with conventional non–automated method using Herley’s Broth. Result: Common clinical manifestations of Neonatal Sepsis among the study group were Lethargy (96.36%), Tachypnea (92.73%), Refusal to suck/feeding difficulty (76.36%), Delayed CRT, Poor Pulses (74.55%), Sclerema (61.82%), Gastric Bleeding (45.45%) & Feed Intolerance (45.45%). 46 babies had positive sepsis screen (sensitivity 84%), while 27 babies had a positive blood culture (sensitivity 49.09%).

Keywords

Neonatal Sepsis, Clinical Profile, C–reactive Protein

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Ravindra Sonawane ¹, Suhas Patil ², Tushar Godbole ², Sanket Pande ², M. K. Tolani ²

Affiliations
1 Department of Pediatrics, Dr. Vasantrao Pawar Medical College Hospital and Research Center, Nashik, IN
2 Department of Paediatrics, Dr. Vasantrao Pawar Medical College and Research Centre, Nasik, IN

Abstract

Objective: To study the effect of Synbiotics on weight gain and feed tolerance of newborns.

Methods: This prospective interventional trial included 50 newborns treated with a dietary supplement containing Synbiotics in addition to the routine treatment and 48 newborns served as control without Synbiotics supplement. The primary outcome was weight gain and feed tolerance. Results: Newborns in the Synbiotics group reached the full feeds earlier as compared to those in Control group (7.5 ± 4.26 days Vs 14.02 ± 7.88 days p=0.532) along with better weight gain(14.61 ± 9.6 grams per day Vs 2.97 ± 3.81 grams per day p=0.0000001).

Conclusions: Newborns receiving Synbiotics are more likely to reach full feeds earlier and show better weight gain.

Keywords

Newborns, Probiotics, Prebiotics, Synbiotics, Feed Tolerance, Weight Gain

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Sagar Sonawane ¹, M. K. Tolani ¹, Milind Suryawanshi ¹, Priyanka Patil ¹

Affiliations
1 Department of Paediatrics, Dr. V. N. Pawar Medical College, Hospital and Research Centre, Adgaon, Nashik-422011, IN

Abstract

Objective: To study the bacteriological profile and sensitivity pattern in cases of Neonatal sepsis at 12 bedded Neonatal Intensive Care Unit (NICU). Methods: This was a prospective study of neonates admitted to our NICU from Jan 2010 to Oct 2011 with diagnosis of neonatal sepsis or those who developed sepsis later during their stay in NICU. All newborns diagnosed as a case of neonatal sepsis, based on clinical features with positive sepsis screen and/or positive blood culture, were included in our study. Blood Culture&Sensitivity was done with conventional non-automated method using Herley's Broth. Results: Out of 55 cases blood culture was positive in 27 (49.09%) cases. Klebsiella Pneumoniae 15 (55.55%) was the most common organism isolated in both early and late onset sepsis showed sensitivity to collistin in 86.6% of cases followed by sensitivity to imipenam-cilastin in 46.67% cases. Only 20% Klebsiella isolates were sensitive to drugs like Ampicillin-sulbactum, Amikacin, Tazobactum, cefpime and for other antibiotics like Meropenam, Piperacillin-tazobactum, Vancomycin it was less than 20%. Other organisms isolated were Staph. aureus, E. Coli, Pseudomonas, Enterobactor, Acinetobactor and candida species. Conclusion: Gram negative organisms are most common cause of early as well as late onset sepsis and there is alarming degree of antibiotic resistance to commonly used antibiotics.

Keywords

Antibiotic Sensitivity, Bacteriological Profile, Gram Negative Organisms, Neonatal Sepsis.

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Sagar Sonawane ¹, M. K. Tolani ¹, Ravindra Sonawane ¹, Nilesh Ahire ², Suhas Patil ², Sandip Patil ²

Affiliations
1 Department of Paediatrics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Adgaon, Nashik, IN
2 Department of Paediatrics, Dr. Vasantrao Pawar Medical College, Adgaon, Nashik, IN

Abstract

Congenital Diaphragmatic Hernia of Morgagni occurs through the foramen of Morgagni, is rare in children. It is usually asymptomatic and detected accidentally. If symptomatic, then symptoms are variable and nonspecific making diagnosis difficult . Our patient presented with signs and symptoms suggestive of congenital heart disease, gastroesophageal reflux disease and recurrent pneumonia.

Keywords

Foramen of Morgagni, Hernia of Morgagni.

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