Muhammad Akbar Malik, Waqar Hussain, Mateen Izhar, Muhammad Asim, Muhammad Aslam.
Ten years surveillance of Bacterial Isolates from blood culture of Neonates.
Pak Paed J Jan ;26(3):113-8.

Background:- Local microbial epidemiology and period of infection onset together, allow the physician to use antibiotics according to `well throughout wager`. Aims: To assess local microbial prevalence in NICU, of Shaikh Zayed Hospital, Lahore. Study design:- Prospective surveillance of bacterial blood stream infections from Jan. 1992 to Dec. 2001. Settings:- Tertiary care NICH of a teaching hospital. Materials:- Blood samples of the neonates admitted with strong clinical suspicion of neonatal sepsis. Results:- Out of 2770 blood culture samples, 760 (27%) samples yielded positive bacterial growth and total number of isolate was 835, as in some of the samples more than one bacteria were cultured. The most common bacteria were Coliforms (55%) Staph aureus, (18%), Pseudomonas species (18%) and Coagulase negative staphylococci (7%). There was no growth of listeriosis. Conclusions:- Microbial prevalence varies in different setups and it even varies from time to time in the same NICK Recommendations:- Monitoring of accurate microbial records of NICU for judicious empirical antibiotic therapy and its continuity.

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