Evidence map›Paper›PMID 38647868›Full record

ArticleIndian journal of pediatrics2025

Changing Patterns of Organisms Causing Neonatal Sepsis and Their Antimicrobial Sensitivity Profile in a Tertiary Center - A Prospective Study.

Gayathiri Govindaraju, Balakrishnan Rajaiah, Srinivas Ramakrishnan, Deepak Thangaraju, Preethi Chandrasekar, Thangaraj Abiramalatha

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Article in Indian journal of pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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3 · Its place in the literature

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2 citing papers in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Gayathiri GovindarajuNeonatal Intensive Care Unit, Kovai Medical Center and Hospital (KMCH), Coimbatore, 641014, India.
Balakrishnan RajaiahNeonatal Intensive Care Unit, Kovai Medical Center and Hospital (KMCH), Coimbatore, 641014, India.
Srinivas RamakrishnanNeonatal Intensive Care Unit, Kovai Medical Center and Hospital (KMCH), Coimbatore, 641014, India.
Deepak ThangarajuDepartment of Microbiology, Kovai Medical Center and Hospital (KMCH), Coimbatore, 641014, India.
Preethi ChandrasekarNeonatal Intensive Care Unit, Kovai Medical Center and Hospital (KMCH), Coimbatore, 641014, India.
Thangaraj AbiramalathaNeonatal Intensive Care Unit, Kovai Medical Center and Hospital (KMCH), Coimbatore, 641014, India. abiramalatha@gmail.com.ORCID 0000-0001-9125-3510

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo identify the profile of organisms causing neonatal sepsis and their antibiotic susceptibility pattern in recent years.

methodsIn this prospective study, authors included neonates with blood culture proven sepsis. Antibiotic resistance patterns that were identified were extended spectrum β-lactamase, AmpC β-lactamase and possible carbapenamase producer. Xpert CARBA-R test was performed to identify genes causing carbapenem resistance.

resultsThere were 210 neonates with 216 episodes of blood culture proven sepsis. Klebsiella pneumoniae (n = 85) and Escherichia coli (n = 19) were the most common gram-negative organisms. Coagulase negative Staphylococcus (n = 11) and Staphylococcus aureus (n = 7) were the most common gram positive organisms. There were 17 episodes of fungal sepsis with Candida albicans (n = 6) being the most common. Sixty-five out of 216 (30%) organisms were multidrug resistant. Among the Klebsiella isolates, 32/85 (37.6%) were possible carbapenamase producers. Xpert CARBA-R performed for 13 infants showed that all were positive for New Delhi metallo-β-lactamase. Among the 19 Escherichia coli, 10/19 (37.6%) were multidrug resistant and 1/19 (5.3%) was a possible carbapenamase producer.

conclusionsThe authors found a significant increase in New Delhi metallo-β-lactamase positive Klebsiella pneumoniae causing neonatal sepsis in last three years. Regular monitoring of resistance patterns and prudent use of antimicrobials are imperative in regulating the shadow pandemic of multi-drug resistant neonatal sepsis.

Indexed as

Anti-Bacterial AgentsNeonatal Sepsisbeta-LactamasesDrug Resistance, BacterialDrug Resistance, Multiple, BacterialEscherichia coliFemaleHumansIndiaInfant, NewbornMaleMicrobial Sensitivity TestsProspective StudiesTertiary Care CentersAnti-Bacterial Agentsbeta-LactamasesAntimicrobial resistanceCarbapenamase producerNeonateSepsisXpert CARBA-R

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.