Evidence map›Paper›PMID 39773806›Full record

ArticleBMJ open2025

Prevalence and factors associated with neonatal sepsis in Mali: a cross-sectional study.

Fatoumata Bintou Traoré, Bienvenu Salim Camara, Elhadj Marouf Diallo, Cheick Sidya Sidibé, Alhassane Diallo, Sidikiba Sidibé, Birama Apho Ly, Fatimata Yaro, Mariam Traoré, Haoua Dembelé and 4 more

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Fatoumata Bintou TraoréGamal Abdel Nasser University of Conakry, Conakry, Guinea tfatoumatab@gmail.com.ORCID 0000-0002-2984-9353
Bienvenu Salim CamaraUGANC, Conakry, Guinea.
Elhadj Marouf DialloAfrican Centre of Excellence for the Prevention and Control of Communicable Diseases, University of Conakry, Conakry, Guinea.
Cheick Sidya SidibéVrije Universiteit Amsterdam Athena Instituut, Amsterdam, North Holland, The Netherlands.ORCID 0000-0002-7101-5408
Alhassane DialloUniversité Montpellier 1, Montpellier, Occitanie, France.
Sidikiba SidibéUniversity of Conakry, Department of Public Health, Universite Gamal Abdel Nasser de Conakry, Faculte des Sciences et Techniques de la Sante, Conakry, Guinea.ORCID 0000-0002-7905-9042
Birama Apho LyUSTTB FMOS, Bamako, Mali.
Fatimata YaroNational Institute of Public Health, Bamako, Mali.
Mariam TraoréNational Institute of Public Health, Bamako, Mali.
Haoua DembeléNational Institute of Public Health, Bamako, Mali.
Abdoulaye TouréCenter of Research and Training in Infectious Diseases, Gamal Abdel Nasser University of Conakry, Conakry, Guinea.
Alioune CamaraNational Malaria Control Programme, Guinea, Conakry, Guinea.
Alexandre DelamouAfrican Centre of Excellence for the Prevention and Control of Communicable Diseases, University of Conakry, Conakry, Guinea.
Hamadoun SanghoUSTTB FMOS, Bamako, Mali.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to assess the prevalence and risk factors for neonatal sepsis among neonates admitted to selected health facilities in the Bamako district and Koulikoro region in Mali.

designThis is a prospective cross-sectional study. Data were analyses using bivariate and multivariate logistic regression.

settingThis facility-based study was conducted in four health facilities consisting of two hospitals and two reference health centres in Mali.

participantsThe study participants comprised 795 randomly selected neonates and their indexed mother. OUTCOME MEASURES: The primary outcome of the study was the prevalence of sepsis in the considered health facilities. The other variables of interest were risk factors for sepsis.

resultsThe prevalence of neonatal sepsis among the study population was 21.00%. More than 74% of sepsis cases were early onset (<72 hours). Neonatal age <7 days (AOR=2.79, 95% CI 1.59 to 4.89, p=0.000), low birth weight <2500 g (AOR=2.88, 95% CI 1.41 to 5.86, p=0.003), Apgar score <7 (AOR=4.03, 95% CI 3.09 to 5.24, p=0.000), mother with no education (AOR=2.24, 95% CI 1.15 to 4.33, p=0.02), maternal fever (AOR=2.31, 95% CI 1.53 to 3.53, p=0.000), prolonged rupture of membranes (AOR=1.87, 95% CI 1.01 to 3.54, p=0.04) and prolonged labour (AOR=2, 95% CI 1.03 to 3.88, p=0.04) were significantly associated with neonatal sepsis.

conclusionThe prevalence of sepsis in Mali is still high. Given the country's current security context, the findings in this study can support prevention activities, particularly given the limited resources available. It is essential to facilitate antenatal and postnatal visits, to promote in-facility births and rigorous monitoring of neonates at high risk of sepsis. Furthermore, it would be beneficial for future research on neonatal sepsis to include neonates born at home.

Indexed as

Neonatal SepsisAdultApgar ScoreCross-Sectional StudiesFemaleHumansInfant, Low Birth WeightInfant, NewbornLogistic ModelsMaleMaliPregnancyPrevalenceProspective StudiesRisk FactorsYoung AdultEPIDEMIOLOGYNEONATOLOGYPaediatric infectious disease & immunisationPERINATOLOGYPrevalenceRisk Factors

Identifiers

PMID39773806
PMCPMC11749796

What OpenQuestion holds

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Registered trials

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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.