Evaluation of hematological scoring system in early diagnosis of neonatal sepsis

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Original Article

Author Details : Suresh A. Chaware, Shivaji D. Birare, Renuka D. Ghatale

Volume : 2, Issue : 4, Year : 2016

Article Page : 149-151

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Abstract

Neonatal septicemia was one of the major risk factors contributing to the high perinatal and neonatal mortality and morbidity. The definite diagnosis of septicemia was made by a positive blood culture which required a minimum period of 48-72 hours and yielded a positive result in 30-70% of cases. Hence there was a critical need for laboratory tests that aid in the rapid diagnosis of neonatal sepsis. We studied the Rodwell's hematological parameters including the various changes seen in the peripheral smears of 160 neonates clinically suspicious of having sepsis. Out of 160 infants, 28 (17.50%) cases with proven sepsis, 80 (50%) cases with probable sepsis and 52 (32.50%) as normal infants. 116 (72.5%) infants had early onset neonatal sepsis and 44 (27.50%) infants had late onset sepsis. The advantage of study was that these can be done rapidly even in small hospitals, allowing prompt treatment to neonates with sepsis and minimizing therapy. It can be good predictors of short term neonatal outcome and carries diagnostic and prognostic value.

Keywords: Neonatal Sepsis, Rodwell's Hematological Scoring System, HSS, Blood Culture, Peripheral Smea

How to cite : Chaware S A, Birare S D, Ghatale R D, Evaluation of hematological scoring system in early diagnosis of neonatal sepsis. IP Int J Med Paediatr Oncol 2016;2(4):149-151

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