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Population-based incidence and etiology of community-acquired neonatal bacteremia in Mirzapur, Bangladesh: an observational study.
Gary L Darmstadt; Samir K Saha; Yoonjoung Choi; Shams El Arifeen; Nawshad Uddin Ahmed; Sanwarul Bari; Syed M Rahman; Ishtiaq Mannan; Derrick Crook; Kaniz Fatima; et al. (Profiled Authors: Abdullah Baqui; Mathuram Santosham; Yoonjoung Choi; Peter Winch; Robert Black)
Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.
The Journal of infectious diseases 2009;200(6):906-15.
BACKGROUND: To devise treatment strategies for neonatal infections, the population-level incidence and antibiotic susceptibility of pathogens must be defined. METHODS: Surveillance for suspected neonatal sepsis was conducted in Mirzapur, Bangladesh, from February 2004 through November 2006. Community health workers assessed neonates on postnatal days 0, 2, 5, and 8 and referred sick neonates to a hospital, where blood was collected for culture from neonates with suspected sepsis. We estimated the incidence and pattern of community-acquired neonatal bacteremia and determined the antibiotic susceptibility profile of pathogens. RESULTS: The incidence rate of community-acquired neonatal bacteremia was 3.0 per 1000 person-neonatal periods. Among the 30 pathogens identified, the most common was Staphylococcus aureus (n = 10); half of all isolates were gram positive. Nine were resistant to ampicillin and gentamicin or to ceftiaxone, and 13 were resistant to cotrimoxazole. CONCLUSION: S. aureus was the most common pathogen to cause community-acquired neonatal bacteremia. Nearly 40% of infections were identified on days 0-3, emphasizing the need to address maternal and environmental sources of infection. The combination of parenteral procaine benzyl penicillin and an aminoglycoside is recommended for the first-line treatment of serious community-acquired neonatal infections in rural Bangladesh, which has a moderate level of neonatal mortality. Additional population-based data are needed to further guide national and global strategies.
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Luke C Mullany; Samir K Saha; Rasheduzzaman Shah; Mohammad Shahidul Islam; Mostafiz Rahman; Maksuda Islam; Radwanur Rahman Talukder; Shams El Arifeen; Gary L Darmstadt; Abdullah H BaquiThe Pediatric infectious disease journal 2012;31(5):444-50.
Abdullah H Baqui; Mahbubur Rahman; K Zaman; Shams El Arifeen; Hafizur Rahman Chowdhury; Nazma Begum; Gaurav Bhattacharya; Rashid A Chotani; Mohammad Yunus; Mathuram Santosham; et al.Journal of health, population, and nutrition 2007;25(2):179-88.
Shams E Arifeen; Samir K Saha; Sayedur Rahman; Kazi Mizanur Rahman; Syed Moshfiqur Rahman; Sanwarul Bari; Aliya Naheed; Ishtiaq Mannan; M Habibur R Seraji; Nawshad U Ahmed; et al.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America 2009;48 Suppl 2():S103-13.
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