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(PDF) Neonatal Sepsis: Clinical Spectrum, Bacteriological Profile and Antibiotic Sensitivity Patterns in Neonatal Intensive Care Unit in a Tertiary Care Hospital | TRIVENI MANCHU - Academia.edu

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352H31.338c-17.818 0-26.741-21.543-14.142-34.142l128.662-128.662c7.81-7.81 20.474-7.81 28.284 0l128.662 128.662c12.6 12.599 3.676 34.142-14.142 34.142z"></path></svg></button></li></ul></li></ul></div> <script src="//a.academia-assets.com/assets/webpack_bundles/fast_loswp-bundle-bf3d831cde46cd0e142f29f81a3fc4ce5ab45a404c10c12a480e83de68aff851.js" defer="defer"></script><script>window.loswp = {}; window.loswp.author = 286717276; window.loswp.bulkDownloadFilterCounts = {}; window.loswp.hasDownloadableAttachment = true; window.loswp.hasViewableAttachments = true; // TODO: just use routes for this window.loswp.loginUrl = "https://www.academia.edu/login?post_login_redirect_url=https%3A%2F%2Fwww.academia.edu%2F113412960%2FNeonatal_Sepsis_Clinical_Spectrum_Bacteriological_Profile_and_Antibiotic_Sensitivity_Patterns_in_Neonatal_Intensive_Care_Unit_in_a_Tertiary_Care_Hospital%3Fauto%3Ddownload"; window.loswp.translateUrl = "https://www.academia.edu/login?post_login_redirect_url=https%3A%2F%2Fwww.academia.edu%2F113412960%2FNeonatal_Sepsis_Clinical_Spectrum_Bacteriological_Profile_and_Antibiotic_Sensitivity_Patterns_in_Neonatal_Intensive_Care_Unit_in_a_Tertiary_Care_Hospital%3Fshow_translation%3Dtrue"; window.loswp.previewableAttachments = [{"id":110378487,"identifier":"Attachment_110378487","shouldShowBulkDownload":false}]; window.loswp.shouldDetectTimezone = true; window.loswp.shouldShowBulkDownload = true; window.loswp.showSignupCaptcha = false window.loswp.willEdgeCache = false; window.loswp.work = {"work":{"id":113412960,"created_at":"2024-01-12T22:19:03.953-08:00","from_world_paper_id":248075916,"updated_at":"2024-11-23T02:45:50.771-08:00","_data":{"publisher":"Marwah Infotech","grobid_abstract":"Introduction: Neonatologists face a perpetual challenge in managing neonatal septicaemia due to changing patterns of the microbial flora and their antibiotic sensitivity. The present study was designed to evaluate the clinical spectrum, bacteriological profile, antibiotic sensitivity patterns in neonates with suspected septicaemia in a tertiary care teaching hospital. Material and Methods: This prospective observational study was carried out in neonatal intensive care unit for a period of nine months. All the neonates with suspected septicaemia, were evaluated by sepsis screen (C-reactive protein). C-reactive protein positive neonates were subjected to blood culture for isolation of microorganisms. Antibiotic sensitivity testing was done with disc diffusion method. The data was analyzed using descriptive statistics. Results: Among 519 neonates, blood culture was positive in 183 (35.2%). Most of the neonates presented with early onset sepsis(65%), were preterm(59%) and of low birth weight (58.5%). Major clinical presentation was respiratory distress (31.2%). Gram negative bacteria were frequently isolated (68.3%). Most common isolates were Klebsiella pneumonia (34.70%) and staphylococcus aureus (21.8%) respectively. Gram negative organisms were sensitive to imipenem, followed by piperacillin tazobactam and amikacin. Gram positive organisms showed good sensitivity to vancomycin, teicoplanin and imipenem. High resistance was observed to ampicillin and ceftriaxone in both gram positive and gram negative organisms. Conclusions: Preterm and low birth weight neonates were more susceptible to neonatal sepsis. Gram negative organisms were frequently isolated. The present study would suggest rational use of empirical antibiotic therapy and to review the antibiotic policy periodically basing on the microbial flora detected in their region time to time.","publication_date":"2019,,","publication_name":"International Journal of Contemporary Medical Research [IJCMR]","grobid_abstract_attachment_id":"110378487"},"document_type":"paper","pre_hit_view_count_baseline":null,"quality":"high","language":"en","title":"Neonatal Sepsis: Clinical Spectrum, Bacteriological Profile and Antibiotic Sensitivity Patterns in Neonatal Intensive Care Unit in a Tertiary Care Hospital","broadcastable":false,"draft":null,"has_indexable_attachment":true,"indexable":true}}["work"]; window.loswp.workCoauthors = [286717276]; window.loswp.locale = "en"; window.loswp.countryCode = "SG"; window.loswp.cwvAbTestBucket = ""; window.loswp.designVariant = "ds_vanilla"; window.loswp.fullPageMobileSutdModalVariant = "control"; window.loswp.useOptimizedScribd4genScript = false; 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src="https://0.academia-photos.com/286717276/134211253/123647034/s65_triveni.manchu.png" />TRIVENI MANCHU</a></div><p class="ds-work-card--detail ds2-5-body-sm">2019, International Journal of Contemporary Medical Research [IJCMR]</p><div class="ds-work-card--button-container"><button class="ds2-5-button js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;continue-reading-button--work-card&quot;,&quot;attachmentId&quot;:110378487,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;workUrl&quot;:&quot;https://www.academia.edu/113412960/Neonatal_Sepsis_Clinical_Spectrum_Bacteriological_Profile_and_Antibiotic_Sensitivity_Patterns_in_Neonatal_Intensive_Care_Unit_in_a_Tertiary_Care_Hospital&quot;}">See full PDF</button><button class="ds2-5-button ds2-5-button--secondary js-swp-download-button" 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data-author-id="95813575" href="https://independent.academia.edu/AmbreenAnsar">Ambreen Ansar</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Journal of Rawalpindi Medical College, 2021</p><p class="ds-related-work--abstract ds2-5-body-sm">Objective: To find out the most common organisms involved in neonatal sepsis origination and observe the pattern of antibiotic sensitivity and resistance of bacterial isolates. 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Out of the 19...</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;Neonatal sepsis: high antibiotic resistance of the bacterial pathogens in a neonatal intensive care unit of a tertiary care hospital&quot;,&quot;attachmentId&quot;:111259631,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/114605006/Neonatal_sepsis_high_antibiotic_resistance_of_the_bacterial_pathogens_in_a_neonatal_intensive_care_unit_of_a_tertiary_care_hospital&quot;,&quot;alternativeTracking&quot;:true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/114605006/Neonatal_sepsis_high_antibiotic_resistance_of_the_bacterial_pathogens_in_a_neonatal_intensive_care_unit_of_a_tertiary_care_hospital"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="4" data-entity-id="53279566" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/53279566/Neonatal_Sepsis_Common_Bacterial_Isolates_and_Their_Antimicrobial_Susceptibility_Patterns_in_Neonatal_Intensive_Care_Unit_Islamabad">Neonatal Sepsis; Common Bacterial Isolates and Their Antimicrobial Susceptibility Patterns in Neonatal Intensive Care Unit, Islamabad</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="81141096" href="https://pimshospitalislamabadpakistan.academia.edu/DrShafatKhatoon">Dr Shafat Khatoon</a></div><p class="ds-related-work--metadata ds2-5-body-xs">THE PROFESSIONAL MEDICAL JOURNAL, 2017</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;Neonatal Sepsis; Common Bacterial Isolates and Their Antimicrobial Susceptibility Patterns in Neonatal Intensive Care Unit, Islamabad&quot;,&quot;attachmentId&quot;:70191350,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/53279566/Neonatal_Sepsis_Common_Bacterial_Isolates_and_Their_Antimicrobial_Susceptibility_Patterns_in_Neonatal_Intensive_Care_Unit_Islamabad&quot;,&quot;alternativeTracking&quot;:true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/53279566/Neonatal_Sepsis_Common_Bacterial_Isolates_and_Their_Antimicrobial_Susceptibility_Patterns_in_Neonatal_Intensive_Care_Unit_Islamabad"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="5" data-entity-id="31781770" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/31781770/Neonatal_Sepsis_Bacteria_and_their_Susceptibility_Pattern_towards_Antibiotics_in_Neonatal_Intensive_Care_Unit">Neonatal Sepsis&quot;: Bacteria &amp; their Susceptibility Pattern towards Antibiotics in Neonatal Intensive Care Unit</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="58496371" href="https://friends.academia.edu/deeptisharma">deepti sharma</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Journal of clinical and diagnostic research : JCDR, 2013</p><p class="ds-related-work--abstract ds2-5-body-sm">Neonatal sepsis is one of the most common causes of neonatal mortality and morbidity, particularly in the developing countries. Its causative bacteria and their respective sensitivity patterns are different in each hospital and region. The objective of this study was to determine the causative bacteria and pattern of susceptibility to antibiotics in NICU of a tertiary care centre, which in turn may help in implementation of empirical therapy. This prospective study was carried out at a medical college during the period from 1st April 2011 to 31st March 2013. A total of 364 cases of suspected sepsis were admitted in our NICU during the mentioned period. Out of which, 137 cases were positive for culture. All the neonates of suspected sepsis were screened by using a panel consisting of CRP, ANC, I/T ratio, micro ESR and culture and sensitivity. A total of 137 cultures were found to be positive out of 364 cases. The most common organism isolated was Staphylococcus aureus (37.22%) follow...</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;Neonatal Sepsis\&quot;: Bacteria \u0026 their Susceptibility Pattern towards Antibiotics in Neonatal Intensive Care Unit&quot;,&quot;attachmentId&quot;:52083702,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/31781770/Neonatal_Sepsis_Bacteria_and_their_Susceptibility_Pattern_towards_Antibiotics_in_Neonatal_Intensive_Care_Unit&quot;,&quot;alternativeTracking&quot;:true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/31781770/Neonatal_Sepsis_Bacteria_and_their_Susceptibility_Pattern_towards_Antibiotics_in_Neonatal_Intensive_Care_Unit"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="6" data-entity-id="65087159" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/65087159/Bacteriological_Profile_and_Antibiogram_of_Community_Acquired_Neonatal_Sepsis_in_a_Tertiary_Care_Hospital_A_Prospective_Study">Bacteriological Profile and Antibiogram of Community Acquired Neonatal Sepsis in a Tertiary Care Hospital; A Prospective Study</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="53076604" href="https://independent.academia.edu/DrNsNeki">Dr. Ns Neki</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Annals of International medical and Dental Research</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;Bacteriological Profile and Antibiogram of Community Acquired Neonatal Sepsis in a Tertiary Care Hospital; A Prospective Study&quot;,&quot;attachmentId&quot;:76827801,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/65087159/Bacteriological_Profile_and_Antibiogram_of_Community_Acquired_Neonatal_Sepsis_in_a_Tertiary_Care_Hospital_A_Prospective_Study&quot;,&quot;alternativeTracking&quot;:true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/65087159/Bacteriological_Profile_and_Antibiogram_of_Community_Acquired_Neonatal_Sepsis_in_a_Tertiary_Care_Hospital_A_Prospective_Study"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="7" data-entity-id="104254686" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/104254686/QUALITATIVE_REVIEW_OF_ANTIBIOTIC_USE_FOR_NEONATAL_SEPSIS">QUALITATIVE REVIEW OF ANTIBIOTIC USE FOR NEONATAL SEPSIS</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="260043977" href="https://independent.academia.edu/InternationalJournalofAppliedPharmaceuticsIJAP">International Journal of Applied Pharmaceutics (IJAP)</a></div><p class="ds-related-work--metadata ds2-5-body-xs">International Journal of Applied Pharmaceutics, 2018</p><p class="ds-related-work--abstract ds2-5-body-sm">The aim of this study is to evaluate the antibiotic use in neonates with sepsis. Methods: An observational retrospective study was conducted using medical records of neonates diagnosed with early-/late-onset sepsis who were prescribed antibiotics and who were treated in the neonatal intensive care unit (NICU) at the Dr. Cipto Mangunkusumo Hospital between January 1 and December 31, 2015. Patient records were screened for antibiotic use; qualitative analyses were performed using the Gyssens algorithm. Concordance of empirical antibiotic prescriptions with subsequent blood culture and sensitivity tests was evaluated. Results: A total of 176 sepsis cases included 80 and 96 neonates with normal and low birth weights (LBWs), respectively. Ampicillin-sulbactam+gentamycin, which is indicated in local guidelines as the first-line antibiotic combination for neonatal sepsis, was most frequently prescribed. In the normal birth weight group, appropriate antibiotic use (Gyssens Category I) was found in 89.7% of cases, whereas Gyssens Category V (no indication) was found in 4.54% of cases. In the LBW group, 88.1% and 6.2% of cases were included in Gyssens Categories I and V, respectively. Only 17.5% and 13.5% cultured blood specimens from normal and LBW groups, respectively, yielded positive results; the most commonly identified bacteria were Acinetobacter baumannii and Klebsiella pneumonia. All isolates were resistant to ampicillin-sulbactam; only 7.4% were sensitive to gentamicin. Conclusion: Antibiotic use for neonatal sepsis in NICU in this study can be considered appropriate, suggesting proper implementation of antimicrobial guidelines. However, high rates of resistance to the first-line antibiotics for neonatal sepsis are concerning.</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;QUALITATIVE REVIEW OF ANTIBIOTIC USE FOR NEONATAL SEPSIS&quot;,&quot;attachmentId&quot;:104033642,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/104254686/QUALITATIVE_REVIEW_OF_ANTIBIOTIC_USE_FOR_NEONATAL_SEPSIS&quot;,&quot;alternativeTracking&quot;:true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/104254686/QUALITATIVE_REVIEW_OF_ANTIBIOTIC_USE_FOR_NEONATAL_SEPSIS"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="8" data-entity-id="50429874" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/50429874/Neonatal_Bacterial_Sepsis_and_Its_Susceptibility_Pattern_in_Neonatal_Care_Unit_of_Tertiary_Care_Hospital">Neonatal Bacterial Sepsis and Its Susceptibility Pattern in Neonatal Care Unit of Tertiary Care Hospital</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="129614317" href="https://independent.academia.edu/AltafAliMangi">Altaf Ali Mangi</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Journal of Pharmaceutical Research International</p><p class="ds-related-work--abstract ds2-5-body-sm">Background: The drug resistance and pathogens are different in various Hospitals of any country. Very high resistance pattern is observed nowadays to the frequently used antibiotics. The important observation has been noted that most of the doctors do not obtain blood cultures before start of the antibiotics, which becomes competent source of resistance. For the same purpose, this study has been done to find out the responsible microbes causing ailment and their susceptibility towards antibiotics to plan early and effective management. Materials and Methods: A number of 100 new borns admitted in the NICU CMC Children Hospital Larkana with signs and symptoms of sepsis were included in this research work. The study will help in provision of a comprehensive record on microorganisms causing sepsis in the neonates and their antibiotic sensitivity. The epidemiology and presence of neonatal sepsis in particular area makes it more easy and convenient to implement the rationale of empirical ...</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;Neonatal Bacterial Sepsis and Its Susceptibility Pattern in Neonatal Care Unit of Tertiary Care Hospital&quot;,&quot;attachmentId&quot;:68422111,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/50429874/Neonatal_Bacterial_Sepsis_and_Its_Susceptibility_Pattern_in_Neonatal_Care_Unit_of_Tertiary_Care_Hospital&quot;,&quot;alternativeTracking&quot;:true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/50429874/Neonatal_Bacterial_Sepsis_and_Its_Susceptibility_Pattern_in_Neonatal_Care_Unit_of_Tertiary_Care_Hospital"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-wsj-grid-card" data-collection-position="9" data-entity-id="93608764" data-sort-order="default"><a class="ds-related-work--title js-wsj-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/93608764/Neonatal_sepsis_causative_bacteria_and_their_resistance_to_antibiotics">Neonatal sepsis: causative bacteria and their resistance to antibiotics</a><div class="ds-related-work--metadata"><a class="js-wsj-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="226044839" href="https://independent.academia.edu/UmarHayat197">Umar Hayat</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Journal of Ayub Medical College, Abbottabad : JAMC</p><p class="ds-related-work--abstract ds2-5-body-sm">Neonatal sepsis is one of the major causes of neonatal morbidity and mortality, particularly in developing countries. The objective of this study was to determine the causative bacteria and level of their resistance to commonly used antibiotics. This descriptive study was carried out at Ayub Teaching Hospital, Abbottabad from April 2009 to January 2010. All neonates of either gender admitted in neonatology unit with clinical sepsis and positive blood culture were included in the study. Neonatal period was defined as 28 days of life at term and up to 44 weeks of gestational age in preterm babies. One hundred and thirty neonates of either gender were studied during the period. Blood sample for culture was taken from a peripheral vein or an artery ensuring standard anti-septic measures. BACTEC technique was used for obtaining bacterial growth and drug sensitivity after incubation of 24-48 hours. Second blood culture was also performed in few cases which were not showing improvement aft...</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;Neonatal sepsis: causative bacteria and their resistance to antibiotics&quot;,&quot;attachmentId&quot;:96299742,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/93608764/Neonatal_sepsis_causative_bacteria_and_their_resistance_to_antibiotics&quot;,&quot;alternativeTracking&quot;:true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-wsj-grid-card-view-pdf" href="https://www.academia.edu/93608764/Neonatal_sepsis_causative_bacteria_and_their_resistance_to_antibiotics"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div></div></div><div class="ds-sticky-ctas--wrapper js-loswp-sticky-ctas hidden"><div class="ds-sticky-ctas--grid-container"><div class="ds-sticky-ctas--container"><button class="ds2-5-button js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;continue-reading-button--sticky-ctas&quot;,&quot;attachmentId&quot;:110378487,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;workUrl&quot;:null}">See full PDF</button><button class="ds2-5-button ds2-5-button--secondary js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;download-pdf-button--sticky-ctas&quot;,&quot;attachmentId&quot;:110378487,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;workUrl&quot;:null}"><span class="material-symbols-outlined" style="font-size: 20px" translate="no">download</span>Download PDF</button></div></div></div><div class="ds-below-fold--grid-container"><div class="ds-work--container js-loswp-embedded-document"><div class="attachment_preview" data-attachment="Attachment_110378487" style="display: none"><div class="js-scribd-document-container"><div class="scribd--document-loading js-scribd-document-loader" style="display: block;"><img alt="Loading..." src="//a.academia-assets.com/images/loaders/paper-load.gif" /><p>Loading Preview</p></div></div><div style="text-align: center;"><div class="scribd--no-preview-alert js-preview-unavailable"><p>Sorry, preview is currently unavailable. You can download the paper by clicking the button above.</p></div></div></div></div><div class="ds-sidebar--container js-work-sidebar"><div class="ds-related-content--container"><h2 class="ds-related-content--heading">Related papers</h2><div class="ds-related-work--container js-related-work-sidebar-card" data-collection-position="0" data-entity-id="69757376" data-sort-order="default"><a class="ds-related-work--title js-related-work-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/69757376/Causative_bacteria_and_antibiotic_resistance_in_neonatal_sepsis">Causative bacteria and antibiotic resistance in neonatal sepsis</a><div class="ds-related-work--metadata"><a class="js-related-work-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="128412677" href="https://independent.academia.edu/AneesUrrehman35">Anees Ur rehman</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Journal of Ayub Medical College, Abbottabad : JAMC</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;Causative bacteria and antibiotic resistance in neonatal sepsis&quot;,&quot;attachmentId&quot;:79730149,&quot;attachmentType&quot;:&quot;pdf&quot;,&quot;work_url&quot;:&quot;https://www.academia.edu/69757376/Causative_bacteria_and_antibiotic_resistance_in_neonatal_sepsis&quot;,&quot;alternativeTracking&quot;:true}"><span class="material-symbols-outlined" style="font-size: 18px" translate="no">download</span><span class="ds2-5-text-link__content">Download free PDF</span></button><a class="ds2-5-text-link ds2-5-text-link--inline js-related-work-grid-card-view-pdf" href="https://www.academia.edu/69757376/Causative_bacteria_and_antibiotic_resistance_in_neonatal_sepsis"><span class="ds2-5-text-link__content">View PDF</span><span class="material-symbols-outlined" style="font-size: 18px" translate="no">chevron_right</span></a></div></div><div class="ds-related-work--container js-related-work-sidebar-card" data-collection-position="1" data-entity-id="96860941" data-sort-order="default"><a class="ds-related-work--title js-related-work-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/96860941/Microbiology_of_Neonatal_Gram_Negative_Sepsis_in_A_Level_III_Neonatal_Intensive_Care_Unit_NICU_A_Single_Center_Experience">Microbiology of Neonatal Gram-Negative Sepsis in A Level III Neonatal Intensive Care Unit (NICU). A Single Center Experience</a><div class="ds-related-work--metadata"><a class="js-related-work-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="40342031" href="https://uaeu.academia.edu/AimanRahmani">Aiman Rahmani</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Global Journal of Pediatrics &amp;amp; Neonatal Care, 2019</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" data-signup-modal="{&quot;location&quot;:&quot;wsj-grid-card-download-pdf-modal&quot;,&quot;work_title&quot;:&quot;Microbiology of Neonatal Gram-Negative Sepsis in A Level III Neonatal Intensive Care Unit (NICU). 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data-collection-position="2" data-entity-id="111345120" data-sort-order="default"><a class="ds-related-work--title js-related-work-grid-card-title ds2-5-body-md ds2-5-body-link" href="https://www.academia.edu/111345120/Bacterial_isolates_of_early_onset_neonatal_sepsis_and_their_antibiotic_susceptibility_pattern_between_1998_and_2004_an_audit_from_a_center_in_India">Bacterial isolates of early-onset neonatal sepsis and their antibiotic susceptibility pattern between 1998 and 2004: an audit from a center in India</a><div class="ds-related-work--metadata"><a class="js-related-work-grid-card-author ds2-5-body-sm ds2-5-body-link" data-author-id="113185050" href="https://independent.academia.edu/SubirDey7">Subir Dey</a></div><p class="ds-related-work--metadata ds2-5-body-xs">Italian Journal of Pediatrics, 2011</p><div class="ds-related-work--ctas"><button class="ds2-5-text-link ds2-5-text-link--inline js-swp-download-button" 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