Prevalence of Sepsis and Possible Severe Bacterial Infection among Neonates in Nepal

  • Gambhir Shrestha Child Health Division, Department of Health Services, Teku, Nepal
  • Rashmi Mulmi School of Public Health and Community Medicine, B.P Koirala Institute of health Sciences, Dharan, Nepal
  • Nibaran Joshi Kanti Children's Hospital, Maharajgunj, Nepal
  • Parashu Ram Shrestha Child Health Division, Department of Health Services, Teku, Nepal

Abstract

Nepal lacks adequate data on the prevalence of sepsis and Possible Severe Bacterial Infection (PSBI) among neonates. Thus, this systematic review was designed to estimate the prevalence of neonatal sepsis and PSBI status in Nepal. We searched PubMed and Nepal Journal Online for relevant studies on PSBI and neonatal sepsis published from 2006 to 2016. The eligibility criteria included those studies done in Nepal, evaluating the prevalence of PSBI/neonatal sepsis with denominators as the population at risk that is either total live births or total cases evaluated. Altogether, four studies met the review criteria, out of which three were hospital-based and one community-based. There is a vast difference in prevalence rate between hospital-based (2-4%) and community-based (9%) studies. Two studies used haematological scoring system and blood culture to base their diagnosis; one used signs and symptoms for PSBI while the other did not mention the diagnostic criteria. This systematic review suggests that though neonatal sepsis poses a big problem, it lacks a significant number of related studies. There is a need to conduct a nationwide survey on the prevalence of sepsis and PSBI among neonates, which will help to develop health policy.

Published
2018-03-13
How to Cite
SHRESTHA, Gambhir et al. Prevalence of Sepsis and Possible Severe Bacterial Infection among Neonates in Nepal. Journal of Nepal Health Research Council, [S.l.], v. 16, n. 1, p. 1-5, mar. 2018. ISSN 1999-6217. Available at: <http://jnhrc.com.np/index.php/jnhrc/article/view/1007>. Date accessed: 22 may 2018.