FACTORS OF DEATH AMONG HOSPITALIZED NEONATES WITH SEPSIS IN THE FLOOD DISASTERS AREAS OF PAKISTAN

Abstract

Background: Sepsis is the main factor in infant death and neurological impairment among neonates. One-third of all neonatal deaths in Pakistan are attributable to it. Neonates experience a high rate of mortality. Newborn mortality is decreased by identifying and preventing neonatal sepsis predictors.

Objective: The purpose of the study was to identify the factors of death among hospitalized neonates with sepsis during the period of flood disaster.

Methodology: 73 neonates were evaluated at General hospital in the southern Punjab and upper Punjab from June to September 2022. Cases were admitted babies who died from sepsis, whereas controls were those who survived. The deaths of neonates diagnosed with neonatal sepsis were picked in chronological order. The three controls listed below were chosen at random from the NICU case registration book. Information was acquired from baby records using specified checklists. Data was evaluated using SPSS 26. Death variables were examined using logistic regression.

Results: Fifteen cases and fifty-eight controls were included in this study. More than three-quarters of cases (73.4%) had an early start of sepsis. In this investigation, inadequate feeding (AOR = 2.11), respiratory distress (AOR = 1.84), estimated gestational age shorter than 34 weeks (AOR = 5.75), and convulsion (AOR = 2.12) were significantly associated with Death.

Conclusion: This study demonstrated that the causes of sepsis-related infant death were preterm, convulsion, inadequate feeding, and respiratory distress. To lower sepsis-related mortality, it's crucial to pay attention to babies who have any of the identified risks when they're septicemic.