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Neonatal sepsis - Overview

Alternative Names

Sepsis neonatorum; Neonatal septicemia

Definition of Neonatal sepsis:

Neonatal sepsis is a blood infection that occurs in an infant younger than 90 days old. Early-onset sepsis is seen in the first week of life. Late-onset sepsis occurs between days 8 and 89.

Causes, incidence, and risk factors:

A number of different bacteria, including E.coli, Listeria, and certain strains of Streptococcus, may cause neonatal sepsis.

Early-onset neonatal sepsis most often appears within 24 hours of birth. The baby gets the infection from the mother before or during delivery. The following increases an infant's risk of early-onset sepsis:

  • Group B Streptococcus infection during pregnancy
  • Preterm delivery
  • Rupture of membranes (placenta tissue) that lasts longer than 24 hours
  • Infection of the placenta tissues and amniotic fluid (chorioamnionitis)
  • Frequent vaginal examinations during labor

Babies with late-onset neonatal sepsis get infected after delivery. The following increase an infant's risk of sepsis after delivery:

  • Contaminated hospital equipment
  • Exposure to medicines that lead to antibiotic resistance
  • Having a catheter in a blood vessel for a long time
  • Staying in the hospital for an extended period of time
  • Reviewed last on: 8/20/2007
  • Alan Greene, MD, FAAP, Department of Pediatrics, Stanford University School of Medicine, Lucile Packard Children's Hospital; Chief Medical Officer, A.D.A.M., Inc. Also reviewed by Deirdre O’Reilly, M.D., M.P.H., Neonatologist, Division of Newborn Medicine, Children’s Hospital Boston and Instructor in Pediatrics, Harvard Medical School, Boston, Massachusetts.

References

Mandell GL, Bennett JE, Dolin R. Principles and Practice of Infectious Diseases. 6th ed. London: Churchill Livingstone; 2005.

Schrag S, Gorwitz R, Fultz-Butts K, Schuchat A. Prevention of perinatal group B streptococcal disease. Morbidity and Mortality Weekly Report. 51(RR-11): 1–22, 2002.

Schrag S. Prevention of neonatal sepsis. Clin Perinatol. Sept 2005; 32(3): 601-15.

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