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Background: Neonatal sepsis is a clinical syndrome characterized by signs and symptoms of infection with or without accompanying bacteraemia in the first month of life. Incidence differs among hospitals depending on variety of factors. Blood culture is considered gold standard for the diagnosis, but does not give a rapid result. Hence, there is a need to look for a surrogate marker for diagnosing neonatal septicaemia. Material & Methods: 335 neonates were studied for clinically suspected septicaemia over a period of one year. Blood was cultured and organism identified biochemically. Parameters of subjects like EOS, LOS and Band cell counts were recorded. Results analysed statistically. Results: Male preponderance was observed. Majority of the cases had a normal vaginal delivery. 47.46% cases had early onset septicaemia. Meconium stained liquor was the predominant risk factor .Culture positivity was found to be 32.24% and 87.96% of them also had band cells percentage ranging from 0 to >25. Conclusion: Band cell count can be used as a surrogate marker for neonatal septicaemia. An upsurge of Candida species as a causative agent in Neonatal septicaemia has been observed.

Correlation of blood culture and band cell ratio in neonatal septicaemia.