Open Access“Outcome of Neonates with Septicaemia with Different Types of Electrolyte Abnormality”
Author(s) -
Mohammad Azam Khan,
Mohammad Alauddin,
Abdullahel Amman,
Md. Gias Uddin
Publication year - 2022
Publication title -
south asian research journal of medical sciences
Language(s) - English
Resource type - Journals
eISSN - 2664-6722
pISSN - 2664-3987
DOI - 10.36346/sarjms.2022.v04i01.002
Subject(s) - medicine , hyponatremia , hypernatremia , hypokalemia , hyperkalemia , pediatrics , sepsis , abnormality , gestational age , hypochloremia , neonatal sepsis , pregnancy , chemistry , organic chemistry , psychiatry , biology , genetics , sodium
Electrolyte abnormalities are frequently encountered in sick neonates. They occur in a variety of conditions including neonatal sepsis and may remain unrecognized leading to morbidity and mortality irrespective of the primary disease. So, timely recognition, a high index of suspicion and a thorough understanding of common electrolyte abnormalities are necessary to ensure their correction. Objective: To assess the Outcome of Neonates with Septicaemia with Different Types of Electrolyte Abnormality. Methods: All neonates who were suffering from septicaemia and admitted in BSMMU from 1st January 2011 to 15th September 2011 and fulfilled the inclusion criteria were evaluated. Results: During the study period total 120 neonates were admitted with the diagnosis of septicaemia in the Department of Neonatology, BSMMU, and Dhaka, Bangladesh. Among the neonates mean age were 9.26±4.58 days, mean weight 2282.68±580.40 gm, mean gestational age was 35.68±2.40 weeks. Among the neonates with septicaemia males were 66 (55%) and females were 54 (45%) and male to female ratio was 1.2:1. Among 120 cases of septicaemia 57 (47.5%) were early onset and 63 (52.5%) were diagnosed as late onset neonatal sepsis. Among the 120 neonates with septicaemia 37 (30.83%) died and 83 (69.17%) survived. Neonates with dyselectrolytemia were found significantly associated with prolonged hospital stay in comparison to those with normal electrolytes level (p 0.05). Hyponatremia, hypokalemia and mixed electrolyte abnormalities were significantly associated with higher mortality (P 0.05). Conclusion: Electrolyte abnormalities are common in neonates with septicaemia. We found electrolyte abnormalities in 35% cases. Hyponatremia (20%) was the commonest abnormality followed by hyperkalemia (15.8%). Hyponatremia, hypokalemia and mixed electrolyte abnormalities were found to be significantly associated with higher mortality in this study.