Yeshambel Ephrem, Alemu Addisu Alehegn, Aynalem Bewket Yeserah, Bayile Yewbmirt Sharew
Mizan Aman Health Science College, Bonga, Mizan Aman, Ethiopia.
Debre Markos University, Debre Markos, Ethiopia.
Glob Pediatr Health. 2024 Jan 31;11:2333794X241228062. doi: 10.1177/2333794X241228062. eCollection 2024.
Neonatal sepsis is the primary cause of increased newborn morbidity and mortality worldwide, particularly in developing countries. In Ethiopia, the factors of neonatal sepsis are not well understood. Therefore, the purpose of this study was to determine the factors associated with neonatal sepsis in the study area. A case-control study design was conducted among 60 cases and 120 controls. Variables with ≤ .25 in the bivariate analysis were entered into multivariable logistic regression, and statistical significance was declared at < .05. Birth weight <2500-g (AOR = 4.05 [1.44, 11.36], number of ANC visits <3 (AOR = 4.49 [1.70, 11.86], duration of rupture of membrane ≥18 hours (AOR = 4.42; [2.02, 9.66], first minute APGAR score <7 (AOR = 3.09 [1.10, 8.70], birth at a health-center (AOR = 0.22 [0.08, 0.60]) and instrumental delivery (AOR = 0.30 [0.10, 0.88] were factors associated with neonatal sepsis. Neonatal sepsis was associated with different factors like prolonged membrane rupture, birth weight, and antenatal care visits.
新生儿败血症是全球新生儿发病率和死亡率上升的主要原因,在发展中国家尤为如此。在埃塞俄比亚,新生儿败血症的相关因素尚不明确。因此,本研究的目的是确定研究地区与新生儿败血症相关的因素。本研究采用病例对照研究设计,选取了60例病例和120例对照。双变量分析中P≤0.25的变量被纳入多变量逻辑回归分析,当P<0.05时具有统计学意义。出生体重<2500克(比值比[OR]=4.05[1.44,11.36])、产前检查次数<3次(OR=4.49[1.70,11.86])、胎膜破裂时间≥18小时(OR=4.42;[2.02,9.66])、出生后1分钟阿氏评分<7分(OR=3.09[1.10,8.70])、在保健中心出生(OR=0.22[0.08,0.60])以及器械助产(OR=0.30[0.10,0.88])是与新生儿败血症相关的因素。新生儿败血症与胎膜破裂时间延长、出生体重和产前检查次数等不同因素有关。