Abstract
The neonatal mortality rate (per 1000 live births) dropped from 36.6 in 1985 to 23.9 in 1986. Neonatal sepsis ranked as number 2 as a cause of neonatal mortality in 1985, while it dropped to rank 4 (even lower than major malformations) in 1986. The decline in the sepsis-related neonatal mortality was due to reduced incidence of sepsis (38.2 and 18.8 per 1000 live births during 1985 and 1986 respectively) and improved survival (case fatality rates of 24.6% vs 17.7% in 1985 and 1986 respectively). The strategies which reduced the incidence of nosocomial infections included decongestion of use of the nursery, discontinuation of use of heparinised saline for flushing intravenous lines and routine use of intravenous cannulas instead of metallic scalp vein needles.
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References
Cloherty JP. Identifying the high risk new-born and evaluating gestational age, prematurity, postmaturity, large for gestational age and small for gestational age.In: Cloherty JP, Stark AN.Manual of neonatal care. Little Brown and Company, Boston 1980: 103–120
Thompson MH, Khot AS. Impact of neonatal intensive care.Arch Dis Child 1985;60: 213–214
Mutch LMM. Epidemiology, perinatal mortality and morbidity. In:Textbook of neonatology. Ed: NC Roberton. Churchill Livingstone, Edinburgh 1986; 3–19
Vidyasagar D. Personal communication
Swyer PR. The organization of perinatal care with particular reference to the new-born. In:Neonatology : pathophysiology and manage-ment of the newborn, ed Avery GB: JB Lippincott Company, Philadelphia 1986: 13–44
Anonymous. Birth weight-specific neonatal mortality rates-Kentucky (USA).MMWR 1985;34: 487–488
Singh M. Hospital-based data on perinatal and neonatal mortality in India.Indian Pediatr 1986:23: 579–584
Bhakoo ON. Personal communication
Aggarwal K, Gupta SC, Roy Chowdhary S et al. Some observations on perinatal mortality.Indian Pediatr 1982;19: 233–238
Santhanakrishnan BR, Gopal S, Jayam S. Perinatal mortality in a referral teaching hospital in Madras city.Indian J Pediatr 1986;53: 359–363.
Bhatia BD, Mathur NB, Chaturvedi P, Dubey AP. Neonatal mortality pattern in a rural-based medical college hospital.Indian J Pediatr 1984:51: 309–312
Wigglesworth JS. In:Perinatal pathology. Volume 15 Major problems in pathology. Benington JL, consulting ed. Philadelphia: WB Saunders Co. 1984; 19–26
Khatua SP, Chatterjee BD, Khatua S, Ghose B, Saha A. Neonatal septicemia.Indian J Pediatr 1986;53: 509–514
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Singh, M., Paul, V.K., Deorari, A.K. et al. Strategies which reduced sepsis-related neonatal mortality. Indian J Pediatr 55, 955–960 (1988). https://doi.org/10.1007/BF02727836
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DOI: https://doi.org/10.1007/BF02727836