The relation between the type of microorganisms and some hematological parameters in neonatal septicemia

Abstract

Neonatal sepsis is a clinical syndrome characterized by many signs and symptoms which are non specific for diagnosis. Blood culture is standard measure but needs time to give it's results. Monocyte count is now used for early detection and follow up of patients of neonatal sepsis. The aim of the study is to evaluate the relation between the type of microorganism  and some hematological parameters in neonatal sepsis The number of studied cases were 46 neonates diagnosed as a cases of neonatal sepsis after positive blood culture. Each one was assessed clinically by prepared questionnaire including history and clinical assessment. Laboratory parameters includes WBC count, ESR, and monocyte count were done for all included cases. Very early neonatal sepsis was the commonest clinical type of sepsis 30(65/%) with poor feeding is the common presentation a0(87%).Group B. streptococcus was the commonest bacteria isolated in l7 cases (37%).At time of diagnosis monocyte, ESR, and wBC count were high in 3l(67,4yo),26(56,5oh)and 28(60p0 ) respectively. Most of the bacteria show nearly similar presentation of normal and high W.B.C. count except for staph aureus which shows all W.B.C. count is high 6(100%). All types of bacteria show nearly similar normal and high E.S.R. except for staph aureus which shows most of cases have high E.S.R. The high percentage of high monocyte count was in Coagulase negative staph , E.coli and staph aureus l0(76.9o/o),8(80%)and 4 (66.7%) respectively, while the normal monocyte count was nearly similar to the high monocyte in Group B. streptococcus. It is concluded that there is no significant relation between the type of microorganism  and the hematological parameters in neonatal sepsis.