الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Neonatal sepsis is one of the most chilling problems despite the ongoing progress in diagnosis and treatment. Sepsis is a syndrome characterized by variable, systemic physiologic changes triggered by infection, continues to provide an extraordinary challenge to clinicians who manage critically ill neonates The clinical recognition of sepsis in neonates is difficult because the signs and symptoms are often non-specific and blood cultures are rarely positive. The study included 100 neonates their age ranged between 7&28 days all of them were achieving the clinical sepsis score (score>2) by history and complete physical examination. On admission to NICU blood was sampled for complete blood count with differential, CRP and blood culture. Then lumber puncture was done and CSF analysis for cells (WBC), chemistry (glucose & proteins) and culture was done.The results showed that among the 100 neonate, 80 had positive hematological score, 50 had positive blood culture and 20 had positive CSF cultures.
There were 10 cases had positive CSF cultures with negative blood culture , In neonates with both positive blood and CSF cultures, the organisms isolated were discordant in 3 cases.