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Abstract
This study was carried on 100 pregnant women and their neonates who have the following criteria; full term (> 37 weeks gestational age), delivered vaginally, free of congenital anomalies and signs of congenital infections and their mothers. In addition to 200 pregnant women full term with intact membrane as a control group for mothers with PROM.
All studied cases both neonates and their mothers were subjected to full history and clinical examinations. The predominant risk factors of the mothers were multiple vaginal examinations, premature rupture of membranes more than 18 hours and maternal intrapartum fever more than 38.5?C.
High vaginal swabs were taken from all mothers. Also, surface swabs from the body of all studied neonates were taken from nose and umbilicus as well as swabs from the suction set used in their care.
The neonates were prospectively followed up in the first week of life for clinical evidences of sepsis e.g. the most important of which were poor feeding, respiratory problems, lethargy and diarrhea. The septicemic neonates were investigated by blood culture.
Our results showed that out of the hundred (100) studied neonates, 24 cases were suspected clinically to be septicemic. Only 7 cases of those neonates had positive blood cultures.
The septic group included 7 neonates with 4 males and 3 females. Their mean gestational age 37.7 ± 1.1 weeks and their mean body weight 3.1 ± 0.25 kg.
The most common organisms detected in blood cultures were Staphylococcus aureus (42.85%), Enterobacter species (28.6%), GB streptococci species (14.3 %) and klebsiella (14.3%).
There was higher matching between results of high vaginal swabs and blood cultures results in 4 cases (57.1%) of those 7 septic neonates. The other 3 cases (42.9%) had the same organism isolated from the suction set.