PREVALLENCE OF NEONATAL SEPSIS AND ASSOCIATED FACTORS AMONG NEONATES ADMITTED AT DURAME GENERAL HOSPITAL IN KAMBATA TAMBARO ZONE, SOUTHERN ETHIOPIA.2021G.C.

Abstract

Neonatal sepsis is the one of the most common causes of neonatal hospitalization in developing countries. it is also a major cause of mortality in the world affecting both developed and developing countries. Diagnosis and management of sepsis are a great challenge facing neonatologists in neonatal intensive care units due to nonspecific signs and symptom. Therefore, this study aims to determine prevalence and associated factors of neonatal sepsis at durame general hospital in kambata Tambaro Zone Southern Ethiopia. Objectives: The purpose of this study were to assess prevalence and associated factors of neonatal sepsis among neonates admitted in neonatal intensive care unit at durame general hospital in Southern Ethiopia, 2021GC . Methods: Institutional-based cross- sectional study was conducted. A Systematic random sampling technique was used to select a total of 291 neonates. Data was collected by using a pretested structured questionnaire. Data entry and analysis were made by using EPI data version 4.6 and SPSS version 20 respectively. A bivariate and multivariate analysis with a 95% confidence level was performed and those variables (p<0.05) were deemed statistically significant. Results: the overall prevalence of neonatal sepsis was (11.3%). Mothers who had history of STI during index pregnancy (AOR=0.260 95% CI 0.108-0.626) frequency per vaginal examination greater than three during labor and delivery (AOR 11.752(4.922-28.055); 95% CI, birth asphyxia (AOR 0.404(0.171-0.953); 95% CI. were significantly associated with neonatal sepsis. Conclusion: The prevalence and associated factors of neonatal sepsis was high maternal, neonatal and health service related factors were identified for neonatal sepsis. Therefore, training of health workers, provision of health care services as per standards and monitoring and evaluation of obstetrical/neonatal care during labor and delivery are mandatory.