Multi drug resistant (MDR) bacteria infection in district hospitals of the country is becoming a major cause of sepsis in infants. A study conducted by AIIMS has revealed that 3.2 percent of the recruitment of SNCU (Special Neonatal New Bard Care Unit) of the district Astpal suffers from baby sepsis infection. 36.6 percent of infants die.
The major cause of sepsis (MDR) is a bacterial infection, in the treatment of which antibiotics were also found to be ineffective. Sepsis is a fatal situation.
Study done in district hospitals
The study has been published in the International Medical Journal The Lanset Global Health. The doctors involved in the study have recommended measures to prevent drug resistant infections in district hospitals and promote the correct use of antibiotics.
In addition to the neonetology of the Pediatric Department of AIIMS, Professor Dr. said that in large hospitals, there have been first studies in infants for sepsis infection but there was no such study in district hospitals.
Symptoms of sepsis in 50 percent children
This study was done to find out the rate of sepsis infection in infants in district hospitals. Therefore, blood culture testing was conducted in large hospitals by taking blood samples of 6,612 newborns admitted in five district hospitals in different parts of the country. These included hospitals in Tamil Nadu, Chhattisgarh, Rajasthan, Himachal Pradesh and Assam.
The average weight of infants was two and a half kilograms. Symptoms of sepsis were found in 50 percent of children. But this infection was found in 3.2 percent of infants in culture investigation. Due to this, the mortality rate among the victims was 36.6 percent. The cause of sepsis infection was mainly found in three bacteria.
22.9 percent of infant Clabciella pneumonia, 14.8 baby E. Kolai and 11.7 percent infants had an infection of entro. 75 to 88 percent of MDRs were infected with bacteria. Culture test found resistance to three types of antibiotics, carbapanem and aminoglycosides.
Blood culture investigation is not available in district hospitals
These drugs were found to be ineffective in treatment. The study says that five lakh 50 thousand infants die every year due to sepsis infection. One fourth of these deaths occur in India. More than one million babies are recruited every year in 979 SNCUs present in district hospitals across the country.
About 40 percent of infants admitted to SNCU are given antibiotics. Most of the district hospitals, which are accompanied by the facility of SNCU, do not have blood culture testing facility. Due to this, antibiotics are started on the basis of suspicion and symptoms of sepsis without blood culture investigation. Therefore, the correct use of antibiotics should be promoted in district hospitals.
