Browsing by Author "Singh, Silky"
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Publication Feasibility of Pulse Oximetry as a Screening Tool for Early-Onset Neonatal Sepsis at Tertiary Care Teaching Hospital, India(Perinatal Society of Nepal (PESON), 2024) Singh, Silky; Bijapure, Hidaytullah R; Patil, Mallanagouda M; Charaki, Siddu; SS, Kalyanshettar; Patil, SVAbstract: Introduction: Sepsis is a serious infection in neonates. It usually presents with non-specific symptoms, making early diagnosis difficult. In India, with an incidence of sepsis 30 per 1,000 live births, early detection is very important. Hypoxia is a one of the important findings seen in sepsis. Pulse oximetry is a simple, reliable way to measure oxygen saturation. The primary objective of this study was to assess the feasibility of utilizing pulse oximetry as a means of detecting hypoxia in asymptomatic neonates with early-onset neonatal sepsis (EONS). Methods: A prospective observational study was conducted among 282 asymptomatic neonates. Pulse oximetry was performed thrice: within six hours, within 24 hours of life and one to two hours before discharge. Newborns with oxygen saturation below 90% within six hours or with readings between 90 - 94% within 24 hours on repeat screening were considered as test-positive. Full sepsis screening including blood cultures, chest X-ray was performed in test positive asymptomatic neonates. Echocardiography was also performed to exclude any cardiac problems. Neonates who tested negative were observed until they were discharged from the hospital to detect any possible development of sepsis. Results: Out of 282 neonates, five (1.8%) tested positive by pulse oximetry. All of them were confirmed to have probable EONS. All those neonates who tested-negative by pulse oximetry, remained free of EONS during follow-up. Conclusion: Pulse oximetry can be a useful screening tool for detecting EONS.