Yafteh

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Introduction: Neonatal sepsis, and Neonatal septiemia are terms that have been used to describe the systemic response to infection in newborn infants. Sepsis can affect neonatal metabolism and the level of blood sugar. The aim of this study is to assess the prevalance of “Hypoglycemia” in neonates with primary diagnosis of sepsis in neonatal ward and NICU of khorrammabad pediatric hospital on the admission time, during a six month period. Findings: 43 neonates were selected as the sample size. 34 neonates were negative BC (79.1%), 9 cases were positive BC (20.9%). 7 neonates were hypoglycemic (16.3%). The assessment of hypoglycemic neonates showed that: All of them were in 0-7 days of age group (100%). 6 neonates (85.7%) were males and 1 of them (14.3%) was fmale. 85.7% of neonates were below 2500 gr which are known as “Low Birth Weight” neonates. 5 patients of hypoglycemic neonates were poor feeding and the decrease of neonatal reflexes (71.4%). The most common neuroglycopenic component was apnea (71.4%) and no significant relationship observed between hypoglycemia and positive blood culture. Conclusion: Although, hypoglycimia is one of sepsis complications but the diagnosis of hypoglycemia in sepsis is only established by diagnostic laboratory assessment (16.3%) and then management is followed by laboratory findings so treatment of patients with diagnosis of NS with hypertonic glcose (serom D/W 10% or more) confine to cases which hypoglycemia has approved by lab BS exam as soon as possible.

Keywords: Hypoglycimia, Sepsis, Neonate

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