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RxPG :: View topic - PAEDIATRICS-neonatal septicaemia  
Paediatrics MCQ Bank Forum Hot - Unanswered
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rakhijainSend an Instant Message to rakhijain  




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Quick Scroll PAEDIATRICS-neonatal septicaemia Monday 11th of October 2004 10:34:05 PM (5 years ago) #1

PAEDIATRICS
neonatal septicaemia
Q. Neonatal septicemia is most commonly caused by
a. Group B Streptococci
b. E. coli
c. Streptococcus viridans
d. Staphylococcus aureus
it should be grp b streptococci
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Quick Scroll Tuesday 12th of October 2004 12:09:00 AM (5 years ago) #2

it is grp b strep
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Quick Scroll Tuesday 12th of October 2004 12:37:57 AM (5 years ago) #3

ans:e.coli
o.p.ghai.5 edition page 141
most cases of neo sep caused by e.coli and staph aureus
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Quick Scroll Tuesday 12th of October 2004 12:43:15 AM (5 years ago) #4

YA WILL GO WITH VLADIMIR IT IS E COLI
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Quick Scroll Tuesday 12th of October 2004 01:06:15 AM (5 years ago) #5

but nelson mentions grp b streptococci , e.coli, klebsiella........... amongst the causes
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Quick Scroll Thursday 14th of October 2004 11:56:06 AM (5 years ago) #6

in western set up it'll b grp B strep
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Quick Scroll Friday 15th of October 2004 01:03:02 AM (5 years ago) #7

so decembermist u say its e.coli give your views
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Quick Scroll Friday 15th of October 2004 01:05:50 AM (5 years ago) #8

Its definitely E.Coli... and anyways why r we bothered about western setups here when it is not mentioned.
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Quick Scroll Tuesday 14th of December 2004 12:46:28 AM (5 years ago) #9

yeah in India its E.Coli

& west its grp B strep !!( nelson ref is western population )

thts wat i said
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Quick Scroll Thursday 4th of May 2006 03:04:34 PM (4 years ago) #10

For sure, group B streptococcal infection is so commom in Wesern set up, but in India the answer is always E. coli...
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Quick Scroll Re: <a href= Monday 5th of June 2006 02:38:26 AM (4 years ago) #11

rakhijain wrote:
<a href="http://www.rxpgonline.com/forum104.html">Paediatrics</a>

neonatal septicaemia
Q. Neonatal septicemia is most commonly caused by
a. Group B Streptococci
b. E. coli
c. Streptococcus viridans
d. Staphylococcus aureus
it should be grp b streptococci

hi there....
though the question was asked in 2004.. the confusion still persisting.so i tried getting factfile to solve our queries..
look at them and decide..
reference-meharban singh care of newbon 6th edn.page 209.

"in West early onset are mostly caused by groupBStreptococci in our nursery most cases are due to Gram-negative organisms especially E.COLI, KLEIBSIELLA.AND ENTEROBACTER SP."

TABLE. 16.3 BLOOD CULTURE ISOLATES IN NEONATAL SEPSIS
KLEBSIELLA PN-29.7%
2. S .AUREUS 14.7%
3.E.COLI 13.9%
4.PS.AERUGINOSA 9.2%
5. enterobacter sp- 7.9%
6.s.albus 7.2%
7
8.
9. str.viridans 1.4%..
so now u decide urself...
no more confusions!!!!!!!!! icon_eek.gif icon_rolleyes.gif
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Quick Scroll Friday 25th of August 2006 01:25:00 AM (4 years ago) #12

Sure it's Group b strep
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Quick Scroll Thursday 12th of October 2006 07:17:50 AM (3 years ago) #13

We were taught GBS- Group b streptococcal is the most common cause of neonatal sepsis. However also important are staph and Gram negatives such as E Coli.

I am really not sure whether the data is the same worldwide.
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Quick Scroll Saturday 21st of October 2006 07:12:10 AM (3 years ago) #14

hi people,

I guess while answering particular quetion, we shud always take into the consideration of the exam.Here we r answering a question set by MRCpch by UK.thus answer shud be b stretococci in their context.(Op Ghai Tb is for Indians...so E coli is the answer, but for Uk people Its wrong answer)
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Quick Scroll Neonatal Septicaemia Thursday 2nd of November 2006 06:56:58 PM (3 years ago) #15

In the western setup, Gr B Infection is the most common cause of Septicaemia.
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Quick Scroll Neonatal Septicaemia Thursday 2nd of November 2006 06:59:25 PM (3 years ago) #16

docpravin126 wrote:
hi people,

I guess while answering particular quetion, we shud always take into the consideration of the exam.Here we r answering a question set by <a href="http://www.rxpgonline.com/forum32.html">MRCPCH</a>
by UK.thus answer shud be b stretococci in their context.(Op Ghai Tb is for Indians...so E coli is the answer, but for Uk people Its wrong answer)


You are right, it depends on UK or Indian exam
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Quick Scroll Neonatal Septicaemia Thursday 2nd of November 2006 07:00:38 PM (3 years ago) #17

docpravin126 wrote:
hi people,

I guess while answering particular quetion, we shud always take into the consideration of the exam.Here we r answering a question set by <a href="http://www.rxpgonline.com/forum32.html">MRCPCH</a>
by UK.thus answer shud be b stretococci in their context.(Op Ghai Tb is for Indians...so E coli is the answer, but for Uk people Its wrong answer)


You are right, it depends on UK or Indian exam
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Quick Scroll Thursday 24th of May 2007 04:16:05 AM (3 years ago) #18

"If you want to leave your foot prints on the sands of time , dont drag your feet "
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Quick Scroll Thursday 7th of June 2007 12:07:44 PM (3 years ago) #19

Tapia I JL, Reichhard T C, Saldías R MI, Abarzúa C F, Pérez A ME, González M A, Gederlini G A.
Unidad de Neonatología, Departamento de Pediatría, Hospital Clínico, Pontificia Universidad Católica de Chile, Santiago, Chile.

The aim of this study was to compare incidence, bacteriology and associated mortality of neonatal sepsis in a neonatal unit, after (2001-2004) and before (1995-1996) implementation of universal screening for prevention of Group B Streptococcus diseases. Early onset sepsis incidence decreased from 2.5 to 1 per 1000 live births (p = 0.03), with a decrease in the proportion of Group B Streptococcus cases from a 54% to 11% (p < 0.01). In late onset sepsis, coagulase-negative Staphylococci continued to be the predominant pathogen (49% of cases), and Candida albicans emerged as the second etiologic agent in the postscreening period. Sepsis associated mortality was low in both periods (2.2%).

PMID: 17453068 [PubMed - in process]

Such an explanation is standing at Medline

An other side is Strep Agalactica is answer ==> Group B Streptococci
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Quick Scroll Thursday 7th of June 2007 12:09:49 PM (3 years ago) #20

Early onset sepsis ==> Group B Streptococcus diseases
late onset sepsis ==> coagulase-negative Staphylococci
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