Role of Hematologic scoring system in early diagnosis of neonatal septicemia in a tertiary care hospital of Lower Assam

Dr Kaberee Bhuyan Medhi; Dr Michimi Daimary; Dr Elmy Rasul

Volume : V, Issue : IV, April - 2016

Role of Hematologic scoring system in early diagnosis of neonatal septicemia in a tertiary care hospital of Lower Assam

Dr Kaberee Bhuyan Medhi, Dr Michimi Daimary, Dr Elmy Rasul

Abstract :

<p>&nbsp;Neonatal septicemia is the commonest cause of neonatal morbidity and mortality. Objective : To determine role of Hematologic Scoring System (HSS) in early diagnosis of neonatal septicemia in a tertiary care hospital of Lower Assam. Method: A prospective study of 95 neonates with predisposing factors or clinically suspected cases admitted in NICU, FAAMCH was done. The hematological parameters using HSS of Rodwell et al was studied in all cases. Blood culture was taken as standard indicator for septicemia. Results : 20 (21.1%)out of 95 neonates had culture proven sepsis out of which 15% had score 3-4 and 85% had score &rsaquo;5. HSS had a sensitivity of 85%, specificity of 86.67%, negative predictive value of 95.58%,positive predictive value of 62.96% and accuracy of 86.31% in our study. Conclusion : HSS is a highly sensitive and specific tool which can aid neonatologists in early diagnosis of neonatal septicemia and institute proper antibiotic therapy while awaiting culture reports</p>