Growth and Neurodevelopmental Outcome in Preterm LBW Infants with Sepsis in India: A Prospective Cohort

印度早产低出生体重儿脓毒症的生长发育和神经发育结局:一项前瞻性队列研究

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Abstract

OBJECTIVE: Neonatal sepsis is associated with abnormal neurodevelopmental outcomes but not with poor growth at 9 to 15 months of corrected age in LBW infants. DESIGN SETTING AND PARTICIPANTS: This is a prospective cohort study involving 128 eligible preterm low-birth-weight (LBW) infants admitted during the period of 2013-2014 to the Durgabai Deshmukh Hospital and Research Center. All patients were followed up in the outpatient Department of Pediatrics. They were divided into the sepsis and nonsepsis group. RESULTS: A total of 94 infants were evaluated (40 in sepsis and 54 in nonsepsis group). At the age of 9-15 months, low-birth-weight infants with neonatal sepsis had an increased risk of neurodevelopmental disorders (67.5 versus 20.3%; RR: 3.31 (1.87-5.85)). There is no statistically significant difference in the growth outcomes. CONCLUSION: Neonatal infections are associated with the abnormal neurodevelopmental outcomes in LBW infants but there was no significant difference at growth outcome at 9 to 15 months of corrected age between both groups.

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