Neonatal sepsis Neonatal Diseases Bacterial sepsis of newborn
Conditions
Interventions
An observational prospective study to characterize the clinical features of neonates with sepsis, the microbial population structure, antimicrobial susceptibility patterns and the antimicrobial resist
Sponsors
Oxford University Clinical Research Unit
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Neonates (=1 month of age) 2. Diagnosis of probable sepsis or confirmed sepsis 3. Have blood culture taken 4. Inpatient at local hospital between 2017 and 2018 5. Informed consent given by parents or guardians
Exclusion criteria
Exclusion criteria: Informed consent not given
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Clinical characteristics of neonates with sepsis, recorded on a case report form during hospital stay from admission to discharge 2. The etiology of neonatal sepsis and the distribution of pathogens by clinical departments, assessed using the blood culture results including the isolation and identification information recorded on a case report form during hospital stay from admission to discharge 3. Antimicrobial susceptibility and resistance of isolated bacteria, assessed using disc testing, minimum inhibitory concentrations, conventional PCR and genome sequencing of resistance genes, during hospital stay from admission to discharge 4. The impact of specific bacteria and antimicrobial resistance profile on patient outcomes (mortality, length of stay and cost of treatment), recorded on a case report form during hospital stay at day 7, day 14, day 21 and day 28 after admission and at discharge 5. Genome sequence profile of isolated bacteria, assessed using Illumina whole genome sequencing at the end of recruitment | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Antimicrobial resistance profile and gene distribution of the isolated bacteria by clinical departments, assessed using disc testing, minimum inhibitory concentrations, conventional PCR and genome sequencing of resistance genes, at the end of recruitment 2. The population structure of the isolated bacteria, the antimicrobial resistance gene pool and other horizontally transferred DNA, assessed by genome sequencing at the end of recruitment | — |
Countries
Viet Nam
Outcome results
None listed