Journal
PEDIATRIC RESEARCH
Volume 83, Issue 4, Pages 784-790Publisher
NATURE PUBLISHING GROUP
DOI: 10.1038/pr.2017.299
Keywords
-
Categories
Ask authors/readers for more resources
BACKGROUND: Bacterial infections account for a significant proportion of neonatal and infant mortality globally. We aimed to identify predictors of death in infants with probable serious bacterial infection (PSBI) defined as signs/symptoms of possible serious bacterial infection along with baseline C-reactive protein (CRP) >= 12 mg/l. METHODS: We did a secondary analysis using the data collected from 700 infants with PSBI who participated in a randomized controlled trial in India in which zinc or placebo was given in addition to the standard antibiotics. Logistic regression was used to estimate the associations between relevant variables and death within 21 days. RESULTS: Those infants who were fed cow's milk or formula before the illness episode had 3.7 fold (95% confidence interval (Cl) 1.5-9.3) and 5.3-fold (95% Cl 2.0-13.6) higher odds of death, respectively. Lethargy (odds ratio (OR) 2.4, 95% Cl 1.1-5.4) and CRP (OR 1.9, 95% Cl 1.1-3.3) were also independent predictors of death. In the model including only clinical features, female gender (OR 2.25, 95% Cl 1.0-5.0), abdominal distention (3.7, 95% Cl 1.1-12.3), and bulging fontanelle (5.8, 95% Cl 1.1-30.5) were also independent predictors for death. CONCLUSION: Formula or cow milk feeding prior to the illness, lethargy at the time of presentation, and high serum CRP levels predicted death in infants with PSBI.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available