Risk factors for mortality in culture-negative neonatal sepsis in Malawi: a propensity score-matched analysis

We conducted a propensity score-matched multivariable regression analysis of 1050 culture-negative neonatal sepsis cases in Malawi, where 160 (15.2%) died. Mortality among neonates with culture-negative sepsis was associated with very low birth weight (adjusted OR (AOR) 12.82, 95% CI 1.23 to 137.49)...

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Main Authors: James Chirombo (Author), Pui-Ying Iroh Tam (Author), Kondwani Kawaza (Author), Tessa de Baat (Author), Lughano Ghambi (Author)
Format: Book
Published: BMJ Publishing Group, 2024-08-01T00:00:00Z.
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Summary:We conducted a propensity score-matched multivariable regression analysis of 1050 culture-negative neonatal sepsis cases in Malawi, where 160 (15.2%) died. Mortality among neonates with culture-negative sepsis was associated with very low birth weight (adjusted OR (AOR) 12.82, 95% CI 1.23 to 137.49), respiratory distress syndrome (AOR 13.20, 95% CI 2.58 to 83.66), a low Apgar score at 1 min (AOR 3.50, 95% CI 1.21 to 10.72) and at 5 min (AOR 4.77, 95% CI 1.94 to 12.50). Addressing maternal and perinatal factors around health and delivery of care is key to improving outcomes in the context of culture-negative sepsis in neonates from low-income country settings like Malawi.
Item Description:10.1136/bmjpo-2024-002664
2399-9772