الفهرس 
Common Neonatal DiseasesOnly 14 pages are availabe for public view
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Abstract
E
gyptian Neonatal Network is a project aiming to establish a national network to use electronic health records. Establishment and maintaining a neonatal database that will allow comparison between participating hospitals, studying the mortality of high risk infants admitted to the participating neonatal care units in Egypt, a basis for policy planning and quality improvement and joining other international neonatal networks.
The aim of this study was to make a survey of the cases admitted to Neonatal intensive care unit, Obstetrics and Gynecology Hospital, Ain Shams University using the Egyptian neonatal network in order to establish and maintain database of neonates which will be a base for quality improvement and management at our Neonatal intensive care unit aiming for future policy planning and development.
This survey study was conducted in NICU of Obstetrics and Gynecology Hospital, Ain Shams University. It included all neonates admitted from the first of June 2012 till the 30th of November 2012.
The data of all neonates were collected along the admission period of each neonate using the Egyptian Neonatal Network 28 Day discharge form and then registered using a software computerized program of the EGNN till analysis was achieved.
The data includes patient’ admission data (e.g. demographic data, neonatal measurements and resuscitation data), NICU stay data (e.g. average duration of stay, requirements for assisted ventilation, surgical interference, imaging study, procedures and development of a complications) and discharge data (e.g. clinical outcome).
The total number of cases was 239 cases; 145 males and 94 females, mean gestational age is 34.65, mean weight on admission was 2215.19 grams, cases delivered vaginally were 21.34%. With mean of hospital stay 18.06 days duration.
There was no significant effect as regard gestational age, anthropometric measurements, gender, location of birth and mode of delivery on clinical outcome.
Resuscitation data of admitted cases, oxygen was needed in 73.64%, positive pressure ventilation (PPV) in 20.92%, use of endotracheal tube (ETT) in 11.3%, cardiac compression in 0.84%, and endotracheal (ET) meconium suction in 4.18%.
The most common cause of admission was sepsis followed by prematurity and then respiratory problems.
The highest recorded complication was IVH (14.64%), followed by BPD (8.36%), while the least complication was NEC (1.26%).
Total number of sepsis was 51.88% of studied neonates, the most common organisms recovered from blood cultures were staph coagulase negative (10%) followed by Klebsiella (5.4%). vancomycin showed highest sensitivity 10% followed by gentamycin 4.2% of positive blood cultures.
Respiratory diseases, IVH and seizures are significantly more commonly associated with sepsis.
Total number of jaundice cases was (33.47%) of total number of admitted cases, (32.22%) needed phototherapy and only (1.26%) needed exchange transfusion together with phototherapy.
The most common congenital anomalies were gastrointestinal anomalies (40.35%) of total number of congenital anomaly cases followed by cardiac anomalies (12.28%).
PDA was the most common Echo finding, medical treatment was given to all cases.
The total mortality rate was 19.25% of admitted cases, the most common cause was respiratory failure 36.95%. Significantly higher mortality was found in respiratory diseases, followed by cardiac diseases. The need for blood product transfusion and procedures were associated with high mortality.