Abstract Ref Number = APCP274
Risk Factors Analysis of Neonatal Infection in Umbu Rara Meha Waingapu General Hospital A Case Control Study
Erick Kristianto Adityatama,Stevia Ariella Pasande,Stasya Zephora,Sondang Herikson Panjaitan,Tantri Erika
Umbu Rara Meha General Hospital
Background : Neonatal infection is one of the most determining factors affecting length of stay, morbidity and mortality. It contributes up to 1 million neonatal deaths every year worldwide. In South-East Asia, neonatal infection accounts for 39 deaths for every 1000 living babies. Meanwhile in Indonesia, neonatal infection contributes up to 12% of neonatal mortality. Due to the significant impact it causes to neonatal mortality rate, it is necessary to prevent neonatal infection by identifying the risk factors. Therefore, this study is conducted to identify the risk factor of neonatal infection especially in East Sumba.
Material : A case-control study is conducted by collecting 80 samples (40 samples each group) through medical record data collection from November 2017 – April 2018 in Umbu Rara Meha General Hospital. The case group consists of babies who were diagnosed with neonatal infection while the control group consists of babies with no neonatal infection. From both groups, we identify several factors that are stated to be associated with neonatal infection from previous studies. Bivariate and multivariate analyses are undergone by using chi-square and logistic regression respectively.
Results : Several factors that are associated with neonatal infection are preterm labor (p: 0,001; OR: 4,33; 95% CI: 1,27-14,78), low birth weight (p: 0,035; OR: 3,05; 95% CI: 1,03-9,02), asphyxia (p: 0,047; OR: 2,54; 95% CI:1,01-6,73), premature rupture of membrane (PROM) (p: 0,034; OR: 2,57; 95% CI: 1,03-6,45). Of all these variables, we undergo logistic regression and identify preterm birth (p:0,009; OR: 6,89; 95%CI:0,34-0,61) as the most significant risk factor of neonatal infection.
Conclusions : Preterm labor, low birth weight, asphyxia, and PROM are associated with higher events of neonatal infection.
Keywords: Neonatal Infection Preterm Low Birth Weight