FACTORS ASSOCIATED WITH NEONATAL EARLY ONSET SEPSIS AT KANYAMA LEVEL ONE HOSPITAL IN LUSAKA DISTRICT OF ZAMBIA

Mercy Njobvu, John Volk

Abstract


The study investigated the factors associated with neonatal early onset sepsis among this population at Kanyama Level One Hospital in Lusaka district, Zambia. This study was guided by an interpretive paradigm, in keeping with the research paradigm, a qualitative descriptive case study design was used. The sample for the study comprised 20 participants, who were 5 doctors, 5 midwives, and 10 mothers found admitted who were purposely selected. Data was collected using a semi-structured interview guide and focus group discussion guide, which was analysed thematically. It was found that the epidemiology of neonatal early-onset sepsis among this population at Kanyama Level One Hospital in Lusaka district is characterized by a higher incidence in preterm infants, with common causative pathogens including Group B Streptococcus and E. coli and is influenced by maternal health, delivery conditions, and limited access to adequate healthcare services. The study revealed that neonatal early-onset sepsis at Kanyama Level One Hospital is associated with premature birth, prolonged rupture of membranes, maternal infections, inadequate prenatal care, and poor hygiene during delivery. On the other hand, the study revealed that challenges in diagnosis and management persist, including limited access to diagnostic tools and antibiotics tailored to local microbial profiles. Based on these findings, the study recommends that the Ministry of Health establish a robust surveillance system for monitoring maternal infections during pregnancy and early signs of sepsis in newborns. Also, there is a need to strengthen the screening and management of maternal infections, particularly during the antenatal period and labour.

 

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neonatal, early-onset sepsis, management of neonatal infections, factors associated with sepsis

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DOI: http://dx.doi.org/10.46827/ejphs.v7i2.200

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