Table 1.
Early-onset neonatal sepsis The first three days of life | Late-onset neonatal sepsis 4th-30th day | Very late-onset neonatal sepsis | |
---|---|---|---|
Risk factors | Frequently present | Generally absent | Variable |
Mode of transmission | Vertical, generally through the maternal genital canal | Vertical or from the environment postnatally | From the environment |
Clinical characteristics | Fulminant course, multiorgan involvement | Insidious or acute, Focal infection Meningitis is frequent | Insidious |
Mortality | 5-20% | 5% | Low |
Causative Agents | GBS | Coagulase negative | Coagulase negative |
E. Coli | staphylococci | staphylococci | |
Viridans streptococci Enterococci | S. Aureus, | S. Aureus | |
Coagulase negative staphylococci | Candida | Candida | |
S. Aureus | E. Coli | E. Coli | |
Haemophilus influenza | Enterococci | Klebsiella | |
Listeria monocytogenes | Klebsiella | Pseudomonas | |
Klebsiella | Pseudomonas | ||
GBS | |||
L. Monocytogenes |
GBS: group B streptococci