PO-0555 Predictive Value Of Admission Surface Swabs In Early-onset Neonatal Sepsis In Extremely Low Birth Weight (elbw) Infants In A Neonatal Intensive Care Unit (nicu)

Abstract

speakers shared their experiences from Egypt and the US. Dis-cussions focused on prenatal versus postnatal, early-onset versus late-onset, and hospital versus community acquired neonatal infections. Five topics represented high priorities for research in Egypt: 1) maternal vaginal colonisation patterns and maternal vaginal screening practices for common and emerging pathogens, 2) risk factors associated with hospital-acquired infections in delivery rooms and neonatal intensive care units, 3) antimicro-bial resistance among pathogens affecting newborns in intensive care units, 4) education and compliance with infection control measures among staff, and 5) presentation and risk factors for neonatal infections associated with home deliveries. Webinar conferences will be conducted with each team to mature their project. A second workshop will be organised to develop a grant proposal for each research project to be submitted to interna-tional funding agencies. Conclusion To address neonatal infections related mortality and morbidities, stakeholders involved in the care of the newborns in Egypt need to develop a prioritised future research agenda. A central taskforce need to facilitate the assembly of multicenter, multidisciplinary teams across the country to study these issues in collaboration with international expertise and funding resources. Introduction Early Onset Neonatal Sepsis (EONS) is a major contributor to morbidity and mortality in ELBW infants. Admis-sion surface swab cultures (SSC) form part of admission surveil-lance cultures, however its place in the management of EONS is questionable. Objective To determine: • Sensitivity, specificity and positive predictive value of SSC. • If culture result would reflect on mean CRP value in first 72 hrs. • If maternal swabs and mode of delivery correlated with microbiological result in the baby. Method • Retrospective cohort study. • All inborn ELBW infants admitted into a Level 3 NICU from January 2010–December 2013. • Maternal swabs; mode of delivery; infants SSC, blood cultures and mean CRP (within 72 h) were reviewed.