title: Blood glucose levels in neonatal sepsis and probable sepsis and its association with mortality.
abstract: OBJECTIVE
  To determine the blood glucose levels among patients with neonatal sepsis and probable sepsis and evaluate their association with the mortality rate.
  
  
  METHODS
  Analytical study.
  
  
  METHODS
  Fazle Omar Hospital, Rabwah, Pakistan from July 2007 to December 2008.
  
  
  METHODS
  Neonates with culture proven and probable neonatal sepsis were included. The glucose levels at the time of admission and outcomes were recorded. The patients were divided in four groups according to their glucose levels i.e. < 40 mg/dl, 40-100 mg/dl, 101-200 mg/dl and > 200 mg/dl. The patients were divided in two groups according to weight i.e. < 2.5 kg and ³ 2.5 kg.
  
  
  RESULTS
  There were a total of 502 cases. The glucose levels were below 40 mg/dl in 50 patients (9.9%), between 40 mg/dl to 100 mg/dl in 322 (64.1%), between 101 mg/dl to 200 mg/dl in 95 (18.9%) and above 200 mg/dl in 35 patients (6.9%). Among these four groups, 16 (32%), 32 (9.9%), 22 (23.2%) and 17 (48.6%) neonates died respectively (p < 0.001). The difference in glucose levels among the two groups according to weight was significant (p=0.002).
  
  
  CONCLUSIONS
  Majority of patients with neonatal sepsis and probable sepsis had glucose levels between 40 and 100 mg/dl at admission. Those with the levels below 40 mg/dl and above 200 mg/dl had higher mortality rates.
authors.affiliation: Department of Paediatrics, Fazle Omar Hospital, Rabwah, Pakistan. sultanahmad_90@hotmail.com
authors.forename: Sultan
authors.initials: S
authors.lastname: Ahmad
authors.forename: Riffat
authors.initials: R
authors.lastname: Khalid
mesh_terms: D001786:Blood Glucose / Q000378:metabolism*; D005500:Follow-Up Studies; D006801:Humans; D007003:Hypoglycemia / Q000097:blood* / Q000209:etiology / Q000401:mortality; D007226:Infant Mortality / Q000639:trends; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases / Q000097:blood* / Q000401:mortality; D010154:Pakistan / Q000453:epidemiology; D011336:Probability; D012189:Retrospective Studies; D012307:Risk Factors; D018805:Sepsis / Q000097:blood* / Q000150:complications / Q000401:mortality
chemical_list: D001786:Blood Glucose