Neonatal sepsis and its associated factors in East Africa: a systematic review and meta-analysis.

Abstract:

OBJECTIVES:This systematic review and meta-analysis aimed to reveal the magnitude of neonatal sepsis and its associated factors in East Africa. METHODS:Using PRISMA guideline, we reviewed and meta-analyzed studies from Google Scholar, Cochrane library, and PubMed; last search date: October 15, 2019. Heterogeneity across the studies was estimated. The subgroup analysis was done. Publication bias was also assessed. RESULTS:A total of 26 studies with 11,239 participants are included. The pooled prevalence of neonatal sepsis in East Africa was 29.765% (95% CI 23.36-35.94). Home delivery (AOR = 2.67; 95% CI 1.15-4.00), maternal history of urinary tract infection (UTI) (AOR = 2.083; 95% CI 0.24-3.93), gestational age/(preterm) (AOR = 1.56; 95% CI 1.04-2.08), prolonged labor (AOR = 3.23; 95% CI 0.04-6.51) and PROM (AOR = 1.95; 95% CI 0.53-3.37) were identified associated factors of neonatal sepsis. CONCLUSIONS:The prevalence of neonatal sepsis in East Africa remains high. The relevant stockholders should give attention for neonates delivered from women with intranatal fever to prevent neonatal sepsis. Pregnant women should be screened for UTI. Appropriate interventions should be put in place to manage PROM to decrease the chance of ascending microorganisms.

journal_name

Int J Public Health

authors

Abate BB,Kasie AM,Reta MA,Kassaw MW

doi

10.1007/s00038-020-01489-x

subject

Has Abstract

pub_date

2020-12-01 00:00:00

pages

1623-1633

issue

9

eissn

1661-8556

issn

1661-8564

pii

10.1007/s00038-020-01489-x

journal_volume

65

pub_type

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