Journal article Open Access
Biruk Beletew Abate;
Ayelign Mengesha Kasie;
Melese Abate Reta;
Mesfin Wudu Kassaw
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"description": "<p><strong>Abstract<br>\nObjectives</strong> This systematic review and meta-analysis aimed to reveal the magnitude of neonatal sepsis and its associated<br>\nfactors in East Africa.<br>\n<strong>Methods</strong> Using PRISMA guideline, we reviewed and meta-analyzed studies from Google Scholar, Cochrane library, and<br>\nPubMed; last search date: October 15, 2019. Heterogeneity across the studies was estimated. The subgroup analysis was<br>\ndone. Publication bias was also assessed.<br>\n<strong>Results </strong>A total of 26 studies with 11,239 participants are included. The pooled prevalence of neonatal sepsis in East Africa<br>\nwas 29.765% (95% CI 23.36–35.94). Home delivery (AOR = 2.67; 95% CI 1.15–4.00), maternal history of urinary tract<br>\ninfection (UTI) (AOR = 2.083; 95% CI 0.24–3.93), gestational age/(preterm) (AOR = 1.56; 95% CI 1.04–2.08), prolonged<br>\nlabor (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<br>\nneonatal sepsis.<br>\n<strong>Conclusions</strong> The prevalence of neonatal sepsis in East Africa remains high. The relevant stockholders should give attention<br>\nfor neonates delivered from women with intranatal fever to prevent neonatal sepsis. Pregnant women should be screened<br>\nfor UTI. Appropriate interventions should be put in place to manage PROM to decrease the chance of ascending<br>\nmicroorganisms.</p>",
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"title": "Neonatal sepsis and its associated factors in East Africa: a systematic review and meta-analysis",
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