| 英文摘要 |
Background and Purpose: Fever during the neonatal period is considered an alarming sign of systemic infection. However, as mentioned in the previous report, dehydration is the primary cause of fever, especially during the first days of life. The purpose of this study was to identify the epidemiological features and clinical manifestations of neonatal fever in a nursery. Methods: We collected data by chart-review to evaluate the possible factors associated with neonatal fever. The 41 newborns with fever were the case group. A total of 164 babies were randomly selected from the name list of newborns during the same period of admission. Results: Compared with the control group, in the gestational age, the birth weight, mean body weight loss rate and the average time to the first feed postpartum were all significantly higher (p < 0.05). For logistic regression analysis, the risk factors associated with neonatal fever were the time of first feeding (Odds ratio 0.731, 95% C.I. 0.570-0.937), body weight loss rate (Odds ratio 0.733, 95% C.I. 0.615-0.873), and birth weight (Odds ratio 0.998, 95% C.I. 0.997-0.999). Conclusion: Our study found these newborns need to be given more attention and evaluation, to avoid delays in feeding, which could cause body weight loss and dehydration. Breast-feeding as early as possible, improving breast-feeding skill, close monitoring of neonatal body weight and fluid supplements when indicated could help decrease the incidence of dehydration and fever. |
