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Volume 24, Number 4—April 2018
Research

Bacterial Infections in Neonates, Madagascar, 2012–2014

Bich-Tram HuynhComments to Author , Elsa Kermorvant-Duchemin, Perlinot Herindrainy, Michael Padget, Feno Manitra Jacob Rakotoarimanana, Herisoa Feno, Elisoa Hariniaina-Ratsima, Tanjona Raheliarivao, Awa Ndir, Sophie Goyet, Patrice Piola, Frederique Randrianirina, Benoit Garin, Jean-Marc Collard, Didier Guillemot, and Elisabeth Delarocque-Astagneau1
Author affiliations: Institut Pasteur, Paris, France (B.-T. Huynh, M. Padget, D. Guillemot, E. Delarocque-Astagneau); Assistance Publique–Hôpitaux de Paris Hôpital Universitaire Necker-Enfants Malades and Université Paris Descartes, Paris (E. Kermorvant-Duchemin); Institut Pasteur de Madagascar, Antananarivo, Madagascar (P. Herindrainy, F.M.J. Rakotoarimanana, H. Feno, E. Hariniaina-Ratsima, T. Raheliarivao, P. Piola, F. Randrianirina, B. Garin, J.-M. Collard); Institut Pasteur de Dakar, Dakar, Senegal (A. Ndir); Institut Pasteur du Cambodge, Phnom Penh, Cambodia (S. Goyet)

Main Article

Table 1

Characteristics of mothers and neonates enrolled in study of bacterial infections in neonates, Antananarivo and Moramanga, Madagascar, 2012–2014

Characteristic Urban site, no. (%) Rural site, no. (%) p value
Pregnant women*†
Parity
Primigravida 144 (37) 185 (32) >0.99
Multigravida 249 (63) 398 (68)
Education
None or primary 119 (30) 145 (25) <0.001
Partial secondary 171 (44) 334 (57)
Completed secondary or university 103 (26) 104 (18)
No. antenatal visits at enrollment
0–1 45 (11) 47 (8) 0.01
2–4 239 (61) 408 (70)
>4
 109 (28)
 128 (22)
Neonates‡
M 215 (55) 277 (47) 0.03
F 179 (45) 310 (53)
Premature, <37 wk of gestation 77 (19) 84 (14) 0.6
Risk factors for infection at delivery
Fetid amniotic fluid 39 (9.9) 42 (7.1) 0.13
Prolonged membrane rupture 13 (3.3) 15 (2.6)
Maternal fever at delivery 5 (1.2) 9 (1.5)
Difficult birth 25 (6.3) 56 (9.5)

*Mean (±SD, minimum–maximum) age of urban mothers 25.8 (6.7, 14.3–43.5) years and of rural mothers 26.2 (6.5, 14.3–48.1) years; p = 0.4.
†Total = 976 pregnant women (393 urban and 583 rural), including 17 who had twin pregnancies and 12 who had stillbirths.
‡Total = 981 (394 urban and 587 rural). Mean (± SD) weights of 954 neonates at delivery were 2,921 (±515.9) g for urban and 2,973 (± 495.7) g for rural sites; p = 0.12.

Main Article

1On behalf of the BIRDY project group. Members of the group are listed at the end of this article.

Page created: March 16, 2018
Page updated: March 16, 2018
Page reviewed: March 16, 2018
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