Pediatric Health, Medicine and Therapeutics (Mar 2022)

Necrotizing Enterocolitis and Its Predictors Among Preterm Neonates Admitted in Neonatal Intensive Care Units of Gurage Zone Public Hospitals, Southwest Ethiopia, 2021

  • Chekole Temere B,
  • Aynalem Mewahegn A,
  • Tefera Zewudie B,
  • Alebel GebreEyesus F,
  • Kassaw A,
  • Gelaw Walle B,
  • Geze Tenaw S,
  • Mesfin Y,
  • Argaw M,
  • Abebe H,
  • Tesfa S,
  • Habte N,
  • Birhanu R,
  • Seid W

Journal volume & issue
Vol. Volume 13
pp. 95 – 102

Abstract

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Bogale Chekole Temere,1 Agerie Aynalem Mewahegn,1 Bitew Tefera Zewudie,1 Fisha Alebel GebreEyesus,1 Amare Kassaw,2 Belete Gelaw Walle,3 Shegaw Geze Tenaw,4 Yibeltal Mesfin,4 Muche Argaw,4 Haymanot Abebe,1 Shegaw Tesfa,1 Netsanet Habte,5 Robel Birhanu,5 Wesila Seid5 1Department of Nursing, College of Medicine and Health Science, Wolkite University, Wolkite, Ethiopia; 2Department of Pediatric Nursing, College of Medicine and Health Science, Debre Tabor University, Debre Tabor, Ethiopia; 3Pediatric Nursing, Wolaita Sodo University, Wolaita Sodo, Ethiopia; 4Midwifery, Wolkite University, Wolkite, Ethiopia; 5Nursing, Wolkite University, Wolkite, EthiopiaCorrespondence: Bogale Chekole Temere, Department of Nursing, College of Medicine and Health Sciences, Wolkite University, Wolkite, Ethiopia, Email [email protected]: Necrotizing Enter colitis (NEC) is the most common multifactorial and devastating gastrointestinal emergency which primarily affects premature infants. The purpose of this study was to identify the prevalence of Necrotizing Enterocolitis and its associated factors among preterm neonates admitted to Neonatal Intensive Care Units in Gurage Zone hospitals.Methods: Institution-based cross-sectional study design was employed. The simple Random Sampling Technique was applied to collect the data using a structured questionnaire. Data were cleaned, checked for inconsistencies, coded and entered via EPI data 3.1, and exported to Stata version 14 for further analysis. The data were processed by Stata 14 to estimate the prevalence of necrotizing enterocolitis.Results: The prevalence of Necrotizing Enterocolitis among neonates was 28 (9.7%) 95% CI of 6. 8– 13.7%. Birth weight (AOR: 7.33 95% CI (2.04: 26.38)), presence of maternal infection (AOR: 6.09, 95% CI (1.31:28.26)), length of hospital stay (AOR: 3.28, 95% CI (1.20, 8.96)), and initiating trophic feeding (AOR: 5.89, 95% CI (2.27: 15.33)) were associated with neonatal necrotizing enterocolitis.Conclusion: The prevalence of Necrotizing Enterocolitis among preterm neonates was significant and special attention is needed for premature neonates with low birth weight and born from mothers with infection during pregnancy. Minimizing the length of hospital stay will be very useful to prevent the occurrence of Necrotizing Enterocolitis.Keywords: necrotizing enter colitis, low birth weight, trophic feeding

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