Diagnosis and management of sepsis are agreat challenge facing neonatologists in nicus.clinical diagnosi of presentation is difficult due to non specific signs and symptoms .
In addition,laboratory diagnosis is time consuming.this matter necessitates the initiation of empirical antibiotic therapy till the suspected sepsis is ruled out.
At the same time ,increased multidrug resistant organisms make the treatment options fewer and the effective treatment is delayed(patel sj and saiman l 2010)
Along with other organisms like klebsiella …show more content…
The rapid global emergence of a baumannii strains resistant to multiple antibiotics has increased the threat to health care systems