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Neonatal Infection in Hospitals: Management Strategy and Follow-Up of Newborns in Low-Resource Settings in the Democratic Republic of Congo

DOI: 10.4236/oalib.1114216, PP. 1-11

Subject Areas: Environmental Sciences, Microbiology, Parasitology

Keywords: Infection, Neonatal, CRP, Child Survival, N'djili

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Abstract

Background: A neonatal infection is an infection occurring in a newborn during the first 28 days of life. It can be caused by various pathogens such as bacteria, viruses, or fungi. Methods: We conducted a historical cohort study at the N'djili General Reference Hospital. Our study included newborns who had been diagnosed with a neonatal infection based on maternal medical history and clinical criteria in the newborn. Results: In terms of gender, our study counted 1.14 boys for every girl. From a clinical and biological perspective, fever was present in 30.3% of newborns. On the maternal side, peripartum fever accounted for 42.3%. CRP was abnormally high in 74.3%. Newborns with an APGAR score ≥ 7 had better cumulative survival than those with a score < 7, with a statistically significant difference (Log-rank, p = 0.008). Conclusion: Neonatal infection remains a major public health issue in Kinshasa, with high morbidity and mortality despite diagnostic and therapeutic efforts.

Cite this paper

Pululu, A. M. , Raï, N’sinabau, S. E. , Lubaki, F. N. , Ngangu, D. B. , Ndongosi, F. M. , Lumbanzila, S. B. , Nkunku, C. M. , Mayiza, G. M. , Nsingi, A. K. , Nkodila, A. N. and Magoga, M. K. (2025). Neonatal Infection in Hospitals: Management Strategy and Follow-Up of Newborns in Low-Resource Settings in the Democratic Republic of Congo. Open Access Library Journal, 12, e14216. doi: http://dx.doi.org/10.4236/oalib.1114216.

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