Laboratory and Clinical Manifestation Correlation of Neonatal Sepsis in Abdul Moeloek Hospital

https://doi.org/10.35912/jimi.v4i2.4250
Published: Feb 18, 2025

Abstract:

Purpose: The prognosis of neonatal sepsis critically depends on early detection; however, its nonspecific clinical signs and variable laboratory findings often complicate the timely diagnosis. This study aimed to assess the correlation between clinical manifestations and laboratory results in neonatal sepsis cases, focusing on patients at Abdul Moeloek Hospital.

Methodology/approach: A cross-sectional approach was used to analyze the medical records of neonates diagnosed with sepsis between January and June 2024. All neonates admitted to the neonatal unit with suspected sepsis during this period were included in the study.

Results/findings: The majority of patients were male (65.1%) and 1 week old (58.7%). Hyperthermia (44.4%) was the most common symptom, followed by a normal heart rate (68.3%) and respiratory rate (81%). Most patients had normal hemoglobin (55.6%) and leukocyte levels (71.4%), low platelet counts (50.8%), and negative culture results (74.6%). Statistically significant correlations were found between heart rate (OR=0.4) and respiratory rate (OR=0.3) and laboratory findings (p<0.05), although the strength was weak to moderate. No significant correlation was observed with body temperature (p=0.412).

Conclusions: Heart and respiratory rates were significantly associated with sepsis-related laboratory results, whereas body temperature was not. Most affected neonates were male, one week old, and presented with hyperthermia but otherwise normal vital signs and blood cell counts.

Limitations: The limited sample size and study duration suggest the need for further research.

Contribution: These findings provide insights into improving the early detection and management of neonatal sepsis, particularly in pediatric care settings in Indonesia.

Keywords:
1. Clinical Diagnosis
2. Laboratory Results
3. Neonatal Sepsis
Authors:
1 . Leni Ervina
2 . Khairunnisa Berawi
3 . Hendri Busman
4 . Bambang Irawann
5 . Nailul Azizah
6 . Jennifer Ester Yolanda
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Ervina, L., Berawi, K. ., Busman, H., Irawan, B., Azizah, N., & Yolanda, J. E. . (2025). Laboratory and Clinical Manifestation Correlation of Neonatal Sepsis in Abdul Moeloek Hospital. Jurnal Ilmu Medis Indonesia, 4(2), 145–15. https://doi.org/10.35912/jimi.v4i2.4250
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Vol. 4 No. 2 (2025): Maret
Articles
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References

    Agata, A. P. (2022). Pengelolaan Hipertensi Sebelum Kehamilan . Jurnal Medis Indonesia, 95-101. https://doi.org/10.35912/jimi.v1i2.951

    Alfatah, R., Salmah, S., Khalisa, I., & Nora, H. (2025). Pola Kasus Onkologi-Ginekologi di Bangsal Ginekologi RSUD Zainoel Abidin 2021-2022. Jurnal Ilmu Medis Indonesia, 4(2), 101-112. doi:10.35912/jimi.v4i2.4351

    Aulia, F. O., & Dewi, P. (2025). Kontribusi Kader Posyandu dalam Intervensi Stunting: Kajian Literatur Tahun 2023–2025. Jurnal Ilmu Medis Indonesia, 4(2), 155-168. doi:10.35912/jimi.v4i2.4687

    Celik, I. H. (2022). Diagnosis of neonatal sepsis. Paediatric Research, 337-350. https://doi.org/10.1038/s41390-021-01696-z

    Ervina, L. H. (2023). Kesesuaian Hasil Laboratorium dengan Klinis Bayi Sepsis Neonatorum. Jurnal Penelitian Perawat Profesional, 1677-1688.

    Ervina, L., Berawi, K., Busman, H., Irawan, B., Azizah, N., & Yolanda, J. E. (2025). Laboratory and Clinical Manifestation Correlation of Neonatal Sepsis in Abdul Moeloek Hospital. Jurnal Ilmu Medis Indonesia, 4(2), 145-115. doi:10.35912/jimi.v4i2.4250

    Fitriani, E. C. (2019). Hubungan Kadar dan Hitung Jenis Leukosit pada Angka Mortalitas Neonatus dan Bayi Akibat Sepsis di Kabupaten Malang. JIM Unisma, 183-189.

    Glaser, M. A. (2021). a review of pathophysiology and current management strategies. Advances in Neonatal Care, 49-60. https://doi.org/10.1097/anc.0000000000000769

    Hadinegoro, S. R. (2018). Buku Ajar Infeksi dan Penyakit Tropis. Jakarta: Ikatan Dokter Anak Indonesia.

    Hafid, R. A. (2024). Pengaruh Pemberian Tepung Daun Kelor (Moringa Oliefera) pada Ibu Hamil terhadap Berat Badan Bayi Baru Lahir . Ners Akademika, 33-37. https://10.35912/nersakademika.v2i2.3282

    Hematyar, M. N. (2012). Assesing Role of Clinical Manifestation and Laboratory Findings in Neonatal Sepsis. Archive of Pediatric Infectious Disease Journal, 799-802. doi: 10.5812/pedinfect.29985

    Hornik, C. P.-W. (2012). Use of the complete blood cell count in early-onset neonatal sepsis. The Pediatric Infectious Disease Journal, 799-802. https://doi.org/10.1097/inf.0b013e318256905c

    Jaya, I. G. (2019). Hubungan prematuritas dengan kejadian sepsis neonatorum yang dirawat di ruang perinatology dan neonatal intensive care unit (NICU) RSUD Wangaya kota Denpasar. Intisari Sains Medis, 18-22. https://doi.org/10.15562/ism.v10i1.319

    Kim, F. P. (2020). Neonatal Sepsis. BMJ (Clinical Research Ed), 371. doi:10.1136/bmj.m3672

    Klingenberg, C. K. (2018). Culture-Negative Early-Onset Neonatal Sepsis- At the Crossroad Between Efficient Sepsis Care and Antimicrobial Stewardship. Frontiers in Pediatrics, 285. https://doi.org/10.3389/fped.2018.00285

    Kosim, M. S. (2018). Buku Ajar Neonatologi Anak. Jakarta: Ikatan Dokter Anak Indonesia.

    Medicines, E. A. (2010). Report on the Expert Meeting on Neonatal and Paediatric Sepsis.

    Nguyen, T. B. (2023). Clinical characteristics and laboratory test in full-term neonates with sepsis in Vietnam National Children's Hospital. Russian Journal if Infection and Immunity, 127-132. https://doi.org/10.15789/2220-7619-CCA-1861

    Niederman, M. S. (2021). Initial antimicrobial management of sepsis. critical care, 307. https://doi.org/10.1186/s13054-021-03736-w

    Noah, F. N. (2022). Perinatal risk factors and early onset of neonatal sepsis. International Journal of Pediatric Research, 88. doi: 10.23937/2469-5769/1510088

    Pek, J. H. (2020). Neurocognitive impairment after neonatal sepsis: Protocol for systematic review and meta-analysis. BMJ open, 0. https://doi.org/10.1136/bmjopen-2020-038816

    Prasetyo, D. S. (2023). Application of a sepsis flow chip (SFC) assay for the molecular diagnosis of paediatric sepsis. access microbiology, 1. https://doi.org/10.1099/acmi.0.000474.v4

    Primadevi, I. &. (2022). Hubungan Preeklamsia dengan Kejadian Bayi Berat Lahir Rendah. Ners Akademika, 17-21. https://doi.org/10.35912/nersakademika.v1i1.1714

    Rudd, K. E. (2020). Global, regional, and national sepsis incidence and mortality. The Lancet, 32989.

    Sari, R. D. (2022). Pemberdayaan Skill dan Pengetahuan Kader Kesehatan Mengenai Penanganan Kegawatdaruratan Obstetri sebagai Upaya Menurunkan Nilai Angka Kematian Ibu (AKI) di Desa Cipadang Kecamatan Gedong Tataan Kabupaten Pesawaran . Jurnal Ilmu Medis Indonesia, 95-103. https://doi.org/10.35912/jimi.v2i2.1405

    Setyoningrum, R. A. (2024). White Blood Cell Count and Neutrophil-Lymphocyte Ratio in Children with Complicated and Uncomplicated Pneumonia . Jurnal Ilmu Medis Indonesia, 1-7. https://doi.org/10.35912/jimi.v4i1.3560

    Sullivan, B. A. (2022). Vital signs as physuiomarkers of neonatal sepsis. Pediatric Research, 273-282. https://doi.org/10.1038/s41390-021-01709-x

    Sumule, J. G. A., Sihaloho, S., Pangaribuan, I. S., & Fathurohman, O. (2025). Tinjauan Literatur: Penerapan Nilai Islam pada Makanan dalam Ilmu Kesehatan. Jurnal Ilmu Medis Indonesia, 4(2), 129-143. doi:10.35912/jimi.v4i2.4188

    Tam, P. Y. (2017). Diagnostics for neonatal sepsis: current approaches and future directions. Pediatric Research, 574-583. https://doi.org/10.1038/pr.2017.134

    Toan, N. D. (2022). Clinical and laboratory factors associated with neonatal sepsis mortalitu at a major Vietnamese childrens's hospital. PLOS Global Public Health.doi: 10.1371/journal.pgph.0000875

    Trasia, R. F., Anggraeni, I. D., & Putra, N. E. (2025). Analisis Faktor yang Berhubungan dengan Perdarahan Postpartum RSUD Banten Tahun 2019-2023. Jurnal Ilmu Medis Indonesia, 4(2), 113-128. doi:10.35912/jimi.v4i2.4408

    Tuzun, F. O. (2019). Is European Medicines Agency sepsis criteria accurate for neonatal sepsis diagnosis or do we need new criteria. Plos one, 1. https://doi.org/10.1371/journal.pone.0218002

    Wee, B. Y. (2020). A narrative review of heart rate and variability in sepsis. Annal of Translational Meidcine, 20-148. https://doi.org/10.21037/atm-20-148

    Wynn, J. L. (2014). Time for a neonatal-spesific consensus definition for sepsis. Pediatric Critical Care Medicine, 523-528. https://doi.org/10.1097/pcc.0000000000000157

    Zea-Vera, A. &. (2015). Challanges in the diagnosis and management of neonatal sepsis. Journal of tropical pediatrics, 1-13. https://doi.org/10.1093/tropej/fmu079

  1. Agata, A. P. (2022). Pengelolaan Hipertensi Sebelum Kehamilan . Jurnal Medis Indonesia, 95-101. https://doi.org/10.35912/jimi.v1i2.951
  2. Alfatah, R., Salmah, S., Khalisa, I., & Nora, H. (2025). Pola Kasus Onkologi-Ginekologi di Bangsal Ginekologi RSUD Zainoel Abidin 2021-2022. Jurnal Ilmu Medis Indonesia, 4(2), 101-112. doi:10.35912/jimi.v4i2.4351
  3. Aulia, F. O., & Dewi, P. (2025). Kontribusi Kader Posyandu dalam Intervensi Stunting: Kajian Literatur Tahun 2023–2025. Jurnal Ilmu Medis Indonesia, 4(2), 155-168. doi:10.35912/jimi.v4i2.4687
  4. Celik, I. H. (2022). Diagnosis of neonatal sepsis. Paediatric Research, 337-350. https://doi.org/10.1038/s41390-021-01696-z
  5. Ervina, L. H. (2023). Kesesuaian Hasil Laboratorium dengan Klinis Bayi Sepsis Neonatorum. Jurnal Penelitian Perawat Profesional, 1677-1688.
  6. Ervina, L., Berawi, K., Busman, H., Irawan, B., Azizah, N., & Yolanda, J. E. (2025). Laboratory and Clinical Manifestation Correlation of Neonatal Sepsis in Abdul Moeloek Hospital. Jurnal Ilmu Medis Indonesia, 4(2), 145-115. doi:10.35912/jimi.v4i2.4250
  7. Fitriani, E. C. (2019). Hubungan Kadar dan Hitung Jenis Leukosit pada Angka Mortalitas Neonatus dan Bayi Akibat Sepsis di Kabupaten Malang. JIM Unisma, 183-189.
  8. Glaser, M. A. (2021). a review of pathophysiology and current management strategies. Advances in Neonatal Care, 49-60. https://doi.org/10.1097/anc.0000000000000769
  9. Hadinegoro, S. R. (2018). Buku Ajar Infeksi dan Penyakit Tropis. Jakarta: Ikatan Dokter Anak Indonesia.
  10. Hafid, R. A. (2024). Pengaruh Pemberian Tepung Daun Kelor (Moringa Oliefera) pada Ibu Hamil terhadap Berat Badan Bayi Baru Lahir . Ners Akademika, 33-37. https://10.35912/nersakademika.v2i2.3282
  11. Hematyar, M. N. (2012). Assesing Role of Clinical Manifestation and Laboratory Findings in Neonatal Sepsis. Archive of Pediatric Infectious Disease Journal, 799-802. doi: 10.5812/pedinfect.29985
  12. Hornik, C. P.-W. (2012). Use of the complete blood cell count in early-onset neonatal sepsis. The Pediatric Infectious Disease Journal, 799-802. https://doi.org/10.1097/inf.0b013e318256905c
  13. Jaya, I. G. (2019). Hubungan prematuritas dengan kejadian sepsis neonatorum yang dirawat di ruang perinatology dan neonatal intensive care unit (NICU) RSUD Wangaya kota Denpasar. Intisari Sains Medis, 18-22. https://doi.org/10.15562/ism.v10i1.319
  14. Kim, F. P. (2020). Neonatal Sepsis. BMJ (Clinical Research Ed), 371. doi:10.1136/bmj.m3672
  15. Klingenberg, C. K. (2018). Culture-Negative Early-Onset Neonatal Sepsis- At the Crossroad Between Efficient Sepsis Care and Antimicrobial Stewardship. Frontiers in Pediatrics, 285. https://doi.org/10.3389/fped.2018.00285
  16. Kosim, M. S. (2018). Buku Ajar Neonatologi Anak. Jakarta: Ikatan Dokter Anak Indonesia.
  17. Medicines, E. A. (2010). Report on the Expert Meeting on Neonatal and Paediatric Sepsis.
  18. Nguyen, T. B. (2023). Clinical characteristics and laboratory test in full-term neonates with sepsis in Vietnam National Children's Hospital. Russian Journal if Infection and Immunity, 127-132. https://doi.org/10.15789/2220-7619-CCA-1861
  19. Niederman, M. S. (2021). Initial antimicrobial management of sepsis. critical care, 307. https://doi.org/10.1186/s13054-021-03736-w
  20. Noah, F. N. (2022). Perinatal risk factors and early onset of neonatal sepsis. International Journal of Pediatric Research, 88. doi: 10.23937/2469-5769/1510088
  21. Pek, J. H. (2020). Neurocognitive impairment after neonatal sepsis: Protocol for systematic review and meta-analysis. BMJ open, 0. https://doi.org/10.1136/bmjopen-2020-038816
  22. Prasetyo, D. S. (2023). Application of a sepsis flow chip (SFC) assay for the molecular diagnosis of paediatric sepsis. access microbiology, 1. https://doi.org/10.1099/acmi.0.000474.v4
  23. Primadevi, I. &. (2022). Hubungan Preeklamsia dengan Kejadian Bayi Berat Lahir Rendah. Ners Akademika, 17-21. https://doi.org/10.35912/nersakademika.v1i1.1714
  24. Rudd, K. E. (2020). Global, regional, and national sepsis incidence and mortality. The Lancet, 32989.
  25. Sari, R. D. (2022). Pemberdayaan Skill dan Pengetahuan Kader Kesehatan Mengenai Penanganan Kegawatdaruratan Obstetri sebagai Upaya Menurunkan Nilai Angka Kematian Ibu (AKI) di Desa Cipadang Kecamatan Gedong Tataan Kabupaten Pesawaran . Jurnal Ilmu Medis Indonesia, 95-103. https://doi.org/10.35912/jimi.v2i2.1405
  26. Setyoningrum, R. A. (2024). White Blood Cell Count and Neutrophil-Lymphocyte Ratio in Children with Complicated and Uncomplicated Pneumonia . Jurnal Ilmu Medis Indonesia, 1-7. https://doi.org/10.35912/jimi.v4i1.3560
  27. Sullivan, B. A. (2022). Vital signs as physuiomarkers of neonatal sepsis. Pediatric Research, 273-282. https://doi.org/10.1038/s41390-021-01709-x
  28. Sumule, J. G. A., Sihaloho, S., Pangaribuan, I. S., & Fathurohman, O. (2025). Tinjauan Literatur: Penerapan Nilai Islam pada Makanan dalam Ilmu Kesehatan. Jurnal Ilmu Medis Indonesia, 4(2), 129-143. doi:10.35912/jimi.v4i2.4188
  29. Tam, P. Y. (2017). Diagnostics for neonatal sepsis: current approaches and future directions. Pediatric Research, 574-583. https://doi.org/10.1038/pr.2017.134
  30. Toan, N. D. (2022). Clinical and laboratory factors associated with neonatal sepsis mortalitu at a major Vietnamese childrens's hospital. PLOS Global Public Health.doi: 10.1371/journal.pgph.0000875
  31. Trasia, R. F., Anggraeni, I. D., & Putra, N. E. (2025). Analisis Faktor yang Berhubungan dengan Perdarahan Postpartum RSUD Banten Tahun 2019-2023. Jurnal Ilmu Medis Indonesia, 4(2), 113-128. doi:10.35912/jimi.v4i2.4408
  32. Tuzun, F. O. (2019). Is European Medicines Agency sepsis criteria accurate for neonatal sepsis diagnosis or do we need new criteria. Plos one, 1. https://doi.org/10.1371/journal.pone.0218002
  33. Wee, B. Y. (2020). A narrative review of heart rate and variability in sepsis. Annal of Translational Meidcine, 20-148. https://doi.org/10.21037/atm-20-148
  34. Wynn, J. L. (2014). Time for a neonatal-spesific consensus definition for sepsis. Pediatric Critical Care Medicine, 523-528. https://doi.org/10.1097/pcc.0000000000000157
  35. Zea-Vera, A. &. (2015). Challanges in the diagnosis and management of neonatal sepsis. Journal of tropical pediatrics, 1-13. https://doi.org/10.1093/tropej/fmu079