Neonatal Septicaemia in Sub-Saharan Africa: A Protocol for Systematic Review and Meta-analysis
Journal – Research Square
Article type – Pre-print
Publication date – Dec – 2020
Authors – Micheal Abel Alao, Oluwakemi O Tongo, Idowu Adejumoke Ayede, Michael Udochukwu Diala, Olayinka Rasheed Ibrahim, Daniel A Gbadero, Emmanuel Okechukwu Nna, Tina M Slusher
Keywords – Neonate, outcomes of neonatal septicaemia, prevalence, Risk factors, Sepsis, septicaemia
Open access – Yes
Speciality – Paediatric surgery
World region Central Africa, Eastern Africa, Middle Africa, Southern Africa, Western Africa
Language – English
Submitted to the One Surgery Index on December 25, 2020 at 10:09 pm
Background: The morbidity and mortality from neonatal septicaemia (NNS) in low-middle income country remain high at the background of strained health care delivery system.The burden, pooled risks and outcomes of NNS are largely unknown. We aimed to produce a protocol for synthesizing evidence from available data for neonatal septicaemia in sub-Saharan Africa.
Methods: We developed a search strategy using MeSH, text words and entry terms. Nine databases will be searched: PubMed, Embase, CINAHL, AJOL, Google Scholar, Web of Science, Cochrane Library, Research gate and Scopus. Only Observational studies retrievable in the English Language will be included. The primary measurable outcome is the proportion of neonatal with septicaemia while secondary outcomes include proportion of bacterial isolates and their antibiogram, risk factors for NNS, in hospital mortality, length of hospital stay, frequency of necrotizing enterocolitis and other sequel . All identified studies will be screened based on the inclusion criteria. Data will be deduplicated in Endnote version 9, before exporting to Rayyan QCRI for screening. Extractable data will include first author’s name and year of publication, the country and regions in sub-Saharan Africa, total neonatal admissions, number with sepsis, the sample size, bacterial isolates, antibiogram, in-hospital mortality, length of hospital stay and frequency of necrotizing enterocolitis.
All studies will be assessed for methodological, clinical and statistical heterogeneity. The NIH Quality assessment tool for observational studies and the Cochrane tool of risk of bias will be used to assess for the strength of evidence. Publication bias will be assessed using the funnel plot.
Discussion: Results will be presented as the prevalence, standard error and confidence interval of newborns with neonatal septicaemia in sub-Saharan Africa. Subgroup analysis using categorical data such as risk factors, bacterial isolates, antibiogram and outcomes of neonatal septicaemia will also be reported. A cumulative meta-analysis will be done to assess the time trend of the risk factors, pathogens and antibiogram.The CMA version 3 will be used for statistical analysis. Results will be presented in forest plots.
OSI Number – 20813