Over a period of 15 years the incidence of neonatal septicemia seen at St Göran's Children's Hospital has increased both per 1000 births and per 100 admitted neonates. The spectrum of causative organisms has changed towards more Gram-positive organisms and fewer Gram-negative organisms. In the initial antibiotic treatment an aminoglycoside and ampicillin derivate will still be needed to give full coverage.