Background: Neonatal sepsis refers to systemic infection of the new born. It is characterized by a constellation of non-specific symptomatology in association with bacteremia.Neonatal sepsis is the most common cause of (52%) neonatal mortality in our country, which could be reduced in large proportion by a high index of suspicion, prompt diagnosis and aggressive management of this condition. Many studies have come up regarding the usefulness of procalcitonin in the early diagnosis of neonatal sepsis and have found it to be 87-100 sensitive and also highly specific