Sepsis neonatal en recién nacidos en HLBM período 2014
Fecha
2015
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Medicina
Resumen
Se realizó un estudio retrospectivo de los casos de sepsis neonatal en la unidad de Neonatología del Hospital León Becerra Camacho de Milagro durante el periodo de enero a diciembre del 2014, con el objetivo principal de analizar la incidencia de antecedentes maternos y parámetros del recién nacido como posibles factores de riesgo de la sepsis, los parámetros de laboratorio que contribuyen al correcto diagnóstico de los procesos infecciosos en el recién nacido y el desenlace que tuvieron los mismos.
Durante este lapso de tiempo ingresaron 52 casos de niños con riesgo de sepsis, sospecha de sepsis y sepsis bacteriana, cuya mortalidad asociada fue del 5.26 %, en la cual hubo mayor predominio por la sepsis de inicio precoz sobre la tardía.
Estos recién nacidos tuvieron antecedentes de uno o más factores de riesgo obstétrico, tales como ruptura prematura de membranas, seguido de la infección de vías urinarias, coriamnionitis, fiebre materna periparto.
En cuanto a los factores del recién nacido predomino el sexo masculino, inmadurez del sistema inmunitario; además se encontró un significativo porcentaje de prematurez y de bajo peso al nacer.
A retrospective study was conducted cases of neonatal sepsis in neonatology of the Hospital León Becerra Camacho of miracle unit during the period of January to December 2014, with the aim of analyzing the incidence of maternal background and parameters of the newborn as possible risk factors of sepsis, laboratory parameters that contribute to the correct diagnosis of infectious processes in the newly born and the outcome that took them. During this period of time entered 52 cases risk of sepsis, suspicion of sepsis and bacterial sepsis, whose associated mortality was the 5.26%, in which there was greater predominance on the late early-onset sepsis. These newly born had a history of one or more factors of obstetric risk, such as premature rupture of membranes, followed by infection urinary tract, coriamnionitis, peripartum maternal fever. In the terms of the factors of the newborn dominance male, immaturity of the immune system; In addition a significant percentage of prematurity and low birth weight is found at birth.
A retrospective study was conducted cases of neonatal sepsis in neonatology of the Hospital León Becerra Camacho of miracle unit during the period of January to December 2014, with the aim of analyzing the incidence of maternal background and parameters of the newborn as possible risk factors of sepsis, laboratory parameters that contribute to the correct diagnosis of infectious processes in the newly born and the outcome that took them. During this period of time entered 52 cases risk of sepsis, suspicion of sepsis and bacterial sepsis, whose associated mortality was the 5.26%, in which there was greater predominance on the late early-onset sepsis. These newly born had a history of one or more factors of obstetric risk, such as premature rupture of membranes, followed by infection urinary tract, coriamnionitis, peripartum maternal fever. In the terms of the factors of the newborn dominance male, immaturity of the immune system; In addition a significant percentage of prematurity and low birth weight is found at birth.
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Sepsis neonatal, Recién nacido, Hospital General Dr. León Becerra Camacho, Cantón Milagro, Estudios retrospectivos, Ecuador