Factores de riesgo del embarazo predisponentes para sepsis neonatal precoz del Servicio de Neonatología del Hospital Dr. Teodoro Maldonado Carbo en el año 2013
Fecha
2015
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Universidad de Guayaquil.Facultad de Ciencias Médicas.Escuela de Medicina.
Resumen
La sepsis neonatal ocupa un lugar muy importante dentro de la morbi-mortalidad de los recién nacidos teniendo un frecuencia del 25% en países desarrollados y llegando a presentar un 60% en los países subdesarrollados, por lo cual es importante identificar los factores de riesgo de manera precoz y prevenirlos. Este estudio fue de tipo descriptivo observacional. Este estudio se centra a identificar los factores de riesgo maternos de los neonatos hospitalizados del Hospital Dr. Teodoro Maldonado Carbo en el año 2013. Durante este año nacieron un total de 4142 niños, de los cuales un gran porcentaje el 75% nacieron sanos y una minoría con el 25% nacieron con distintas patologías. De las patologías presentes durante este año, la sepsis ocupó el tercer lugar de frecuencia con un 21% del total de pacientes con patologías. De los factores de riesgos predisponentes, el más frecuente fue la infección de vías urinarias presentándose en un 61% del total del estudio, seguido con el 52% se encuentra las leucorreas ocupando el segundo lugar de frecuencia. De estos pacientes el 76% presentaron más de dos factores predisponentes a la vez y tan solo un 25% presento un solo factor de riesgo. Por lo que concluimos que no existe un solo factor aislado predisponente para sepsis neonatal, sino que es la combinación de dos o más de esto la que nos dará una probabilidad mayor de tener un neonato con sepsis. Así también que el factor de riesgo más frecuente es la infección de vías urinarias.
Neonatal sepsis occupies a very important place in the morbidity and mortality of newborns having a frequency of 25% developed countries and reaching 60% present in developing countries, so it is important to identify risk factors and prevent premature manner. This study was observational descriptive. This study focuses to identify maternal risk factors for hospitalized infants in the Hospital Dr. Teodoro Maldonado Carbo in 2013. During the year a total of 4142 born children, of whom a large percentage 75% were born healthy and 25% minority born with various pathologies. Pathologies present this year, sepsis ranked third frequency with 21% of patients with pathologies. Of predisposing risk factors, the most common was urinary tract infection appearing in 61% of the study, followed with 52% is the leukorrheas ranking second frequency. Of these patients, 76% had more than two predisposing factors at a time and only 25% showed one risk factor. So we conclude that there is not one single factor predisposing to neonatal sepsis, but it is the combination of two or more of that which will give us a greater chance of having a newborn with sepsis. Well that the most common risk factor is the urinary tract infection.
Neonatal sepsis occupies a very important place in the morbidity and mortality of newborns having a frequency of 25% developed countries and reaching 60% present in developing countries, so it is important to identify risk factors and prevent premature manner. This study was observational descriptive. This study focuses to identify maternal risk factors for hospitalized infants in the Hospital Dr. Teodoro Maldonado Carbo in 2013. During the year a total of 4142 born children, of whom a large percentage 75% were born healthy and 25% minority born with various pathologies. Pathologies present this year, sepsis ranked third frequency with 21% of patients with pathologies. Of predisposing risk factors, the most common was urinary tract infection appearing in 61% of the study, followed with 52% is the leukorrheas ranking second frequency. Of these patients, 76% had more than two predisposing factors at a time and only 25% showed one risk factor. So we conclude that there is not one single factor predisposing to neonatal sepsis, but it is the combination of two or more of that which will give us a greater chance of having a newborn with sepsis. Well that the most common risk factor is the urinary tract infection.
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Sepsis neonatal, Complicaciones del embarazo, Causalidad, Epidemiología descriptiva, Hospital de Especialidades Dr. Teodoro Maldonado Carbo, Cantón Guayaquil, Ecuador, Pediatría