Morbilidad de ictericia neonatal
Fecha
2018
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Medicina
Resumen
Introducción: La ictericia neonatal se define como la coloración amarilla de piel y mucosas, originada por concentraciones de bilirrubina sérica anormalmente altas, bilirrubina sérica superior a 5 mg/dl. Causado por una hiperbilirrubinemia de predominio indirecto secundario a inmadurez hepática, entendiéndose ésta como fisiológica, y en otros casos, hiperproducción de bilirrubina secundaria a hemólisis, y alteraciones hepáticas, identificándose ésta como ictericia patológica.
Objetivos: Determinar la Morbilidad de Ictericia Neonatal en el Hospital Liborio Panchana Sotomayor en el año 2016-2017
Materiales y Métodos: Se realiza la investigación descriptiva, transversal y retrospectiva con la cual se desea determinar las causas de morbilidad de los recién nacidos que presentan la patología de ictericia neonatal por medio del estudio de los registros de la base de datos del departamento de estadística del hospital y sus respectivas historias clínicas.
Resultados: se determinó que en el Hospital Liborio Panchana Sotomayor no hubo ningún muerto por ictericia neonatal pero que a pesar de que no se presentaron muertes 149 niños presentaron ictericia
Conclusiones: la causa más frecuente son las infecciones maternas y los factores que influyen en el desarrollo de la ictericia neonatal fueron la edad gestacional a término.
Recomendaciones: Educar a las madres que deben acudir al centro de salud cuando observen un color amarillo en la piel del niño y recomendar baños de sol durante los primeros 7 días.
Introduction: Neonatal jaundice is defined as yellowing of the skin and mucous membranes, caused by abnormally high serum bilirubin concentrations, serum bilirubin greater than 5 mg / dL. Caused by a hyperbilirubinemia of indirect predominance secondary to hepatic immaturity, this being understood as physiological, and in other cases, hyperproduction of bilirubin secondary to hemolysis, and hepatic alterations, identifying it as pathological jaundice. Objectives: To determine the morbidity of neonatal jaundice in the Hospital Liborio Panchana Sotomayor in the year 2016-2017 Materials and Methods: Descriptive, cross-sectional and retrospective research is carried out in order to determine the causes of morbidity of newborns who present the pathology of neonatal jaundice through the study of the records of the statistics department database. of the hospital and their respective medical records. Results: it was determined that at Hospital Liborio Panchana Sotomayor there were no deaths due to neonatal jaundice, but that despite the fact that no deaths occurred, 149 children presented jaundice. Conclusions: the most frequent cause are maternal infections and the factors that influence the development of neonatal jaundice were gestational age at term. Recommendations: Educate mothers who should go to the health center when they see a yellow color on the child's skin and recommend sunbathing during the first 7 days.
Introduction: Neonatal jaundice is defined as yellowing of the skin and mucous membranes, caused by abnormally high serum bilirubin concentrations, serum bilirubin greater than 5 mg / dL. Caused by a hyperbilirubinemia of indirect predominance secondary to hepatic immaturity, this being understood as physiological, and in other cases, hyperproduction of bilirubin secondary to hemolysis, and hepatic alterations, identifying it as pathological jaundice. Objectives: To determine the morbidity of neonatal jaundice in the Hospital Liborio Panchana Sotomayor in the year 2016-2017 Materials and Methods: Descriptive, cross-sectional and retrospective research is carried out in order to determine the causes of morbidity of newborns who present the pathology of neonatal jaundice through the study of the records of the statistics department database. of the hospital and their respective medical records. Results: it was determined that at Hospital Liborio Panchana Sotomayor there were no deaths due to neonatal jaundice, but that despite the fact that no deaths occurred, 149 children presented jaundice. Conclusions: the most frequent cause are maternal infections and the factors that influence the development of neonatal jaundice were gestational age at term. Recommendations: Educate mothers who should go to the health center when they see a yellow color on the child's skin and recommend sunbathing during the first 7 days.
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Ictericia neonatal, Factores de riesgo, Incompatibilidad de grupos sanguíneos, Morbilidad, Hospital General Dr. Liborio Panchana Sotomayor, Cantón Santa Elena, Ecuador