Perfil epidemiológico y caracterización clínica de sepsis bacteriana en recién nacidos estudio a realizarse en el Hospital Teodoro Maldonado Carbo en el período 21015-2016
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2017
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Medicina
Resumen
El presente trabajo es una investigación para determinar Perfil Epidemiológico y caracterización clínica de sepsis bacteriana en recién nacidos, estudio a realizarse en el Hospital Teodoro Maldonado Carbo de Guayaquil en el periodo 2015 - 2016. Se realizó un estudio de enfoque cuantitativo, diseño no experimental, de corte transversal se revisaron aproximadamente 105 historias clínicas que correspondió al universo de estudio. En relación a l edad gestacional asociados a riesgo de sepsis, se evidencia una mayor frecuencia en < 3 semanas de gestación 55% (58), según el sexo de mayor presentación fue sexo masculino 64% (67), la embarazadas que presentaron número de controles entre 1 – 3 representa 39% (41) de frecuencia, factores de riesgos asociados a sepsis neonatal mayor presentación fue ruptura prematura de membranas con un 33% (35), al nacimiento neonatos que tuvieron un peso < 2500 gramos 55% (58), presentaron mayor frecuencia de riesgo de sepsis, la edad de finalización del embarazo que presento mayor frecuencia fue < 37 semanas de gestación 30% (32), se realizó hemocultivos el agente aislado fue klebsiella pneumoniae con 52% (55), en relación del APGAR a los 5 minutos los que presentaron entre 6- 8 49% (51), presentaron mayor frecuencia, en relacion a la edad gestacional y mortalidad neonatal, el 32% (34) no presentaron riesgo de sepsis en semanas 37 – 42 de gestación.
PALABRAS CLAVES: SEPSIS, BACTERIANA, RECIÉN NACIDOS
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Autor: VERONICA MACIAS RODRIGUEZ
TATIANA ORELLANA CABRERA
Tutor: DRA. KATHERINE LLAGUNO
ABSTRACT
The present work is an investigation to determine the Epidemiological profile and clinical characterization of bacterial sepsis in newborns, a study to be carried out at the Teodoro Maldonado Carbo Hospital in Guayaquil in the period 2015 - 2016. A quantitative study, Of cross-section were reviewed approximately 105 clinical histories that corresponded to the universe of study. In relation to the gestational age associated with risk of sepsis, a higher frequency was observed at <3 weeks of gestation (58%), according to the sex with the greatest presentation, 64% (67), the pregnant women presented a number of controls Between 1 - 3 represents 39% (41) of frequency, risk factors associated with major neonatal sepsis presentation was premature rupture of membranes with 33% (35), birth neonates weighing <2500 grams 55% (58) , Had a higher frequency of sepsis risk, the highest frequency of pregnancy was <37 weeks of gestation 30% (32), blood cultures were performed, the isolated agent was Klebsiella pneumoniae with 52% (55), in relation to APGAR at the 5 minutes those who presented between 6-8 49% (51), presented more frequency, related to gestational age and neonatal mortality, 32% (34) presented no risk of sepsis at weeks 37 - 42 of gestation.
The present work is an investigation to determine the Epidemiological profile and clinical characterization of bacterial sepsis in newborns, a study to be carried out at the Teodoro Maldonado Carbo Hospital in Guayaquil in the period 2015 - 2016. A quantitative study, Of cross-section were reviewed approximately 105 clinical histories that corresponded to the universe of study. In relation to the gestational age associated with risk of sepsis, a higher frequency was observed at <3 weeks of gestation (58%), according to the sex with the greatest presentation, 64% (67), the pregnant women presented a number of controls Between 1 - 3 represents 39% (41) of frequency, risk factors associated with major neonatal sepsis presentation was premature rupture of membranes with 33% (35), birth neonates weighing <2500 grams 55% (58) , Had a higher frequency of sepsis risk, the highest frequency of pregnancy was <37 weeks of gestation 30% (32), blood cultures were performed, the isolated agent was Klebsiella pneumoniae with 52% (55), in relation to APGAR at the 5 minutes those who presented between 6-8 49% (51), presented more frequency, related to gestational age and neonatal mortality, 32% (34) presented no risk of sepsis at weeks 37 - 42 of gestation.
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Sepsis neonatal, Recién nacido, Perfil de salud, Hospital de Especialidades Dr. Teodoro Maldonado Carbo, Cantón Guayaquil, Ecuador, Signos y síntomas