Utilidad de la procalcitonina en el diagnóstico temprano de corioamnionitis en embarazos con riesgo de parto pretérmino entre 28-36 semanas complicados con ruptura prematura de membranas en el Hospital Gineco-Obstétrico Enrique C. Sotomayor período 2013-2014
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2015
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
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La corioamnionitis se relaciona a factores de riesgo de una infección neonatal entre ellos: La rotura patológica de las membranas ovulares, tanto la rotura prematura (antes de 37 semanas de gestación) como la rotura prolongada (unos consideran riesgo de infección más de 12 horas, algunos más de 18 horas y otros más de 24 horas, se asocian a un aumento de sepsis. Signos de corioamnionitis como: fiebre materna, leucorrea maloliente. Líquido amniótico maloliente. El objetivo del presente estudio será determinar la utilidad de la procalcitonina (PCT) en el diagnóstico temprano de corioamnionitis en embarazos con riesgo de parto pretérmino entre 28-36 semanas complicados con ruptura prematura de membranas en el Hospital Gineco-Obstétrico “Enrique C. Sotomayor” periodo 20132014.El estudio será de tipo descriptivo y observacional, y de diseño retrospectivo para lo que se reunirá una muestra de un mínimo 100 historia clínicas de pacientes en las que hayan cursado con embarazo pretérmino entre 28 -36 semanas complicados con ruptura prematura de membranas ingresadas en salas de Cuidados Intermedios del Hospital Gineco-Obstétrico “Enrique C. Sotomayor” en el periodo comprendido 2013-2014 y a las que se le haya realizado PCT. Este estudio demostrará si la PCT sirve para diagnóstico precoz de infección en embarazos complicados con ruptura prematura de membranas en beneficio de un promedio de 25 pacientes que son ingresadas mensualmente en el Hospital Gineco-Obstétrico Enrique C. Sotomayor. De la información generada se podrá diseñar otros estudios comparativos para establecer si el uso de este marcador precoz de sepsis debe permanecer o debe ser reemplazado por otro de mejor desempeño en sus indicaciones, lo que habla de la pertinencia del trabajo y de la necesidad de que éste se realice de manera inmediata.
The chorioamnionitis is related to factors of risk of infection a neonatal among them: pathologic membranes break products of conception, both premature (before 37 weeks of gestation) break and long break (some considered risk of infection more than 12 hours, some more than 18 hours and other more than 24 hours, are associated with an increase in sepsis. Signs of chorioamnionitis as: maternal fever, foul-smelling vaginal discharge. Foulsmelling amniotic fluid. Resuscitation in the delivery room on RN by fetal hypoxia, and/or depression at birth. Breast, above all in the third quarter, untreated urinary tract infection. The objective of the present study It is going to be determine the purpose of the Procalcitonin (PCT) in diagnosing early chorioamnionitis in pregnancies with risk of preterm delivery among 28 - 36 weeks complicated with premature rupture of membranes in the Hospital Gineco-Obstetrical "Enrique C. Sotomayor" period 2013-2014. Study will be of type descriptive and observational and retrospective design which will meet a sample of at least 100 history clinics for patients that have completed with pregnancy preterm labor between 28 - 36 weeks complicated with premature rupture membranes entered in halls of intermediate care from the Hospital Gineco - obstetrical "Enrique C. Sotomayor" in the period 2013-2014 and to which you have been PCT. This study will show if the PCT for early diagnosis of infection in pregnancies complicated with premature rupture of membranes for the benefit of an average of 25 patients who are admitted in the Hospital Gineco-obstetrical monthly "Enrique C. Sotomayor". Generated information other comparative studies may be designed to determine whether the use of this early marker of sepsis should remain or must be replaced by a better performance in its indications, which speaks of the relevance of the work and the need that this occurs immediately.
The chorioamnionitis is related to factors of risk of infection a neonatal among them: pathologic membranes break products of conception, both premature (before 37 weeks of gestation) break and long break (some considered risk of infection more than 12 hours, some more than 18 hours and other more than 24 hours, are associated with an increase in sepsis. Signs of chorioamnionitis as: maternal fever, foul-smelling vaginal discharge. Foulsmelling amniotic fluid. Resuscitation in the delivery room on RN by fetal hypoxia, and/or depression at birth. Breast, above all in the third quarter, untreated urinary tract infection. The objective of the present study It is going to be determine the purpose of the Procalcitonin (PCT) in diagnosing early chorioamnionitis in pregnancies with risk of preterm delivery among 28 - 36 weeks complicated with premature rupture of membranes in the Hospital Gineco-Obstetrical "Enrique C. Sotomayor" period 2013-2014. Study will be of type descriptive and observational and retrospective design which will meet a sample of at least 100 history clinics for patients that have completed with pregnancy preterm labor between 28 - 36 weeks complicated with premature rupture membranes entered in halls of intermediate care from the Hospital Gineco - obstetrical "Enrique C. Sotomayor" in the period 2013-2014 and to which you have been PCT. This study will show if the PCT for early diagnosis of infection in pregnancies complicated with premature rupture of membranes for the benefit of an average of 25 patients who are admitted in the Hospital Gineco-obstetrical monthly "Enrique C. Sotomayor". Generated information other comparative studies may be designed to determine whether the use of this early marker of sepsis should remain or must be replaced by a better performance in its indications, which speaks of the relevance of the work and the need that this occurs immediately.
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Embarazo de alto riesgo, Parto prematuro, Rotura prematura de membranas fetales, Procalcitonina, Corioamnionitis, Hospital GIneco-Obstétrico Enrique C. Sotomayor, Cantón Guayaquil, Ecuador, Epidemiología descriptiva, Estudios retrospectivos