Factores de riesgo en sepsis neonatal del Hospital Instituto Ecuatoriano de Seguridad Social de Babahoyo
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2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
La sepsis es un estado inflamatorio sistémico con crecimiento de microorganismos que
provocan hipotensión, shock y muerte por liberación de derivados inflamatorios celulares
en neonatos. Esta deriva de factores relacionadas con antecedentes maternos prenatales,
natales y posnatales, el estudio se basa en el análisis de elementos que provocan sepsis
en neonatos ingresados en el área de cuidados intensivos neonatales. El objetivo general
es determinar los factores de riesgo de sepsis neonatal en el área de terapia intensiva
neonatal del hospital del IESS de Babahoyo. La metodología empleado es estudio
cuantitativo no experimental transversal retrospectivo, una vez recolectado los datos se
realizó análisis univarial con cruzamiento de variables para determinar las causas y chi
cuadrado para las asociaciones. Se estudió un total de 25 pacientes ingresados de enero
a junio del 2016 con diagnóstico de sepsis neonatal temprana y tardía de los cuales un
76,1% corresponde a sepsis temprana y un 23,1 % a sepsis tardía con chi cuadrado de
15,08 y valor de p de 0,0001, los factores de riesgo con mayor relación fueron el sexo
masculino, la prematuridad y el test apgar < 7, en cuánto a los factores de riesgo materno
las infección de vías urinarias y las cervicovaginitis . Se concluye que los factores de
riesgo que se presentaron en el sexo masculino y la infección de vías urinarias materna
son la mayor causa de ingreso en los neonatos con diagnóstico de sepsis
Sepsis is a systemic inflammatory state with growth of microorganisms that provoke hypotension, shock and death by the release of cellular inflammatory derivatives in neonates. This derives from factors related to prenatal, natal and postnatal maternal antecedents, the study is based on the analysis of elements that cause sepsis in neonates admitted to the neonatal intensive care area. The general objective is to determine the risk factors for neonatal sepsis in the neonatal intensive care area of the IESS hospital in Babahoyo. The methodology used is a retrospective non-experimental quantitative cross-sectional study. A total of 25 patients admitted from January to June 2016 with a diagnosis of early and late neonatal sepsis were studied, of which 76.9% corresponded to early sepsis and 23.1 % To late sepsis, the risk factors with the greatest relationship were male sex with 64%, prematurity 16% and apgar score <7 with 12%, in relation to maternal risk factors, urinary tract infection with 96% % And cervicovaginitis with 76%, and premature rupture of membranes 28%. The relationship It is concluded that male sex risk factors and maternal urinary tract infection are the major cause of entry in neonates with a diagnosis of sepsis
Sepsis is a systemic inflammatory state with growth of microorganisms that provoke hypotension, shock and death by the release of cellular inflammatory derivatives in neonates. This derives from factors related to prenatal, natal and postnatal maternal antecedents, the study is based on the analysis of elements that cause sepsis in neonates admitted to the neonatal intensive care area. The general objective is to determine the risk factors for neonatal sepsis in the neonatal intensive care area of the IESS hospital in Babahoyo. The methodology used is a retrospective non-experimental quantitative cross-sectional study. A total of 25 patients admitted from January to June 2016 with a diagnosis of early and late neonatal sepsis were studied, of which 76.9% corresponded to early sepsis and 23.1 % To late sepsis, the risk factors with the greatest relationship were male sex with 64%, prematurity 16% and apgar score <7 with 12%, in relation to maternal risk factors, urinary tract infection with 96% % And cervicovaginitis with 76%, and premature rupture of membranes 28%. The relationship It is concluded that male sex risk factors and maternal urinary tract infection are the major cause of entry in neonates with a diagnosis of sepsis
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SEPSIS NEONATAL, SHOCK, FACTORES DE RIESGO, HOSPITAL GENERAL BABAHOYO (IESS), CANTON BABAHOYO, ECUADOR