Utilidad de la calculadora de sepsis temprana para predecirla con factores de riesgo materno
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2021
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
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Antecedentes: La sepsis de inicio temprano es una complicación grave y potencialmente mortal de nacimiento, los factores maternos que se asocian con un mayor riesgo de sepsis de inicio temprano en el recién nacido son la infección por estreptococo del grupo B (GBS), fiebre materna intraparto, colonización por GBS y ruptura prolongada de las membranas. El uso de una herramienta digital que valore estos factores de riesgo maternos ha sido de gran utilidad en otros países reduciendo estancias hospitalarias y el uso innecesario de antibióticos por lo que se aplicó a nuestra población de estudio para demostrar su utilidad. Objetivo: Establecer la utilidad de la calculadora de sepsis temprana para predecirla con factores de riesgo materno en los recién nacidos del área de neonatología del Hospital General Enrique Garcés en el periodo Enero – Diciembre 2019. Metodología: El método usado en esta investigación es empírico, observacional, descriptivo ya que tiene una observación indirecta a través del análisis de datos recolectados por medio de la historia clínica. Resultados: Los resultados fueron que el 70% de los pacientes no demandaron medidas intervencionistas, y solo el 30% requirió el uso de antibióticos por un riesgo de sepsis asociado a los factores maternos. Conclusión: se concluyó que la calculadora de sepsis neonatal identifica de forma temprana a los recién nacidos con riesgo de sepsis neonatal, nos brinda recomendaciones para una oportuna y bien guiada intervención.
Background: Early-onset sepsis is a serious and life-threatening complication at birth, the maternal factors that are associated with an increased risk of early-onset sepsis in the newborn are group B streptococcal infection (GBS), maternal fever intrapartum, GBS colonization and prolonged rupture of membranes. The use of a digital tool that assesses these maternal risk factors has been very useful in other countries, reducing hospital stays and the unnecessary use of antibiotics, which is why it was applied to our study population to demonstrate its usefulness. Objective: To establish the usefulness of the early sepsis calculator to predict it with maternal risk factors in newborns in the neonatology area of the Enrique Garcés General Hospital in the period January - December 2019. Methodology: The method used in this research is empirical, observational, descriptive since it has an indirect observation through the analysis of data collected through the clinical history. Results: The results were that 70% of the patients did not demand interventional measures, and only 30% required the use of antibiotics due to a risk of sepsis associated with maternal factors. Conclusion: it was concluded that the neonatal sepsis calculator early identifies newborns at risk of neonatal sepsis, provides us with recommendations for a timely and well-guided intervention.
Background: Early-onset sepsis is a serious and life-threatening complication at birth, the maternal factors that are associated with an increased risk of early-onset sepsis in the newborn are group B streptococcal infection (GBS), maternal fever intrapartum, GBS colonization and prolonged rupture of membranes. The use of a digital tool that assesses these maternal risk factors has been very useful in other countries, reducing hospital stays and the unnecessary use of antibiotics, which is why it was applied to our study population to demonstrate its usefulness. Objective: To establish the usefulness of the early sepsis calculator to predict it with maternal risk factors in newborns in the neonatology area of the Enrique Garcés General Hospital in the period January - December 2019. Methodology: The method used in this research is empirical, observational, descriptive since it has an indirect observation through the analysis of data collected through the clinical history. Results: The results were that 70% of the patients did not demand interventional measures, and only 30% required the use of antibiotics due to a risk of sepsis associated with maternal factors. Conclusion: it was concluded that the neonatal sepsis calculator early identifies newborns at risk of neonatal sepsis, provides us with recommendations for a timely and well-guided intervention.
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SEPSIS NEONATAL, PEDIATRIA, CALCULADORA DE SEPSIS, FACTORES DE RIESGO MATERNO, RECIEN NACIDO, EPIDEMIOLOGIA DESCRIPTIVA, HOSPITAL GENERAL ENRIQUE GARCES, CANTON QUITO, ECUADOR