Revista medica del Instituto Mexicano del Seguro Social · 2019
[Risk factors associated with late-onset neonatal sepsis].
Аннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
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Arias-Arellano Santiago, Cáceres-Aucatoma Freud, Geyson Déley, Segarra-Galarza Katy
Аннотация
BACKGROUND: Sepsis is one of the main causes of morbidity and mortality in neonates.
OBJECTIVE: To identify the risk factors for neonatal sepsis in a neonatal unit from March to October, 2016.
METHODS: Case-control study. The factors analyzed were: a) neonatal factors such as: type of delivery, sex, birth weight, gestational age, criteria for systemic inflammatory response syndrome, type of sepsis (early or late) and blood culture result; B) invasive methods such as: central catheterization, total parenteral nutrition, umbilical catheterization and mechanical ventilation; C) maternal factors such as: number of prenatal controls, infection during pregnancy, premature rupture of membranes, maternal age and maternal fever. Odds Ratio was used to determine association.
RESULTS: For the development of early-onset sepsis, significant risk factors were: thermodynamic imbalance, tachycardia and maternal fever. With regard to late-onset sepsis, significant associations were found for thermodynamic imbalance, umbilical catheterization, mechanical ventilation and insufficient prenatal care.
CONCLUSIONS: Thermodynamic imbalance, tachycardia, mechanical ventilation, umbilical catheterization, maternal fever, and insufficient prenatal care were the probable risk factors associated with neonatal sepsis.
OBJECTIVE: To identify the risk factors for neonatal sepsis in a neonatal unit from March to October, 2016.
METHODS: Case-control study. The factors analyzed were: a) neonatal factors such as: type of delivery, sex, birth weight, gestational age, criteria for systemic inflammatory response syndrome, type of sepsis (early or late) and blood culture result; B) invasive methods such as: central catheterization, total parenteral nutrition, umbilical catheterization and mechanical ventilation; C) maternal factors such as: number of prenatal controls, infection during pregnancy, premature rupture of membranes, maternal age and maternal fever. Odds Ratio was used to determine association.
RESULTS: For the development of early-onset sepsis, significant risk factors were: thermodynamic imbalance, tachycardia and maternal fever. With regard to late-onset sepsis, significant associations were found for thermodynamic imbalance, umbilical catheterization, mechanical ventilation and insufficient prenatal care.
CONCLUSIONS: Thermodynamic imbalance, tachycardia, mechanical ventilation, umbilical catheterization, maternal fever, and insufficient prenatal care were the probable risk factors associated with neonatal sepsis.
Предметные рубрики MeSH
AdolescentAdultBirth WeightBody Temperature RegulationCase-Control StudiesCatheterizationDelivery, ObstetricFemaleFeverGestational AgeHumansInfant, NewbornMaleMaternal AgeNeonatal SepsisOdds RatioPregnancyPregnancy ComplicationsPrenatal CareRisk FactorsSex FactorsSystemic Inflammatory Response SyndromeTachycardiaYoung Adult