Sepsis neonatal intrahospitalaria. Incidencia y factores de riesgo. (Spanish)

Background: inhospital neonatal sepsis (IHNS) is a clinical syndrome characterized by an inflammatory reaction with local or systemic signs of infection, accompanied by the causal agent in the first month of life. The objective was to know the incidence and risk factors associated with IHNS. Methods: during 2006 and 2007 were included a total of 49 patients in the case group and 50 patients in the control group. A series of qualitative variables comparing the two groups to determine their association were analyzed. Results: It was found an incidence of IHNS in our hospital of 3.7 %. The most frequently observed risk factors were: birth weight in the trophic group between 1501-2500 g, and in the hypotrophic group, the use of central vascular access, ranitidine, steroids, parenteral nutrition, endotracheal intubation, orogastric catheter, vesical catheter, and also the presence of cardiopathy or hyaline membrane disease (HDM). The mortality rate was 24.4 %. Conclusions: the incidence of IHNS was less than reported in the literature. The death associated with IHNS was low. [ABSTRACT FROM AUTHOR]

Introducción: la sepsis intrahospitalada neonatal es un sindro me clínico caractedzado por una reacción inflamatoria en el pd mer mes de vida con signos locales o sistémicos de infección, acompafiada del agenta causal. El objetivo de esta investigación fue conocer la incidencia y factores de riesgo más frecuente mente asociados con sepsis intrahospitalada, en una unidad de cuidálos especáles neonatales. Métodos: durante 2006 y 2007 se induyeron 49 casos y 50 pacientes control. Se analizaron variables cualitativas en ambos grupos para determinar su asociación. Resultados: se encontrb una incidencia de sepsis intrahospitalada neonatal en nuestm hospital de 3.7 %. Los factores de desgo más frecuentes fueron el peso corporal de 1501 a 2500 g, el hipotrofismo, el acceso central, la edministración de ranitidina, esteroides y nutrición parenteral, la alimentación de Upo parenteral, la intubación endotraqueal, el uso de sonde orogástrica y sonda vesical, presencia de cardiopatla y de enfermedad de membrana hialina. La mortalidad encontrada fue de 24.4 %. Condusiones: la incidencia de sepsis intrahospitalaria neonatal rue menor a la reportada en la literatura. [ABSTRACT FROM AUTHOR]

Copyright of Revista Medica del IMSS is the property of Direccion de Prestaciones Medicas - IMSS and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)