Flores NG, Bolaños FMP, Lavalle VA

Language: Spanish
References: 15
Page: 20-24
PDF size: 100.11 Kb.

ABSTRACT

Introduction: When the birth weight in a neonate is below the 10th centile is considered low weight (LBW), this group has more risk of presenting morbidity in the neonatal and children and adult age. Objective: To determine if the term neonates with LBW develop more infections than neonates with adequate birth weight during the first year of life. Subjects and methods: We carried out a prospective study in term neonates, divided in two groups, the first one with LBW and the second with adequate birth weight. A follow-up was realized monthly from the birth until the first year of life, in order to count who had more frequency of infectious diseases and the number of episodes. Also we compare the weight at the end of the year. We used chi squared and t Student for the statistical analysis. Results: We reviewed 79 children in each group. The statistical differences were: mother with less height 1.57 ± 0.02 vs 1.58 ± 0.04 cm, less weigh of the fathers 68.40 ± 10.6 vs 72.4 ± 10.6 kg, and fathers younger 24.2 ± 5.5 vs 28.2 ± 6.2 years old, in the LBW group. Respect to weight of the patients, the differences were: minor birth weight in the first group 2,287 ± 216 vs 3,101 ± 344 g, obviously. The weight at the end of the year resulted surprisingly higher in this group, 10,172 ± 148 vs 9,406 ± 258 g. In infections, all the patients of LBW group had at least one episode of respiratory tract in the follow-up, in the group of adequate weight five children did not present episode of respiratory tract. The whole of episodes in this item was 420 vs 227, average 5.4 vs 2.1, statistical difference. In diarrheas, they presented 304 episodes in the first group against 174 in the second one, averages 3.8 vs 2.9, also with statistical difference. Three patients of the second group had pneumonia and only one in the first group with not statistical difference, they were hospitalized. Three cases of urinary infections in the first group and one in the second was presented. Mortality was absent in both groups. Conclusions: LBW is a present problem, with important repercussions in the morbidity for the future of this group. It is indispensable to identify the risk factors for every region and social stratum to define correctly the actions of health to improve positively on the diseases of this group. LBW must be regard a disease and it can endure for the whole life.

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