Ávila RR, Rangel García RA, Herrera PM, Camacho RRI, Velázquez QNI

Language: Spanish
References: 7
Page: 86-91
PDF size: 170.00 Kb.

ABSTRACT

introduction. The physiological and laboratory variables and organ dysfunction are used to define the systemic inflammatory response syndrome (SIRS) which was amended at various stages of childhood, including term newborn. This study seeks to establish the utility of SIRS in neonates weighing ‹ 1 500 grams.
material and methods. Observational, prospective, analytical and comparative study of all preterm infants weighing › 1 500 grams. Maternal history were investigated and contrasted with infants or not met the definition of SIRS according to Goldstein et al.
results. Eighty five neonates were captured, 46 cases (54%) met the criteria for SIRS and 39 cases (46%) did not meet the criteria for SIRS. Significant background SIRS were associated with maternal chorioamnionitis, rupture of membranes › 18 hours and antenatal steroids. A significant factor associated with SIRS in neonates was less than 1 000 grams of weight, receiving parenteral nutrition for more than seven days and severe asphyxia. Blood culture was performed in 68/85 cases (80%), was positive in 17 (25%). It was statistically significant (p ‹ 0.001) and 22 times more infants in association with SIRS positive blood culture result.
conclusions. The scale of SIRS is useful in preterm infants because of the inherent exaggerated response to any inflammatory process.

REFERENCES

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