Clemades MAM, Aríz MOC, Faure GJ, Pérez MY, Darias KA, Kedisobua CEA

Language: Spanish
References: 0
Page: 20-29
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ABSTRACT

Introduction: Neonatal Care Units are dynamic care areas that receive patients with different risk factors that predispose to sepsis. Objective: to determine the incidence of perinatal risk factors in the emergence of early-onset sepsis in newborns treated at the Neonatology Service of the Mariana Grajales Obstetrics and Gynecology Provincial University Hospital, in Villa Clara from 2015 to 2017. Methods: an analytical study of comparative groups with elements of mixed approach, was carried out. The study population consisted of 312 neonates with risk factors. Results: term newborns, male and weighing more than or equal to 2,500 grams, prevailed; however, prematurity and low weight had a causal association with early onset-sepsis. Risk factors stratified in patients with early neonatal sepsis were, according to frequency order: rupture of membrane prolonged more than 18 hours, intrapartum fever and maternal chorioamnionitis. Of the 55 neonates with two or more risk factors, 10 were isolated, Gram-positive germs played a key role in the genesis of early-onset sepsis (Enterococcus sp and Staphylococcus coagulase negative). Conclusions: rupture of membrane prolonged more than 18 hours was the most frequent risk factor and Enterococcus sp and coagulase negative Staphylococcus were the predominant germs.