Prognostic Factors of Early Neonatal Sepsis in the City of Cartagena Colombia
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Fecha
2018-11
Autores
Lorduy Gómez, Jaime
Carrillo González, Stephanye
Muñoz Baldiris, Ruby Elena
Díaz-Pérez, Anderson
Perez, Iris
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Editor
Canadian Center of Science and Education
Resumen
Introduction: The obstetirc or noenatal risk factors, are in many cases the major evidence to define and forecast of
an early neonatal sepsis, considering that a newborn that has lived less tan 72 hours presents unspecified clinical
manifestations and the diagnostic exams utilize infectious and inflammatory markers, with there being very litttle
scientific evidence to support and establish an early diagnosis. Objective: Associate the obstetric and neonatal risk
factors with the presence of early sepsis in Cartagena.
Materials and Methods: A retrospective study of cases and controls was conducted. The sample consisted of 183
cases and 366 controls, including pacients who met simultaneously inclusion and exclusion criteria. A bivariated
analysis and a multivariated model of regression logistics were used.
Results: Among the associtated variables and early sepsis in which it was able to define the risk that is found when
there is a premature membrane rupture > 18 hours (OR 9,57 IC 95% 4,12-22,26), premature newborn (OR 8,19 IC
95% 3,66-18,3), the presence of maternal fever (OR 6,49 IC 95% 3,43-12,3), marital status (OR 5,89 IC 95%
3,42-10,15) and level of education (OR 4,80 IC 95% 2,63-8,77).
Conclusions: The mechanisms of fetal evaluation and maternal prophylaxis should be prioritized in the cases of
pregnant women that present a premature membrane rupture >18 hours, and have kids who were born premature
and living in couple with a low level of education.
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Palabras clave
Newborn, Risk factors, Sepsis, Infectious disease vertical transmission (MeSH)