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Risk factors associated with late-onset neonatal sepsis

Authors :
Arias-Arellano S
Cáceres-Aucatoma F
Geyson D
Segarra-Galarza K
Source :
Revista medica del Instituto Mexicano del Seguro Social [Rev Med Inst Mex Seguro Soc] 2019 Jul 01; Vol. 57 (4), pp. 226-231. Date of Electronic Publication: 2019 Jul 01.
Publication Year :
2019

Abstract

Background: Sepsis is one of the main causes of morbidity and mortality in neonates.<br />Objective: To identify the risk factors for neonatal sepsis in a neonatal unit from March to October, 2016.<br />Methods: Case-control study. The factors analyzed were: a) neonatal factors such as: type of delivery, sex, birth weight, gestational age, criteria for systemic inflammatory response syndrome, type of sepsis (early or late) and blood culture result; B) invasive methods such as: central catheterization, total parenteral nutrition, umbilical catheterization and mechanical ventilation; C) maternal factors such as: number of prenatal controls, infection during pregnancy, premature rupture of membranes, maternal age and maternal fever. Odds Ratio was used to determine association.<br />Results: For the development of early-onset sepsis, significant risk factors were: thermodynamic imbalance, tachycardia and maternal fever. With regard to late-onset sepsis, significant associations were found for thermodynamic imbalance, umbilical catheterization, mechanical ventilation and insufficient prenatal care.<br />Conclusions: Thermodynamic imbalance, tachycardia, mechanical ventilation, umbilical catheterization, maternal fever, and insufficient prenatal care were the probable risk factors associated with neonatal sepsis.

Details

Language :
Spanish; Castilian
ISSN :
2448-5667
Volume :
57
Issue :
4
Database :
MEDLINE
Journal :
Revista medica del Instituto Mexicano del Seguro Social
Accession number :
32241039