Examinando por Materia "Sepsis Neonatal"

Mostrando 1 - 5 de 5

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Characterization of retinopathy of prematurity in a perinatal maternal hospital, Lima 2017-2019
(Universidad Privada Norbert Wiener, 2020-08-30) Espinoza Palomino, Yajahyda Yuliza; Fernández Rengifo, Werther Fernando
Objective: Describe the characteristics of retinopathy of prematurity at a Maternal Perinatal Hospital in Lima during the period 2017-2019. Method: The present investigation has a quantitative approach, in terms of the methodological design it is a descriptive investigation, with the documentary analysis technique and the instrument of the data capture sheet, information was collected from the clinical records. Results: The characteristics were, the predominance of the male sex of the newborn with 60%, due to the type of delivery that the mother had, mostly delivery by cesarean section with 60%, mothers who had chorioamnionitis in 60%, due to the birth weight less than 1000 g in 40%, requirement for oxygen therapy with 60%, those who presented neonatal sepsis in 80%, according to the type of pregnancy single in 92%, gestational age less than 32 weeks with 72%, as for respiratory distress syndrome and intrauterine growth retardation, their percentages are less than 20%. Conclusion: The most important characterizations were: predominantly male gender, cesarean delivery, birth weight less than 1000g, oxygen therapy requirement, neonatal sepsis, type of singleton gestation, gestational age less than 32 weeks, mothers who presented chorioamnionitis, these characteristics being the most relevant and of great significance, they are possible risk factors for developing the disease.
Acceso abierto
Efficacy of enteral administration of lactoferrin for preventing sepsis in very low birth weight preterm newborns.
(Universidad Privada Norbert Wiener, 2018-08-12) Rios Lavi, Greti; Villacis Fernandez, Erika; Calsin Pacompia, Wilmer
Objective: To analyze and systematize evidence on the effectiveness of enteral administration of lactoferrin for the prevention of sepsis in very low birth weight preterm newborns. Materials and Methods: The study is quantitative, observational, and retrospective with a systematic review design, including a population of 15 articles and a sample of 10 articles. Databases used were articles with full texts, and the selected articles were critically reviewed. The GRADE system was applied to assess the quality of evidence and the strength of the recommendation. Results: 90% of articles demonstrate that enteral administration of lactoferrin in preterm newborns of grade II and III reduces sepsis, and 10% indicate that no favorable results were found to prevent necrotizing enterocolitis in newborns. Conclusions: 9/10 of the studies related to enteral administration of lactoferrin prevent late-onset sepsis and necrotizing enterocolitis in grade II and III preterm newborns with very low birth weight.
Acceso abierto
Factors associated with complications after insertion of invasive catheters
(Universidad Privada Norbert Wiener, 1905-07-09) Bulnes Reyna, Marcela Estela; Mantilla Lara, Carmen Isabel; Gómez Gonzales, Walter Edgar
Objective: Establish the factors associated with complications after insertion of invasive catheters. Material and Method: Observational and retrospective systematic review, the search has been restricted to articles with full text, and the selected articles were subjected to a critical reading, using Jover's evaluation to identify their degree of evidence. Results: The population was made up of the bibliographic review of 02 systematic reviews and 08 scientific articles published and indexed in scientific databases, no older than five years and that respond to articles published in Spanish, we found that 20 % (02) correspond to Chile, with 30% (03) we find Spain, while with 10% (05) we find Washington, Wisconsin, Brazil, Mexico and Costa Rica respectively. Most of the quantitative, transversal, experimental and quasi-experimental studies have been studied with 80%, mainly in the countries of Costa Rica, Brazil, Mexico and Spain. Among systematic reviews we find the country of Chile and Wisconsin, with 20%. Conclusions: Among the factors associated with complications we found in 80% of the studies high blood pressure, condition of the catheter, sex, obesity, diabetes mellitus, as for the pathologies according to the studies found were pneumonia, neonatal sepsis, meningitis and perinatal asphyxia; The most frequently found microorganisms were Staphylococcus coagulase (-), Pseudomona sp. and Candida sp. and that greater education of health professionals decreases the incidence of primary bloodstream infections and a substantial decrease in the patient's health care costs.
Acceso abierto
Maternal and neonatal factors associated with neonatal sepsis at the Tingo Maria Contingency Hospital from 2020 to 2021
(Universidad Privada Norbert Wiener, 2024-08-10) Jara Lino, Astrid Amely; Gonzales Carrillo, Javier José
Objective: To determine the maternal and neonatal factors associated with neonatal sepsis in newborns at the Contingency Hospital of Tingo María from 2020-2021. Methodology: The study is observational, analytical, retrospective, cross-sectional, case-control with a 1:2 ratio, and a sample of 243 neonates. The association was measured using Chi-square and Odds Ratio with a 95% CI. Results: Early neonatal sepsis was present in 85% of cases. The only neonatal risk factor associated with neonatal sepsis was prematurity, with OR=2.23 and p=0.013. Maternal risk factors included insufficient prenatal care (≤5 visits) with OR=5.34 and p=0.01, premature rupture of membranes with OR=3.9 and p=0.04, prolonged premature rupture of membranes with OR=8.14 and p=0.002, and urinary tract infection in the third trimester of pregnancy with OR=5.89 and p=0.012. Maternal age under 20 years was identified as a protective factor with OR=0.29 and p=0.002. Conclusions: Risk factors associated with neonatal sepsis include prematurity, insufficient prenatal care (≤5 visits), premature rupture of membranes, prolonged premature rupture of membranes, and urinary tract infection. Maternal age under 20 years was identified as a protective factor.
Acceso abierto
Rendimiento diagnóstico de la proteína c reactiva para sepsis neonatal temprana en neonatos del Hospital Luis Heysen Inchaustegui – Chiclayo 2023
(Universidad Privada Norbert Wiener, 2025-08-09) Moreno Chinchay, Natalin Lizbeth; Lopez Bulnes, Jorge Luis
La investigación tuvo como objetivo determinar el rendimiento diagnóstico de la Proteína C Reactiva (PCR) para Sepsis Neonatal Temprana en neonatos del Hospital Luis Heysen Inchaustegui durante el 2023. La metodología utilizada fue de método analítico, enfoque cuantitativo y diseño transversal. La muestra estuvo conformada por 173 neonatos con diagnóstico definitivo de sepsis neonatal temprana descrita en la epicrisis de la historia clínica electrónica y 126 neonatos sanos. Se empleó una técnica de análisis documental por medio de una ficha de recolección de datos, para posterior a ello ser analizados en el programa estadístico RStudio, se crearon gráficos ROC y se calculó el área bajo la curva, utilizando además la prueba de Chi cuadrado y la prueba de la suma de rangos de Wilcoxon y el índice de Youden; considerando significativo un p<0.05. Como resultados, se demostró que la PCR tuvo un buen rendimiento diagnóstico con una sensibilidad del 73% y especificidad de 92.5%, VPP de 87.6% y VPN de 82.5%, hallando además como punto de corte óptimo un PCR ≥0.65 mg/dl con un AUC de 0.828. En relación al sexo se evidenció sensibilidad mayor en varones (83.6 % vs. 58.5%), y una especificidad ligeramente superior en mujeres (93% vs. 91%). En conclusión, la Proteína C Reactiva demostró ser un biomarcador con un buen rendimiento diagnóstico para sepsis neonatal temprana.