Sepsis neonatal

ARTICULO ORIGINAL
F actores de riesgo asociados a sepsis neonatal
Riskfactors associated to neonatal sepsis
Drs.: Claudia Verónica Rios Valdéz*, Maria del Pilar Navia Bueno**, Manuel DíazVillegas***, H. Jorge Salazar Fuentes****
Resumen
Objetivos: identificar los factores de riesgo y el grado de
asociación de los mismos con la sepsis neonatal precoz y tardía.

Abstract
Objectives:Idcntifying risk factors and to what degree are
these associated to early and delayed neo natal sepsis.

Métodos: se realizó un estudio analítico observacional de
casos y controles en el Servicio deNeonatología del Hospital de la Mujer, La Paz ~ Bolivia, de 322 recién nacidos (historias clínicas), 108 casos y 214 controles.

Method: An analytical study was carried out observing cases and theirfollow-up at the Neonatology Department of the Womcu's Hospital in La Paz, Bolivia. The study included 322 newborn clinical histories, 108 cases and 214 follow-ups, Results: 322 clinical histories wererevised. Risk factors that were significant for neo natal sepsis, either early 01' delayed were: premature birth (OR 5.47, IC 95% 2.14-14.83), low birth weight (OR 3.09, IC 95% 1.55-6.16), prematuremembrane rupture (OR3.87, le 95(.,7,) 2.06-7.32), urinary tract infection (OR 3.21, IC 95% 1.49-6.89) and "chorioarnnionitis" (OR 4.69, IC 95% 1.05,-21.63). Significant risk factors for delayedneonatal sepsis were invasive procedures such as high blood pressure (OR 114.44, IC 95% 37.90-366), use of main pathway (OR 5.41, IC 95% 2.57-11.4) and mechanical ventilation (OR 3.26, IC 1.6-6.66). Riskfactors for newborn deaths were: premature births, (OR 3.3, IC 95% 1.6-6.87), low birth weight (OR 13.07, IC 95% 6.84-25.13), urinary tract infection in the mother (OR 2.08, IC 95% 1.03-4.15) use ofmain pathway (OR 8.46, IC 95°/,; 4.43-16.26) and mechanical ventilation (OR 17.94, IC 95% 9.17-35.45) Conclusions: findings in this study show that sepsis causes neonatal death be it early or delayed...