Association of obstetric and neonatal factors with cases of early neonatal sepsis. Cartagena, Colombia

• Main Authors: Jaime Alberto Lorduy Gómez (Author), Stephanye Carrillo González (Author)
• Format: Book
• Published: Universidad de Ciencias Médicas de La Habana, 2018-10-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.

Summary

<p><strong>Introduction: </strong>Early neonatal sepsis is a public health problem and the leading cause of complications and deaths in neonatal intensive care units.</p><p><strong>Objective:</strong> To associate obstetric and neonatal risk factors with the presence of early sepsis in Cartagena (2014-2015).<strong> </strong></p><p><strong>Material and Methods: </strong>Case Study and Retrospective Controls. The sample is composed of 183 cases and 366 controls, including patients who simultaneously meet inclusion and exclusion criteria. A bivariate analysis was performed and a logistic regression multivariate model was constructed<strong>. </strong></p><p><strong>Results: </strong>Among the variables associated with early sepsis in which the risk could be defined, the following may be listed: premature rupture of membrane > 18 hours (OR 12.78 CI 95% 4.01-36.6), risk of sepsis due to vaginal childbirth (OR 2.69 95% CI 1.58-4.57), male newborn (OR 2.38 95% CI 1.38-4.08), and prematurity (OR 3.13 IC 95% 1.24-7.86).<strong> </strong></p><p><strong>Conclusions: </strong>In mothers with premature rupture of membranes and vaginally born premature infants, a causal association with cases of early neonatal sepsis is evident.</p><p><strong>Keywords</strong>: Newborn, risk factors, sepsis, vertical transmission of infectious disease.<strong></strong></p>

Item Description

1729-519X