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2009, Número 5

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Rev Med Inst Mex Seguro Soc 2009; 47 (5)


Factores de riesgo asociados a sepsis neonatal nosocomial

Ramírez-Valdivia JM, Pérez-Molina JJ, Villaseñor-Sierra A, Troyo-Sanromán R, Gómez-Ruiz LM, Farfán-Covarrubias JL

Idioma: Español
Referencias bibliográficas: 15
Paginas: 489-492
Archivo PDF: 30.53 Kb.


RESUMEN

Introducción: la sepsis neonatal nosocomial es la principal causa de mortalidad y morbilidad en unidades de cuidados intensivos neonatales. El objetivo de esta investigación fue determinar factores de riesgo neonatales y ambientales asociados a sepsis neonatal nosocomial en la Unidad de Cuidados Intensivos Neonatales del Hospital Civil de Guadalajara “Dr. Juan I. Menchaca”.
Métodos: se estudiaron 114 neonatos, 38 casos y 76 controles. Los factores de riesgo fueron evaluados con razón de momios (RM) e intervalo de confianza (IC) a 95 %.
Resultados: Los factores asociados a sepsis neonatal nosocomial fueron nutrición parenteral total (RM = 16.54, IC = 6.30-43.39, p ‹ 0.001), peso ‹ 1000 g (RM = 7.33, IC = 2.15-25.1, p = 0.001), cateterismo intravascular (RM = 6.79, IC = 2.65-17.39, p ‹ 0.001), edad gestacional ‹ 30 semanas (RM = 4.54, IC = 1.61-12.81, p = 0.003), intubación endotraqueal y ventilación mecánica (RM = 6.98, IC = 2.94-16.57, p ‹ 0.001).
Conclusiones: los factores de riesgo con mayor asociación a sepsis neonatal nosocomial fueron nutrición parenteral total y peso ‹ 1000 g.


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