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1998, Number 2

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Rev Mex Pediatr 1998; 65 (2)

Factores de riesgo de enterocolitis necrosante en neonatos

Castillo ROF, Rodríguez BI, Lozano GCH

Language: Spanish
References: 28
Page: 46-50
PDF size: 121.50 Kb.


ABSTRACT

Introduction: The necrotizing enterocolitis (NEC) in premature newborns, is the most frequent gastrointestinal emergency in the neonatal intensive care unit. The objective of this work was to identified the risk factores for developing NEC.
Material and methods: The study include 118 premature newborns (‹ 37 weeks of gestation), 22 with NEC (group A) and 96 who did not developed NEC (group B).
Some variables associated to the neonates were selected; like, gestional age, sex, body weight, score of Apgar and the way that the child was born. Beside that, other variables related to perinatal asphyxia, like hyaline membrane disease, pneumothorax, intrauterine pneumonia and the need for lung surfactant, were analyzed.
Results: The mean weight at birth, in group A, was 1,439 ± 644 g and in group B was 1,868 ± 515 g (p ‹ 0.001). Mean gestational age was 31.45 ± 0.03 and 33.3 ± 2.06 weeks, respectively (p ‹ 0.001). There was a significant association among NEC and gestational age, body weight, the Apgar score and the variables related to perinatal asphyxia, infection, and enteral feeding (OR = 256).
Conclusions: Prematurity, body weight below 1,500 g, perinatal asphyxia, and enteral feeding were the principal factors associated to NEC.


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