Ferrer MR, Silveira RD, Pérez DMÁ, Montero AA, Estévez LMC

Language: Spanish
References: 0
Page: 1180-1199
PDF size: 319.91 Kb.

ABSTRACT

Background: respiratory problems are an important cause of mortality and morbidity in the new-born.
Objective: to identify the risk factors for pneumonia associated with invasive artificial mechanical ventilation in new-borns admitted to the NICU of the Neonatology service of the Carlos M. de Céspedes General Teaching Hospital from January 2012 to January 2015.
Method: an analytical study of cases and controls was carried out. The study groups consisted of 75 cases and 150 controls, respectively. The evaluation of the associations was carried out by the binary logistic regression.
Results: the variables gestational age before 37 weeks of gestation, the low weight at birth have twice or more risks of suffering pneumonia associated with ventilation significantly, p <0,05; among the diagnoses that led to mechanical ventilation severe sepsis with a p: 0,04; In the results corresponding to the multivariate analysis, it was found that neonates with more than 72 hours of ventilation increased the possibility of contracting pneumonia associated with ventilation with an OR = 72,831 ± 95% CI 9.374 – 565,858, a value of p = 0,000 sex, and the type of deliveries were not significant.
Conclusion: the gestational age less than 37 weeks, the weight at birth less than 2500 grams, the ventilator time of more than 3 days and the diagnosis of severe sepsis were the significant variables. Sex and type of delivery were not significant.