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Revista Habanera de Ciencias Médicas
versión On-line ISSN 1729-519X
Resumen
LORDUY GOMEZ, Jaime y CARRILLO GONZALEZ, Stephanye. Association of obstetric and neonatal factors with cases of early neonatal sepsis. Cartagena, Colombia. Rev haban cienc méd [online]. 2018, vol.17, n.5, pp. 750-763. ISSN 1729-519X.
Introduction:
Early neonatal sepsis is a public health problem and the leading cause of complications and deaths in neonatal intensive care units.
Objective:
To associate obstetric and neonatal risk factors with the presence of early sepsis in Cartagena (2014-2015).
Material and Methods:
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.
Results:
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).
Conclusions:
In mothers with premature rupture of membranes and vaginally born premature infants, a causal association with cases of early neonatal sepsis is evident.
Palabras clave : Newborn; risk factors; sepsis; vertical transmission of infectious disease.