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Revista Cubana de Pediatría
versão On-line ISSN 1561-3119
Resumo
BROCHE CANDO, Regla Caridad et al. Late neonatal infections. Rev Cubana Pediatr [online]. 2021, vol.93, suppl.1 Epub 01-Dez-2021. ISSN 1561-3119.
Introduction:
Neonatal infection is one of the most common diseases due to the sensitivity of these patients. This infection can lead to neonatal sepsis and increase mortality.
Objective:
Determine the clinical and epidemiological characteristics of late neonatal infection.
Methods:
Retrospective and cross-sectional descriptive study of records on neonates admitted to the neonatology service of "William Soler Ledea" Hospital in the period 2017-2019 with a diagnosis of infection. Records of infected infants undergoing surgery were excluded. The variables studied were: epidemiological, risk factors, clinical and paraclinical. Descriptive statistical techniques such as percentages, ratio, mean or average were used.
Results:
The sample consisted of 1078 patient´s records, with an infection rate of 59.4 × 100 admissions. Prenatal and conatal risk factors obtained prevalence ratio < 1. The postnatal risk factors with the highest prevalence were male sex (57.6%) and central venous catheterization (53.6%). From 83 to 88% of infected neonates had alterations in the hematopoietic profile. Respiratory, skin and soft tissue infections occurred in 36% of the neonates and gram-positive bacteria were the main isolated microorganisms. There were 11 patients who died representing a mortality rate of 22.9%.
Conclusions:
Morbidity due to late infection is remarkable, postnatal risk factors predominate and male sex; prematurity and low weight had the highest representation in the deceased ones.
Palavras-chave : neonatal infection; risk factor; morbidity.