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Revista Cubana de Pediatría

versión impresa ISSN 0034-7531versión On-line ISSN 1561-3119


COUTO RAMOS, Maria Julia et al. Late onset infection: surveillance and control . Rev Cubana Pediatr [online]. 2008, vol.80, n.2. ISSN 0034-7531.

INTRODUCTION. The objective of this paper is to identify the incidence, main epidemiological indicators of risk, admission causes, clinical forms and the most frequent isolated germ in late onset infections, as well as to characterize the studied group, according to weight and maturity. METHODS. An observational, descriptive and longitudinal research was conducted. 187 neonates with diagnosis of late onset infection that were discharged from the Neonatology Service of "América Arias" Hospital between 2000 and 2006 were included. RESULTS. 247 episodes of sepsis were presented. The most common cause of admission was low birth weight (48.5 %). 97 children were classified as preterm. Generalized sepsis was the most frequent clinical manifestation. The most used procedure was the epicutaneous catheterism (66.8 %), and the most isolated germ was the positive-coagulase staphylococcus. An increase of the net incidence and of the incidence by devices was observed. CONCLUSIONS. The frequency of patients with late onset infection occupied an international place. The main causes of admission were low birth weight and the transient respiratory distress syndrome. The most common clinical form was the generalized sepsis, whereas the most isolated causal germ was the positive-coagulase staphylococcus. There were patients with more than one septic episode. The use of procedures was high. An increase was observed in the accumulated incidence and in the accumulated incidence of infected patients. The infection rates showed an irregular behaviour and the lineal trend tended towards decreasing.

Palabras clave : Late onset infection; epidemiological risk indicators..

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