Abstract

BROCHE CANDO, Regla Caridad et al. Clinical and epidemiological pattern of infection in surgical newborn. Rev Cubana Pediatr [online]. 2013, vol.85, n.3, pp.301-310. ISSN 0034-7531.

Introduction: in the last few years, neonatal surgery has made great advances in terms of survival rates and of recovery of the compromised organ's functions, but postoperative infection remains one of the main complications. Objective: to identify the risk factors of infection in the surgical neonate at the Neonatology Service in the period of 2005 to 2012. Methods: a descriptive study was conducted at "William Soler" university pediatric hospital. The population under research was made up of 136 neonates who had been operated on and had caught infection. The analyzed variables were risk factors for infection and sex, age on admission to the hospital, cause and type of surgery, location of infection, infective agent and patient's condition on discharge. Results: the infection rate at the service for this period was 24.6 x 100, being 10 x 100 the lowest in 2007 and 37.9 x 100 the highest in 2010 (significant p= 0.000). The length of stay at hospital in 90.4 % of cases (n= 123) exceeded 7 days and the surgical time in 69.9 % of the group (n= 95) was over 2 hours. Surgical site infection occurred in 39 % (n= 53) of patients, 19.1 % (n= 26) was operated on from esophagic atresia; negative coagulase staphylococcus was isolated in 14.7 % of children (n= 20) whereas staphylococcus aureus was found in 10.3 % (n= 14). In the study group, 7.4 % of neonates died (n= 10). Conclusions: infection in the newborn significantly occurs in the surgical site and due to esophagic atresia surgery; long length of stay at hospital and surgical time prevail and the negative coagulase and the aureus staphylococci are mainly involved.

Keywords : infection in the surgical neonate; surgical site infection; antibiotic therapy in surgery.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )