%0 Journal Article
%T Risk Factors for Hospital-Acquired Infection in a Neonatology Service Factores de riesgo de infecci車n intrahospitalaria en un Servicio de Neonatolog赤a
%A Hilda Mar赤a Delgado Acosta
%A Sadis Su芍rez del Villar Seuret
%A Mabel Vega Galindo
%J MediSur
%D 2012
%I Centro Provincial de Informaci車n de las Ciencias M谷dicas en Cienfuegos
%X Background: almost 5 million newborns die every year all over the world. 98% of them belong to developing countries. From 30% to 40% of neonatal deaths are related to infections. Objective: to determine risk factors influencing the occurrence of hospital-acquired infections in a neonatology service. Methods: a case-control study was conducted in the Neonatology Service of the Dr. Gustavo Alderegu赤a Lima General University Hospital of Cienfuegos in 2007. Cases included 76 newborns with hospital-acquired infection and their controls as well as neonates without hospital-acquired infection at a rate of one control per case. The following variables were analyzed: sex, birth weight, age, prenatal medical history, type and duration of labor, use of antibiotics and type of sepsis. Chi-square method was used with a maximum error of 5% and the risk odds ratio was used with a confidence interval of 95%. Results: 42, 1% of those infected were between 1500 g and 2499 g at birth. Infants whose mothers had presented vaginal sepsis had a higher risk for infection (62, 3%, OR = 5.9). Preterm delivery (89, 5%), premature rupture of membrane (22.4%), and instrumentation were potential risks for hospital-acquired infection. Conclusions: Preterm birth, low birth weight, the use of instrumentation and vaginal sepsis in mothers were the main risk factors for the occurrence of hospital-acquired infections in neonates. Fundamento: en el mundo fallecen casi 5 millones de reci谷n nacidos al a o, 98 % en pa赤ses subdesarrollados. De 30 a 40 % de las muertes neonatales tienen relaci車n con las infecciones. Objetivo: determinar los factores de riesgo que influyeron en la aparici車n de infecciones nosocomiales en un Servicio de Neonatolog赤a. M谷todos: estudio de casos y controles realizado en el Servicio de Neonatolog赤a del Hospital General Universitario Dr. Gustavo Alderegu赤a Lima de Cienfuegos durante el a o 2007. Los casos fueron los 76 reci谷n nacidos que padecieron una infecci車n intrahospitalaria y los controles, reci谷n nacidos sin infecci車n intrahospitalaria, a raz車n de un control por cada caso. Se analizaron: sexo, peso al nacer, edad, antecedentes patol車gicos maternos prenatales, tipo y tiempo de duraci車n del parto, uso de antibi車ticos, maniobras realizadas al paciente. Se utiliz車 el Chi-cuadrado con m芍ximo error de 5 % y para los riesgos el cociente de posibilidades con un intervalo de confianza de 95 %. Resultados: el 42, 1 % de los infectados ten赤a entre 1 500 y 2 499 g al nacer; los neonatos cuyas madres presentaron sepsis vaginal tuvieron m芍s riesgo de padecer una infecci車n (6
%K Infecci車n hospitalaria
%K reci谷n nacido
%K factores de riesgo
%U http://www.medisur.sld.cu/index.php/medisur/article/view/1696