Sepsis neonatal en pacientes del hospital general del norte de Guayaquil IESS Los Ceibos

Abstract

Objective: To evaluate the incidence and clinical characteristics of patients with neonatal sepsis of the Hospital General del Norte de Guayaquil IESS Los Ceibos. Materials and Methods: This was a descriptive and retrospective study in newborn patients admitted with neonatal sepsis diagnosis to the Neonatal Intensive Care Unit (NICU) of this hospital, during the period from May 2017 to August 2018, the clinical data in medical records department of the institution were used. Results: Out of the 7240 newborns, 160 were admitted with neonatal sepsis diagnosis to the NICU, evidencing an accumulated incidence of 2.2% in 15 months. There was a male predominance (80%; n=128), with birth weight >2500 grams (73.1%; n=117). The majority had 37 weeks of gestation or more (86.9%; n=139), caesarean section was the most common route of birth (60%; n=96), as well as <3 prenatal outpatient visits (75%; n=120), premature membrane rupture was 45% (n=72), and urinary tract infection in 60% (n=96) of the cases. The main microorganisms, isolated in blood cultures, were the group B streptococcus (65.2%; n=104), followed by Staphylococcus aureus (15.9%; n=26). Conclusion: This analysis shows an important incidence of neonatal sepsis in our region, especially in male neonates and in those with mothers with premature membrane rupture and / or urinary tract infection, it is worth highlighting the high percentage of normal-weight and normal term pregnancy