Abstract

DIAZ, Manuel et al. INFECTIOUS AGENTS IN NEWBORN SEPSIS. NEONATOLOGY UNIT HOSPITAL DE LA MUJER -INLASA. Cuad. - Hosp. Clín. [online]. 2005, vol.50, n.1, pp.9-15. ISSN 1562-6776.

Objective To identify the infectious agents of neonatal sepsis inthe "Hospital de la Mujer" of La Paz, taking blood cultures to help us determine the therapeutic approach. Design Descriptive study Place Neonatology Unit. "Hospital de la Mujer". La Paz - Bolivia Method In a prospective way and during 5 months we took two blood cultures to patients with the presumptive diagnosis of sepsis for posterior evaluation. Results During the this period we enrolled 77 neonates and 41 witj positive blood culture (53.25%) were positives to the blood cultures, 22 (54%) were premature, 38 (49%) had prolonged rupture of membranes, 22 (54%) did not have prenatal care and , 50 (51,2%) had invasive procedures. The olderthe patientthe more positive blood culture found (p<0.000), the average age was 122.4 hours with SD of 157.3. There was no relationship between white cells, protein C with and positive blood cultures. We found S. epidermidis in 12 (29,26%), Acinetobacter spp in 7 (17,09%), S. aureus in 4 (9,75%), K. oxytoca, Candida spp and Enterococcus spp in 3 cases each (7,32%), Pseudomonas spp and K. pneumoniae in 2 (4,87%), E. coli in 1 (2,45%) and other bacteria in 4 (9,75%). Conclusions The microorganism found are in accordance with the predisposing factors of the newborns studied. Because of the relationship between positive blood culture and age of the newborn led us to suggest in nosocomial infections.

Keywords : Sepsis; Neonates; Blood cultures.

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