Abstract

VALVERDE, Jeannegda  and  FARIAS, Egda. Sepsis: Factores de riesgo en recién nacidos pretérmino. RFM [online]. 2007, vol.30, n.1, pp.68-72. ISSN 0798-0469.

Sepsis is an inflammatory, toxic and systemic syndrome with proliferation of microorganisms in blood and response by syntesis and cellular product liberation that cause hypotension, shock and death in preterm newborns. The objective of this investigation was to study factors related with caractheristics in 60 septic newborn and its respective mothers between March - May 2005 at Concepcion Palacios Maternity. We use a prospective, descriptive, cross- sectional system. Average and Standar deviation calculated to numerics variables; percentage to the nouns, Chi square to the associations, intervals of significant confidence considered if P < 0.05 and highly significant if P < 0.01. The results showed inferior gestational age (34 weeks) in 85.0 %; weight when being born smaller to 2 000 g in 68 %; predominance of masculine sex 65.0 %; cardiorrespiratory disfunction 100 %; enterobacteries isolated of blood cultures 47.8 %, negative Staphylococcus coagulasa, Pantoea agglomerans, Candida sp and Serratia sp. 17.4 %; Streptococcus agalactiae 8.7 %. Maternal urinary infection 46.7 %, preeclampsy 25.0 %, pregnancy badly controlled 70.0 %, single mother 30.0 %, premature membrane rupture > 18 hours 35.0 %; chorioamnionitis 23.3 %; adolescency 34.93 %; multiparity 63.33 %; socioeconomic and low cultural level 63,74 %; tabaquic and alcoholic habits 36.66 %. The morbidity was 41.66 % and mortality 58.33 % which reaffirms the serious character of the sepsis. The rate of morbidity agrees with United Nations consideration of 300 000 new cases of sepsis per year in not development countries.

Keywords : Sepsis; Newborn; Preterm; Factors; Risk.