Risk factors and prognosis for neonatal sepsis in southeastern Mexico: analysis of a four-year historic cohort follow-up
<p><b>Abstract</b></p> <p><b>Background</b></p> <p>Neonatal sepsis is a worldwide public health issue in which, depending on the studied population, marked variations concerning its risk and prognostic factors have been reported. The aim of this...
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| Format: | Article |
| Language: | English |
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BMC
2012-06-01
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| Series: | BMC Pregnancy and Childbirth |
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| Online Access: | http://www.biomedcentral.com/1471-2393/12/48 |
| _version_ | 1819035350898573312 |
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| author | Leal Yelda A Álvarez-Nemegyei José Velázquez Juan R Rosado-Quiab Ulises Diego-Rodríguez Nidia Paz-Baeza Etna Dávila-Velázquez Jorge |
| author_facet | Leal Yelda A Álvarez-Nemegyei José Velázquez Juan R Rosado-Quiab Ulises Diego-Rodríguez Nidia Paz-Baeza Etna Dávila-Velázquez Jorge |
| author_sort | Leal Yelda A |
| collection | DOAJ |
| description | <p><b>Abstract</b></p> <p><b>Background</b></p> <p>Neonatal sepsis is a worldwide public health issue in which, depending on the studied population, marked variations concerning its risk and prognostic factors have been reported. The aim of this study was to assess risk and prognostic factors for neonatal sepsis prevailing at a medical unit in southeastern Mexico. Thus, we used a historic cohort design to assess the association between a series of neonates and their mothers, in addition to hospital evolution features and the risk and prognosis of neonatal sepsis (defined by Pediatric Sepsis Consensus [PSC] criteria) in 11,790 newborns consecutively admitted to a Neonatology Service in Mérida, Mexico, between 2004 and 2007.</p> <p><b>Results</b></p> <p>Sepsis was found in 514 of 11,790 (4.3 %) newborns; 387 of these cases were categorized as early-onset (<72 h) (75.3 %) and 127, as late-onset (>72 h) (24.7 %). After logistic regression, risk factors for sepsis included the following: low birth weight; prematurity; abnormal amniotic fluid; premature membrane rupture (PMR) at >24 h; respiratory complications, and the requirement of assisted ventilation, O<sub>2</sub> Inspiration fraction (IF) >60 %, or a surgical procedure. Some of these factors were differentially associated with early- or late-onset neonatal sepsis. The overall mortality rate of sepsis was 9.5 %. A marked difference in the mortality rate was found between early- and late-onset sepsis (p >0.0001). After Cox analysis, factors associated with mortality in newborns with sepsis comprised the following: prematurity; low birth weight; low Apgar score; perinatal asphyxia, and the requirement of any invasive medical or surgical procedure.</p> <p><b>Conclusions</b></p> <p>The incidence of neonatal sepsis in southeastern Mexico was 4.3 %. A different risk and prognostic profile between early- and late-onset neonatal sepsis was found.</p> |
| first_indexed | 2024-12-21T07:48:14Z |
| format | Article |
| id | doaj.art-bb5e3a6dd12744bd9bbcd2d01da22dbc |
| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-12-21T07:48:14Z |
| publishDate | 2012-06-01 |
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| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-bb5e3a6dd12744bd9bbcd2d01da22dbc2022-12-21T19:11:09ZengBMCBMC Pregnancy and Childbirth1471-23932012-06-011214810.1186/1471-2393-12-48Risk factors and prognosis for neonatal sepsis in southeastern Mexico: analysis of a four-year historic cohort follow-upLeal Yelda AÁlvarez-Nemegyei JoséVelázquez Juan RRosado-Quiab UlisesDiego-Rodríguez NidiaPaz-Baeza EtnaDávila-Velázquez Jorge<p><b>Abstract</b></p> <p><b>Background</b></p> <p>Neonatal sepsis is a worldwide public health issue in which, depending on the studied population, marked variations concerning its risk and prognostic factors have been reported. The aim of this study was to assess risk and prognostic factors for neonatal sepsis prevailing at a medical unit in southeastern Mexico. Thus, we used a historic cohort design to assess the association between a series of neonates and their mothers, in addition to hospital evolution features and the risk and prognosis of neonatal sepsis (defined by Pediatric Sepsis Consensus [PSC] criteria) in 11,790 newborns consecutively admitted to a Neonatology Service in Mérida, Mexico, between 2004 and 2007.</p> <p><b>Results</b></p> <p>Sepsis was found in 514 of 11,790 (4.3 %) newborns; 387 of these cases were categorized as early-onset (<72 h) (75.3 %) and 127, as late-onset (>72 h) (24.7 %). After logistic regression, risk factors for sepsis included the following: low birth weight; prematurity; abnormal amniotic fluid; premature membrane rupture (PMR) at >24 h; respiratory complications, and the requirement of assisted ventilation, O<sub>2</sub> Inspiration fraction (IF) >60 %, or a surgical procedure. Some of these factors were differentially associated with early- or late-onset neonatal sepsis. The overall mortality rate of sepsis was 9.5 %. A marked difference in the mortality rate was found between early- and late-onset sepsis (p >0.0001). After Cox analysis, factors associated with mortality in newborns with sepsis comprised the following: prematurity; low birth weight; low Apgar score; perinatal asphyxia, and the requirement of any invasive medical or surgical procedure.</p> <p><b>Conclusions</b></p> <p>The incidence of neonatal sepsis in southeastern Mexico was 4.3 %. A different risk and prognostic profile between early- and late-onset neonatal sepsis was found.</p>http://www.biomedcentral.com/1471-2393/12/48Neonatal sepsisEarly-onset neonatal sepsisLate-onset neonatal sepsisRisk factorsPrognostic factorsMortality |
| spellingShingle | Leal Yelda A Álvarez-Nemegyei José Velázquez Juan R Rosado-Quiab Ulises Diego-Rodríguez Nidia Paz-Baeza Etna Dávila-Velázquez Jorge Risk factors and prognosis for neonatal sepsis in southeastern Mexico: analysis of a four-year historic cohort follow-up BMC Pregnancy and Childbirth Neonatal sepsis Early-onset neonatal sepsis Late-onset neonatal sepsis Risk factors Prognostic factors Mortality |
| title | Risk factors and prognosis for neonatal sepsis in southeastern Mexico: analysis of a four-year historic cohort follow-up |
| title_full | Risk factors and prognosis for neonatal sepsis in southeastern Mexico: analysis of a four-year historic cohort follow-up |
| title_fullStr | Risk factors and prognosis for neonatal sepsis in southeastern Mexico: analysis of a four-year historic cohort follow-up |
| title_full_unstemmed | Risk factors and prognosis for neonatal sepsis in southeastern Mexico: analysis of a four-year historic cohort follow-up |
| title_short | Risk factors and prognosis for neonatal sepsis in southeastern Mexico: analysis of a four-year historic cohort follow-up |
| title_sort | risk factors and prognosis for neonatal sepsis in southeastern mexico analysis of a four year historic cohort follow up |
| topic | Neonatal sepsis Early-onset neonatal sepsis Late-onset neonatal sepsis Risk factors Prognostic factors Mortality |
| url | http://www.biomedcentral.com/1471-2393/12/48 |
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