Factores de riesgo materno y del recién nacido asociados a sepsis neonatal Hospital Regional Eleazar Guzmán Barrón Nuevo Chimbote
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Date
2024-11-04
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Universidad Nacional de Trujillo
Abstract
Investigación cuantitativa, descriptivo correlacional y transversal; tuvo como propósito establecer la asociación de los factores de riesgo materno y del RN con la prevalencia de sepsis neonatal. La muestra estuvo constituida por 131 historias clínicas. Se utilizó la ficha de recolección de datos sobre factores de riesgo materno y del RN. Para el análisis estadístico se utilizó las pruebas estadísticas de independencia de criterios chi cuadrado, la prueba tau b y tau c de kendall con un 5% y 1% de significancia y un 95% o 99% de confianza.
Obteniéndose como resultados: El 51.9% de madres fueron controladas, 64.1% tuvieron cesárea, 70.2% no mostraron ITU, 94.7% no presentaron corioamnionitis y el 74% no tuvieron RPM; el 51.1.% de RN fueron de sexo femenino, 49.6% a término y 49.6% fue normopeso. Apgar al 1° y a los 5 minutos, 76.3% y el 92.4% vigoroso. El 80.2% presento sepsis de inicio precoz y el 19.8% sepsis de inicio tardío. En conclusión: el CP, ITU materna, corioamnionitis, RPM, sexo del RN y EG no están asociadas con la sepsis neonatal; pero si hay una asociación significativa entre el tipo de parto, peso de nacimiento y Apgar con la sepsis neonatal (p=0.033, p=0.023, p=0.002)
Quantitative, descriptive, correlational, and cross-sectional research; The purpose was to establish the association of maternal and newborn risk factors with the prevalence of neonatal sepsis. The sample consisted of 131 medical records. The data collection form on maternal and newborn risk factors was used. For statistical analysis, the chi-square statistical tests of independence of criteria, Kendall's tau b and tau c tests were used with 5% and 1% significance and 95% or 99% confidence. The results obtained were: 51.9% of mothers were controlled, 64.1% had a cesarean section, 70.2% did not show UTI, 94.7% did not present chorioamnionitis and 74% did not have PROM; 51.1% of NB were female, 49.6% were term and 49.6% were normal weight. Apgar at 1° and 5 minutes, 76.3% and 92.4% vigorous. 80.2% had early-onset sepsis and 19.8% had late-onset sepsis. In conclusion: CP, maternal UTI, chorioamnionitis, PROM, sex of the NB and GA are not associated with neonatal sepsis; but there is a significant association between type of delivery, birth weight and Apgar with neonatal sepsis (p=0.033, p=0.023, p=0.002)
Quantitative, descriptive, correlational, and cross-sectional research; The purpose was to establish the association of maternal and newborn risk factors with the prevalence of neonatal sepsis. The sample consisted of 131 medical records. The data collection form on maternal and newborn risk factors was used. For statistical analysis, the chi-square statistical tests of independence of criteria, Kendall's tau b and tau c tests were used with 5% and 1% significance and 95% or 99% confidence. The results obtained were: 51.9% of mothers were controlled, 64.1% had a cesarean section, 70.2% did not show UTI, 94.7% did not present chorioamnionitis and 74% did not have PROM; 51.1% of NB were female, 49.6% were term and 49.6% were normal weight. Apgar at 1° and 5 minutes, 76.3% and 92.4% vigorous. 80.2% had early-onset sepsis and 19.8% had late-onset sepsis. In conclusion: CP, maternal UTI, chorioamnionitis, PROM, sex of the NB and GA are not associated with neonatal sepsis; but there is a significant association between type of delivery, birth weight and Apgar with neonatal sepsis (p=0.033, p=0.023, p=0.002)
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Keywords
Riesgo materno
Recién nacido
Sepsis neonatal