Estudo dos fatores de risco maternos associados à sepse neonatal precoce em hospital terciário da Amazônia brasileira

Pinheiro, Rossiclei de Souza; Ferreira, Luíz Carlos de Lima; Brum, Ione Rodrigues; Guilherme, Jefferson Pereira; Monte, Rossicléa Lins

doi:10.1590/s0100-72032007000800002

Cited by 13 publications

(14 citation statements)

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“…Um estudo realizado no estado do Amazonas identificou que a colonização pelo microorganismo Streptococcus do grupo B (GBS) nas gestantes aumenta em 15,2% o risco de sepse neonatal em prematuros (4) . Outros achados de delineamento retrospectivo referem associação entre infecção materna por GBS no trato urinário (62,1%) com prevalência de sepse neonatal em 1/1.000 nascidos vivos na unidade de terapia intensiva, e ainda que outras infecções originadas durante a gestação sejam fatores de risco para a sepse neonatal (5) .…”

Section: Fatores Gestacionais E Maternosunclassified

“…Outros estudos revelam que o aumento da incidência para esta patologia se dá em neonatos filhos de mães adolescentes, que tiveram parto prematuro, e acompanhamento pré-natal inferior ao recomendado pelo Ministério da Saúde (seis consultas), fato que contribui para a ausência de dados da gestação considerados importantes na investigação desse processo infeccioso (4) .…”

Section: Condições De Nascimento E Prematuridadeunclassified

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Fatores De Risco Para Sepse Neonatal Em Unidade De Terapia: Estudo De Evidência

et al. 2016

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RESUMEN: Revisión integrativa de literatura cuya finalidad fue presentar las principales evidencias de factores de riesgo para sepsis neonatal en recién nacidos internados en Unidad de Terapia Neonatal. La búsqueda fue hecha entre los meses de julio y agosto de 2015, en las bases de datos Scientific Eletronic Library Online, SciVerse Scopus y PubMed, utilizándose los descriptores: factores de riesgo, unidad de terapia intensiva neonatal, recién nacido; y las siguientes palabras claves: sepsis neonatal y prematuridad. La búsqueda totalizó 31 publicaciones cuyos resultados mostraron que los factores predictivos para sepsis neonatal están asociados a edad gestacional, ruptura prematura de las membranas amnióticas e infección materna. Condiciones de nacimiento, bajo peso y prematuridad son fuertes evidencias para sepsis. Los factores referentes al ambiente de la unidad de terapia intensiva neonatal contribuyen mucho para la sepsis tardía.

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Section: Fatores Gestacionais E Maternosunclassified

Section: Condições De Nascimento E Prematuridadeunclassified

Fatores De Risco Para Sepse Neonatal Em Unidade De Terapia: Estudo De Evidência

et al. 2016

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“…In relation to the variable of pre-natal consultations, a substantial proportion of the mothers had attended less than six consultations, below the number of six which is stipulated by the Ministry of Health ( 16 ) . One cohort study indicated that attending less than six consultations led to a risk ten times higher of progressing to neonatal sepsis ( 17 ) .…”

Section: Discussionmentioning

confidence: 99%

“…UTIs are a risk factor for neonatal BSI, as they predispose to the ascending migration of microorganisms to the cervix. This results in pre-term labor and birth, low birth weight NBs, premature amniotic membrane rupture and chorioamnionitis ( 17 ) .…”

Section: Discussionmentioning

confidence: 99%

Nursing diagnoses of newborns with sepsis in a Neonatal Intensive Care Unit

Santos

Silva

Souza

et al. 2014

Rev. Latino-Am. Enfermagem

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Objectives to elaborate the Nursing Diagnoses of newborns with sepsis in a neonatal intensive care unit and characterize the profile of the neonates and their mothers. Method a cross-sectional and quantitative study, with a sample of 41 neonates. A physical examination and consultation of the hospital records were undertaken, using an instrument. The elaboration of the Nursing Diagnoses followed a process of diagnostic inference and was based on the North American Nursing Diagnosis Association 2012-2014. Results the mothers were around 25 years old, had a low average number of pre-natal consultations, and various complications during the pregnancy; and the newborns were predominantly premature and with very low birth weights. Five Nursing Diagnoses predominated, and all the neonates presented Risk of Shock and Risk of fluid volume imbalance. Conclusion the Nursing Diagnoses of the neonates with sepsis can guide the formulating of specific assistential plans. The study contributes to the generation of new knowledge and found various relationships between the Nursing Diagnoses and the variables selected in the characterization of the neonates, which deserve to be elucidated in greater detail based on further research on the issue.

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“…Os neonatos que desenvolvem infecção precoce têm como principal fator de risco a própria mãe. As infecções se manifestam na primeira semana de vida por exposição direta a micro organismos maternos, porém as que se apresentam de forma tardia podem ser de origem materna ou ambiental (CDC, 2004;Pinheiro et al, 2007).…”

Section: Resultados__________________________________________________unclassified

Efetividade analgésica da combinação da oferta oral de glicose 25% e sucção não nutritiva na inserção do cateter percutâneo em neonatos: ensaio clínico randomizado de superioridade

Camargo¹

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Introduction: it is frequent and common the use of percutaneous catheter device (PICC) in the neonates admitted at the neonatal intensive care unit for implementation drug therapy. The installation of PICC device is a painful procedure but rarely is adopted an analgesic treatment. Objective: To compare the analgesic efficacy of combining oral supply of 25% glucose solution and non-nutritive sucking (NNS) with only oral supply of 25% glucose solution in the PICC insertion procedure in neonates. Method: a randomized clinical trial of superiority carried out at the Children Institute Nursery of the Faculty of Medicine, University of São Paulo. Data were collected from October 2011 to February 2013. The sample consisted of 85 neonates randomly allocated into two groups, experimental group (EG) consisting of 43 neonates and control group (CG) with 42 neonates. Both groups received oral supply of 25% glucose solution, the volume (dose) ranging from 0.5 ml to 2.0 ml, according to the newborn weight. To the neonates of EG was offered oral supply of 25% glucose solution and also pacifier for NNS stimulation that was kept during all time of catheter insertion procedure. The dose of 25% glucose solution was fractionated into three parts and offered in three periods: 1-pre-venipuncture, the glucose solution was offered two minutes before venipuncture and it was offered the half volume of 25% glucose solution prescribed; 2-during venipuncture procedure, it was offered ¼ of 25% glucose volume prescribed and 3-during the catheter progression, it was offered two minutes after venipuncture and the dose was ¼ of oral glucose 25% volume prescribed. The primary outcome was the pain score assessed with Premature Infant Pain Profile (PIPP) in the first 30 seconds after venipuncture and 180 seconds during the progression of the PICC. Secondary outcomes were related to the duration of facial expressions (brow bulge, eye squeeze and nasolabial furrow) changes and variability in the heart rate (HR), oxygen saturation (O 2 Sat) length of neonate crying and adverse events. The newborn face and the display of monitor equipment that captured the HR and O 2 Sat were filmed and later analyzed. Data were stored in the Excel spreadsheet. Data analysis were processed in the app Minitab, version 15.1. The identification of EG (G1) and CG (G2) occurred only after has concluded statistical analysis to ensure blinding. For testing the normal distribution of quantitative data it was used Kolmogorov-Smirnov analysis, for qualitative data was used the Chi-square test or Fisher exact test. The groups were compared by t test or Mann-Whitney test. To analyse data related to the catheter progression was used ANOVA and to the missing data were adopted intention to treat analysis. The research proposal received approval by the Ethics Committee of the Hospital, where data were collected and after it was registered in the Brazilian Registry of Clinical Trials. Results: from the total of 85 neonates recruited, 19 (22.4%) were not evaluated for painful response du...

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Estudo dos fatores de risco maternos associados à sepse neonatal precoce em hospital terciário da Amazônia brasileira

Cited by 13 publications

References 13 publications

Fatores De Risco Para Sepse Neonatal Em Unidade De Terapia: Estudo De Evidência

Fatores De Risco Para Sepse Neonatal Em Unidade De Terapia: Estudo De Evidência

Nursing diagnoses of newborns with sepsis in a Neonatal Intensive Care Unit

Efetividade analgésica da combinação da oferta oral de glicose 25% e sucção não nutritiva na inserção do cateter percutâneo em neonatos: ensaio clínico randomizado de superioridade

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