Neonatal sepsis and mortality in a regional hospital in Trinidad: aetiology and risk factors
Annals of tropical paediatrics
; 21(1): 20-25, Mar. 2001. tab
Artigo
em Inglês
| MedCarib
| ID: med-17597
Biblioteca responsável:
TT5
Localização: TT5; W1, AN627U
ABSTRACT
A total of 132 neonatal deaths among 627 infants admitted to the neonatal ward of the San Fernando General Hospital, Trinidad over a 2-year period were reviewed. The most common cause of death was prematurity (43.9%). Infection was the second most common cause (21.2%). Pseudomonas aeruginosa and Staphylococcus aureus were the most frequently isolated organisms (43%). The major drugs used empirically in suspected cases of sepsis were ampicillin or ceftazidime plus gentamicin. About 85% of S. aureus were resistant to ampicillin, and P. aeruginosa resistance to ceftazidime and gentamicin was 76.7% and 72.1%, respectively. Significant risk factors in maternal history were infrequent antenatal care and prolonged rupture of membranes. The incidence of infection among low birthweight infants was 85.6%. Early-onset sepsis (86.4%) seemed to have a nosocomial origin because of the type of pathogens seen. There is an urgent need to improve the staff-to-patient ratio in the neonatal unit and for staff to be constantly reminded to employ simple infection control practices such as proper hand-washing to reduce cross-infections.
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Coleções:
Bases de dados internacionais
Contexto em Saúde:
ODS3 - Saúde e Bem-Estar
/
ODS3 - Meta 3.3 Acabar com as doenças tropicais negligenciadas e combater as doenças transmissíveis
/
ODS3 - Meta 3.2 Reduzir as mortes de recém nascidos e crianças com menos de 5 anos
Problema de saúde:
Meta 3.1: Reduzir a mortalidade materna
/
Meta 3.2: Reduzir as mortes de recém nascidos e crianças com menos de 5 anos
/
Sepse
/
Saúde Ambiental
/
Infecções
/
Cuidados de Saúde Neonatal
Base de dados:
MedCarib
Assunto principal:
Trinidad e Tobago
/
Recém-Nascido
/
Terapia Intensiva Neonatal
/
Triagem Neonatal
/
Sepse
Tipo de estudo:
Estudo de etiologia
/
Fatores de risco
Limite:
Humanos
/
Recém-Nascido
País/Região como assunto:
Caribe Inglês
/
Trinidad e Tobago
Idioma:
Inglês
Revista:
Annals of tropical paediatrics
Ano de publicação:
2001
Tipo de documento:
Artigo
Instituição/País de afiliação:
College of Health Sciences/Trinidad and Tobago
/
The University of the West Indies/Trinidad and Tobago