AGENTES ETIOLÓGICOS Y MORTALIDAD POR SEPSIS EN EL SUB-PROCESO DE NEONATOLOGÍA DEL HOSPITAL PROVINCIAL DOCENTE “DR. VERDI CEVALLOS BALDA”, DE PORTOVIEJO, DE ENERO A JUNIO DEL 2012

Abstract

Neonatal sepsis is defined as the clinical syndrome characterized by signs of systemic infection accompanied by bacteremia. It manifests itself in the first four weeks after birth. It is not always detected since its inception. The confirmation of the disease is determined by the isolation of bacteria and / or blood products (at least one positive blood culture) and / or CSF culture. This study aimed to determine the etiologic agents and mortality from sepsis in neonates Provincial Teaching Hospital "Dr. Verdi Cevallos Balda "Portoviejo, from January to June 2012. We reviewed the medical records of 163 patients of which 64 was the study population, among the most important results obtained are found that neonatal sepsis occurred more frequently among infants born at term and sex male, likewise the risks related to the development of this pathology was meconium aspiration syndrome, it was shown that initial treatment without blood culture is associated with good clinical evolution, thus reducing the neonatal mortality. This study establishes that the proper implementation of the different concepts in neonatal sepsis, establishment of management protocols based on local epidemiology and the rational and appropriate use of different drugs to will generate a decrease in morbidity and mortality, and less impact on the generation of bacterial resistance.