Invasive devices as risk factors for neonatal sepsis in neonatal intensive care units
Autor(a) principal: | |
---|---|
Data de Publicação: | 2020 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/11048 |
Resumo: | This study aimed to evaluate the impact of invasive devices as risk factors for the development of neonatal sepsis in Neonatal Intensive Care Units. Hospital-based retrospective cohort study performed in two Neonatal Intensive Care Units in Ponta Grossa, Paraná, Brazil. Documentary data were collected through consultation of electronic medical charts of all patients admitted to two hospitals and of the patients with diagnosis of sepsis in another hospital. Health conditions at admission and outcomes were evaluated. Frequencies of the reasons for admission and the outcomes were calculated. In the association analysis, exposure variables were calculated with odds ratio and confidence intervals (95%). The frequency of sepsis was 39%, and 45.7% of the cases were of early-onset sepsis and 54.3% of late-onset sepsis. The mortality rate associated with sepsis was 9.9%. The use of invasive devices was observed to increase by 6 times the risk of neonatal sepsis. Peripherally inserted central catheter and phlebotomy were the devices causing higher risk. The high incidence of late-onset sepsis, its association with the use of invasive devices and the higher mortality rate among newborns with sepsis suggest the presence of fragilities in neonatal care and the need to seek alternatives of neonatal approach to avoid new cases of neonatal sepsis and consequent death. |
id |
UNIFEI_523d2622e4c94c72ed5fb351cd71d315 |
---|---|
oai_identifier_str |
oai:ojs.pkp.sfu.ca:article/11048 |
network_acronym_str |
UNIFEI |
network_name_str |
Research, Society and Development |
repository_id_str |
|
spelling |
Invasive devices as risk factors for neonatal sepsis in neonatal intensive care unitsDispositivos invasivos como factores de riesgo de sepsis neonatal en unidades de cuidados intensivos neonatalesDispositivos invasivos como fatores de risco para sepse neonatal em unidades de terapia intensiva neonatalSepseComplicações Infecciosas na GravidezServiços de saúde da criança.SepsisComplicaciones Infecciosas del EmbarazoServicios de salud del niño.SepsisPregnancy Complications, InfectiousChild health services.This study aimed to evaluate the impact of invasive devices as risk factors for the development of neonatal sepsis in Neonatal Intensive Care Units. Hospital-based retrospective cohort study performed in two Neonatal Intensive Care Units in Ponta Grossa, Paraná, Brazil. Documentary data were collected through consultation of electronic medical charts of all patients admitted to two hospitals and of the patients with diagnosis of sepsis in another hospital. Health conditions at admission and outcomes were evaluated. Frequencies of the reasons for admission and the outcomes were calculated. In the association analysis, exposure variables were calculated with odds ratio and confidence intervals (95%). The frequency of sepsis was 39%, and 45.7% of the cases were of early-onset sepsis and 54.3% of late-onset sepsis. The mortality rate associated with sepsis was 9.9%. The use of invasive devices was observed to increase by 6 times the risk of neonatal sepsis. Peripherally inserted central catheter and phlebotomy were the devices causing higher risk. The high incidence of late-onset sepsis, its association with the use of invasive devices and the higher mortality rate among newborns with sepsis suggest the presence of fragilities in neonatal care and the need to seek alternatives of neonatal approach to avoid new cases of neonatal sepsis and consequent death.Incluir o resumo em espanhol. Este estudio tuvo como objetivo evaluar el impacto de los dispositivos invasivos como factores de riesgo para el desarrollo de sepsis neonatal en Unidades de Cuidados Intensivos Neonatales. Estudio de cohorte retrospectivo de base hospitalaria realizado en dos Unidades de Cuidados Intensivos Neonatales en Ponta Grossa, Paraná, Brasil. Los datos documentales se recogieron mediante consulta de historias clínicas electrónicas de todos los pacientes ingresados en dos hospitales y de los pacientes con diagnóstico de sepsis en otro hospital. Se evaluaron las condiciones de salud al ingreso y los resultados. Se calcularon las frecuencias de los motivos de ingreso y los resultados. En el análisis de asociación, las variables de exposición se calcularon con razón de probabilidades e intervalos de confianza (95%). La frecuencia de sepsis fue del 39% y el 45,7% de los casos fueron de sepsis de inicio temprano y el 54,3% de sepsis de inicio tardío. La tasa de mortalidad asociada a la sepsis fue del 9,9%. Se observó que el uso de dispositivos invasivos aumentaba en 6 veces el riesgo de sepsis neonatal. El catéter central de inserción periférica y la flebotomía fueron los dispositivos de mayor riesgo. La alta incidencia de sepsis de inicio tardío, su asociación con el uso de dispositivos invasivos y la mayor tasa de mortalidad entre los recién nacidos con sepsis sugieren la presencia de fragilidades en la atención neonatal y la necesidad de buscar alternativas de abordaje neonatal para evitar nuevos casos de sepsis neonatal y consecuente muerte.Incluir o resumo. Este estudo teve como objetivo avaliar o impacto dos dispositivos invasivos como fatores de risco para o desenvolvimento de sepse neonatal em Unidades de Terapia Intensiva Neonatal. Estudo de coorte retrospectivo de base hospitalar realizado em duas Unidades de Terapia Intensiva Neonatal de Ponta Grossa, Paraná, Brasil. Os dados documentais foram coletados por meio de consulta a prontuários eletrônicos de todos os pacientes internados em dois hospitais e dos pacientes com diagnóstico de sepse em outro hospital. As condições de saúde na admissão e os resultados foram avaliados. Foram calculadas as frequências dos motivos de admissão e os desfechos. Na análise de associação, as variáveis de exposição foram calculadas com odds ratio e intervalos de confiança (95%). A frequência de sepse foi de 39%, sendo 45,7% dos casos de sepse precoce e 54,3% de sepse tardia. A mortalidade associada à sepse foi de 9,9%. Observou-se que o uso de dispositivos invasivos aumenta em 6 vezes o risco de sepse neonatal. Cateter central de inserção periférica e flebotomia foram os dispositivos de maior risco. A alta incidência de sepse tardia, sua associação com o uso de dispositivos invasivos e a maior mortalidade entre os recém-nascidos com sepse sugerem a presença de fragilidades na assistência neonatal e a necessidade de buscar alternativas de abordagem neonatal para evitar novos casos de sepse neonatal e consequente morte.Research, Society and Development2020-12-24info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/1104810.33448/rsd-v9i12.11048Research, Society and Development; Vol. 9 No. 12; e27891211048Research, Society and Development; Vol. 9 Núm. 12; e27891211048Research, Society and Development; v. 9 n. 12; e278912110482525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIenghttps://rsdjournal.org/index.php/rsd/article/view/11048/9923Copyright (c) 2020 Juliana Barbosa Schwab ; Erildo Vicente M¨¨¨¨¨¨uller ; Elisa Donalisio Teixeira Mendes; Pollyanna Kássia de Oliveira Borges ; Taís Ivastcheschenhttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessSchwab , Juliana BarbosaM¨¨¨¨¨¨uller , Erildo VicenteMendes, Elisa Donalisio Teixeira Borges , Pollyanna Kássia de OliveiraIvastcheschen, Taís2020-12-30T23:32:22Zoai:ojs.pkp.sfu.ca:article/11048Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:32:58.603960Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Invasive devices as risk factors for neonatal sepsis in neonatal intensive care units Dispositivos invasivos como factores de riesgo de sepsis neonatal en unidades de cuidados intensivos neonatales Dispositivos invasivos como fatores de risco para sepse neonatal em unidades de terapia intensiva neonatal |
title |
Invasive devices as risk factors for neonatal sepsis in neonatal intensive care units |
spellingShingle |
Invasive devices as risk factors for neonatal sepsis in neonatal intensive care units Schwab , Juliana Barbosa Sepse Complicações Infecciosas na Gravidez Serviços de saúde da criança. Sepsis Complicaciones Infecciosas del Embarazo Servicios de salud del niño. Sepsis Pregnancy Complications, Infectious Child health services. |
title_short |
Invasive devices as risk factors for neonatal sepsis in neonatal intensive care units |
title_full |
Invasive devices as risk factors for neonatal sepsis in neonatal intensive care units |
title_fullStr |
Invasive devices as risk factors for neonatal sepsis in neonatal intensive care units |
title_full_unstemmed |
Invasive devices as risk factors for neonatal sepsis in neonatal intensive care units |
title_sort |
Invasive devices as risk factors for neonatal sepsis in neonatal intensive care units |
author |
Schwab , Juliana Barbosa |
author_facet |
Schwab , Juliana Barbosa M¨¨¨¨¨¨uller , Erildo Vicente Mendes, Elisa Donalisio Teixeira Borges , Pollyanna Kássia de Oliveira Ivastcheschen, Taís |
author_role |
author |
author2 |
M¨¨¨¨¨¨uller , Erildo Vicente Mendes, Elisa Donalisio Teixeira Borges , Pollyanna Kássia de Oliveira Ivastcheschen, Taís |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Schwab , Juliana Barbosa M¨¨¨¨¨¨uller , Erildo Vicente Mendes, Elisa Donalisio Teixeira Borges , Pollyanna Kássia de Oliveira Ivastcheschen, Taís |
dc.subject.por.fl_str_mv |
Sepse Complicações Infecciosas na Gravidez Serviços de saúde da criança. Sepsis Complicaciones Infecciosas del Embarazo Servicios de salud del niño. Sepsis Pregnancy Complications, Infectious Child health services. |
topic |
Sepse Complicações Infecciosas na Gravidez Serviços de saúde da criança. Sepsis Complicaciones Infecciosas del Embarazo Servicios de salud del niño. Sepsis Pregnancy Complications, Infectious Child health services. |
description |
This study aimed to evaluate the impact of invasive devices as risk factors for the development of neonatal sepsis in Neonatal Intensive Care Units. Hospital-based retrospective cohort study performed in two Neonatal Intensive Care Units in Ponta Grossa, Paraná, Brazil. Documentary data were collected through consultation of electronic medical charts of all patients admitted to two hospitals and of the patients with diagnosis of sepsis in another hospital. Health conditions at admission and outcomes were evaluated. Frequencies of the reasons for admission and the outcomes were calculated. In the association analysis, exposure variables were calculated with odds ratio and confidence intervals (95%). The frequency of sepsis was 39%, and 45.7% of the cases were of early-onset sepsis and 54.3% of late-onset sepsis. The mortality rate associated with sepsis was 9.9%. The use of invasive devices was observed to increase by 6 times the risk of neonatal sepsis. Peripherally inserted central catheter and phlebotomy were the devices causing higher risk. The high incidence of late-onset sepsis, its association with the use of invasive devices and the higher mortality rate among newborns with sepsis suggest the presence of fragilities in neonatal care and the need to seek alternatives of neonatal approach to avoid new cases of neonatal sepsis and consequent death. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-12-24 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/11048 10.33448/rsd-v9i12.11048 |
url |
https://rsdjournal.org/index.php/rsd/article/view/11048 |
identifier_str_mv |
10.33448/rsd-v9i12.11048 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/11048/9923 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 9 No. 12; e27891211048 Research, Society and Development; Vol. 9 Núm. 12; e27891211048 Research, Society and Development; v. 9 n. 12; e27891211048 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
instacron_str |
UNIFEI |
institution |
UNIFEI |
reponame_str |
Research, Society and Development |
collection |
Research, Society and Development |
repository.name.fl_str_mv |
Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
repository.mail.fl_str_mv |
rsd.articles@gmail.com |
_version_ |
1797052744011350016 |