ABSTRACT:Objective: To describe the neonatal mortality coefficient attributed to sepsis and other causes, and to report the maternal, neonatal and death characteristics of newborn infants that died in the city of Londrina, Paraná, in Southern Brazil.Methods: This is a cross-sectional study with a time series analysis. Neonatal deaths that contained neonatal sepsis records in any field of the death certificate between the years 2000 and 2013 were studied. The years were grouped into biennia, and cause specific neonatal mortality coefficient was calculated, according to the International Classification of Diseases, 10th revision. Results are expressed as prevalence ratio and 95% confidence interval (95CI%). For bivariate analysis, p<0.05 was considered significant. Results: Among the 745 deaths, 229 (30.7%) had sepsis, with a neonatal mortality coefficient of 7.5 per one thousand livebirths. Sepsis was involved in 2.3 deaths per 1,000 live births. The main underlying causes were conditions originated in the perinatal period and congenital malformations. Sepsis was associated with pre-eclampsia, urinary tract infection, Apgar in the 1st and 5th minutes, and occurrence of late death. In the descriptive trend analysis, there was an increased proportion of mothers aged 35 years or older and with eight or more schooling years. Prenatal coverage was high, but a little more than half of the mothers attended seven or more medical appointments. Conclusions: In the 14 years analyzed, the prenatal care was identified as a preventive measure against maternal and fetal disorders and the advanced maternal age was associated with neonatal mortality.
Implantação e desenvolvimento de protocolo gerenciado de sepse pediátrica em hospital público universitário Implementation and development of a pediatric sepsis managed protocol in a university public hospital Implementación y desarrollo de un protocol de sepsis pediátrico gestionado em um hospital público universitário
Introdução: As queimaduras constituem um grave problema de saúde pública mundial, tendo em vista suas altas taxas de morbimortalidade. Objetivo: Analisar o perfil das internações entre vítimas de queimaduras menores de 18 anos em centro especializado. Método: Estudo de coorte retrospectiva, realizado no Centro de Tratamento de Queimados de um hospital universitário público no Norte do Paraná, Sul do Brasil, entre 2009 e 2019. Investigaram-se prontuários físicos e eletrônicos e planilhas. Foram calculadas frequências absolutas e relativas, e, para as contínuas medidas da média, utilizaram-se mediana e desvio padrão. Resultados: 591 crianças e adolescentes foram admitidos. As maiores vítimas de queimaduras foram as crianças na faixa etária de 2 a 6 anos (54,5%) e do sexo masculino (66,0%); quase a totalidade ocorreu no ambiente doméstico (96,4%); e o agente causal mais frequente foi o escaldo (55,3%), seguido da chama (37,0%). A mediana do tempo de permanência foi de 12 dias para o tratamento. Conclusão: As crianças foram as vítimas mais comuns, necessitando de internação prolongada devido à gravidade das queimaduras. Sendo assim, são imprescindíveis ações preventivas, para que se reduza a incidência de internação por esse agravo.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.