Sepsis neonatal

La sepsis neonatal es la causa más común de muertes neonatales con alta mortalidad a pesar del tratamiento, actualmente causan alrededor de 1,6 millones de muertes al año en los países en desarrollo. Esta patología se puede clasificar en dos subtipos dependiendo de la aparición de los síntomas. Hay...

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Autores:
Agudelo Chalarca, Kely Vanessa
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Fecha de publicación:
2014
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Universidad Simón Bolívar
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Repositorio Digital USB
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spa
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oai:bonga.unisimon.edu.co:20.500.12442/14316
Acceso en línea:
https://hdl.handle.net/20.500.12442/14316
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Sepsis neonatal (NS)
Infección bacteriana sistémica
Epidemiologia
Factores de riesgo neonatales
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Attribution-NonCommercial-NoDerivatives 4.0 Internacional
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dc.title.spa.fl_str_mv Sepsis neonatal
title Sepsis neonatal
spellingShingle Sepsis neonatal
Sepsis neonatal (NS)
Infección bacteriana sistémica
Epidemiologia
Factores de riesgo neonatales
title_short Sepsis neonatal
title_full Sepsis neonatal
title_fullStr Sepsis neonatal
title_full_unstemmed Sepsis neonatal
title_sort Sepsis neonatal
dc.creator.fl_str_mv Agudelo Chalarca, Kely Vanessa
dc.contributor.advisor.none.fl_str_mv González Torres, Henry J.
dc.contributor.author.none.fl_str_mv Agudelo Chalarca, Kely Vanessa
dc.subject.spa.fl_str_mv Sepsis neonatal (NS)
Infección bacteriana sistémica
Epidemiologia
Factores de riesgo neonatales
topic Sepsis neonatal (NS)
Infección bacteriana sistémica
Epidemiologia
Factores de riesgo neonatales
description La sepsis neonatal es la causa más común de muertes neonatales con alta mortalidad a pesar del tratamiento, actualmente causan alrededor de 1,6 millones de muertes al año en los países en desarrollo. Esta patología se puede clasificar en dos subtipos dependiendo de la aparición de los síntomas. Hay muchos factores que hacen que los recién nacidos más susceptible a la infección. Los signos de la sepsis en recién nacidos a menudo son inespecíficos y se necesita alto grado de sospecha para el diagnóstico precoz. Algunos parámetros de laboratorio pueden ser útiles para el tamizaje de sepsis neonatal, pero nada de esto es específico y lo suficientemente sensible como para ser utilizados por separado. El enfoque diagnóstico se centra principalmente en la historia y el examen de los signos y síntomas no específicos. La terapia con antibióticos es la base del tratamiento y la atención de apoyo es igualmente importante. El presente trabajo tiene como propósito identificar aspectos relevantes de la sepsis neonatal y su patogénesis. Para ello, se hizo búsquedas en Pubmed entre el año (2001-2014), el uso de palabras clave como sepsis, sepsis neonatal, shock séptico, patogénesis, incidencia. Ampliamos nuestra búsqueda siguiendo las referencias de los artículos identificados, se revisaron de forma individual los títulos de 120 artículos para identificar los temas principales, también hicimos búsquedas adicionales en base a palabras clave o conceptos que habían sido identificados en la búsqueda inicial. Los datos presentados se derivan directamente de los trabajos seleccionados y no han sido objeto de un mayor análisis estadístico Finalmente se organizaron las ideas con el conocimiento y la experiencia de nuestros propios campos, para preparar una breve revisión de las secciones con los temas de nuestro interés.
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Facultad de Ciencias de la Salud
institution Universidad Simón Bolívar
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spelling González Torres, Henry J.Agudelo Chalarca, Kely Vanessa44e86f3e-7397-46d4-a7b7-47c77d3626292024-03-11T15:41:20Z2024-03-11T15:41:20Z2014https://hdl.handle.net/20.500.12442/14316La sepsis neonatal es la causa más común de muertes neonatales con alta mortalidad a pesar del tratamiento, actualmente causan alrededor de 1,6 millones de muertes al año en los países en desarrollo. Esta patología se puede clasificar en dos subtipos dependiendo de la aparición de los síntomas. Hay muchos factores que hacen que los recién nacidos más susceptible a la infección. Los signos de la sepsis en recién nacidos a menudo son inespecíficos y se necesita alto grado de sospecha para el diagnóstico precoz. Algunos parámetros de laboratorio pueden ser útiles para el tamizaje de sepsis neonatal, pero nada de esto es específico y lo suficientemente sensible como para ser utilizados por separado. El enfoque diagnóstico se centra principalmente en la historia y el examen de los signos y síntomas no específicos. La terapia con antibióticos es la base del tratamiento y la atención de apoyo es igualmente importante. El presente trabajo tiene como propósito identificar aspectos relevantes de la sepsis neonatal y su patogénesis. Para ello, se hizo búsquedas en Pubmed entre el año (2001-2014), el uso de palabras clave como sepsis, sepsis neonatal, shock séptico, patogénesis, incidencia. Ampliamos nuestra búsqueda siguiendo las referencias de los artículos identificados, se revisaron de forma individual los títulos de 120 artículos para identificar los temas principales, también hicimos búsquedas adicionales en base a palabras clave o conceptos que habían sido identificados en la búsqueda inicial. Los datos presentados se derivan directamente de los trabajos seleccionados y no han sido objeto de un mayor análisis estadístico Finalmente se organizaron las ideas con el conocimiento y la experiencia de nuestros propios campos, para preparar una breve revisión de las secciones con los temas de nuestro interés.Neonatal sepsis is the most common cause of neonatal deaths with high mortality despite treatment, currently cause about 1.6 million deaths per year in developing countries. This condition can be classified into two subtypes depending on the onset of symptoms. There are many factors that make infants more susceptible to infection. Signs of sepsis in newborns are often nonspecific and high index of suspicion for early diagnosis is needed. Some laboratory parameters may be useful for screening for neonatal sepsis, but none of this is specific and sensitive enough to be used separately. The diagnostic approach focuses primarily on the history and examination of nonspecific signs and symptoms. Antibiotic therapy is the mainstay of treatment and supportive care is equally important. This paper aims to identify important aspects of neonatal sepsis and its pathogenesis. To do this, we searched PubMed between the year (2001-2014), using keywords such as sepsis, neonatal sepsis, septic shock, pathogenesis, incidence was. We extended our search following the references of identified articles were reviewed individually titles 120 articles to identify key issues, we also made additional searches based on key words or concepts that had been identified in the initial search. The data presented are derived directly from the selected works and have not been further statistical analysis. Finally ideas were organized with the knowledge and experience of our own fields, to prepare a brief review of the sections with topics of interest.pdfspaEdiciones Universidad Simón BolívarFacultad de Ciencias de la SaludAttribution-NonCommercial-NoDerivatives 4.0 Internacionalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/restrictedAccesshttp://purl.org/coar/access_right/c_16ecSepsis neonatal (NS)Infección bacteriana sistémicaEpidemiologiaFactores de riesgo neonatalesSepsis neonatalinfo:eu-repo/semantics/bachelorThesisTrabajo de grado - pregradohttp://purl.org/coar/resource_type/c_7a1fEsper AM, Martin GS: Extending international sepsis epidemiology: the impact of organ dysfunction. Crit Care 2009, 13(1):120Levy MM, Dellinger RP, Townsend SR, et al. The Surviving Sepsis Campaign: results of an international guideline-based performance improvement program targeting severe sepsis. Intensive Care Med.Wong HR, Nowak JE, Standage S, de Oliveira CF. Sepsis and Septic Shock. In: Fuhrman BP, Zimmerman JJ, editors. Pediatric Critical Care Medicine. 4. St. Louis: Mosby; 2011. pp. 1413-1429.Vergnano S, Sharland M, Kazembe P, Mwansambo C, Heath PT. Neonatal sepsis: an international perspective. Arch Dis Child Fetal Neonatal Ed 2005; 90: 220-224.Thaver D, Zaidi AK. Burden of neonatal infections in developing countries: a review of evidence from community-based studies. Pediatr Infect Dis J 2009; 28(Suppl): S3-9.Puopolo KM, Eichenwald EC. No change in the incidence of ampicillinresistant, neonatal, early-onset sepsis over 18 years. Pediatrics. 2010; 125:e1031-1038. [PubMed: 20385650]Verani JR, McGee L, Schrag SJ. Division of Bacterial Diseases, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention. Prevention of perinatal group B streptococcal disease - revised guidelines from CDC, 2010. MMWR Recomm Rep. [PubMed: 21088663]Stoll BJ, Hansen NI, Sånchez PJ, et al. Early onset neonatal sepsis: the burden of Group B Streptococcal and E. colicontinues. Pediatrics. 2011; 127:817-826. [PubMed: 21518717]Anas AA, Wiersinga WJ, de Vos AF, van der Poll T. Recent insights into the pathogenesis of bacterial sepsis. Neth J Med. 2010 Apr;Lever, A. , Mackenzie, I. , Sepsis: definition, epidemiology, and diagnosis. Br. Med. J. 2007, 335, 879-883Nguyen, H. B. , Rivers, E. P. , Abrahamian, F. M. , Moran, G. J. et al., Severe sepsis and septic shock: review of the literatura and emergency department management guidelines. Ann. Emerg. Med. 2006, 48, 2854.Riedemann NC, Guo RF, Ward PA. The enigma of sepsis. J. Clin. Invest. 2003; [PubMed: 12925683]Levy MM, Fink MP, Marshall 2001 SCCM/ESICM/ACCP/ATS/SIS international sepsis definitions conference. Crit. Care Med. 2003; [PubMed: 12682500]Howell MD, Talmor D, Schuetz P, Hunziker S, Jones AE, Shapiro NI. Proof of principle: the predisposition, infection, response, organ failure sepsis staging system. Crit. Care Med. 2011; 39(2):322-327. [PubMed: 21099424]Vincent JL, Sakr Y, Sprung CL, et al. Sepsis in European intensive care units: results of the SOAP study. Crit. Care Med. 2006; 34(2):344353. [PubMed: 16424713]Vincent JL, Rello J, Marshall J, et al. International study of the prevalence and outcomes of infection in intensive care units. JAMA. 2009; [PubMed: 19952319]Danai P, Martin GS. Epidemiology of sepsis: recent advances. Curr. Infect. Dis. Rep. 2005; [PubMed:16107228]Dombrovskiy VY, Martin AA, Sunderram J, Paz HL. Rapid increase in hospitalization andmortality rates for severe sepsis in the United States: a trend analysis from 1993 to 2003. Crit.Care Med. 2007; 35(5):12441250. [PubMed:17414736]Finfer S, Bellomo R, Lipman J, French C, Dobb G, Myburgh J. Adultpopulation incidence of severe sepsis in Australian and New Zealand intensive care units. Intensive Care Med. [PubMed: 14963646]Adhikari NK, Fowler RA, Bhagwanjee S, Rubenfeld GD. Critical care and the global burden of critical illness in adults. Lancet. 2010; [PubMed: 20934212]Berkley JA, Maitland K, Mwangi I, et al. Use of clinical syndromes to target antibiotic prescribing in seriously ill children in malaria endemic area: observational study. BMJ. 2005; 15797893]Danai PA, Moss M, Mannino DM, Martin GS. The epidemiology of sepsis in patients with malignancy. Chest. 2006; 129(6):1432-1440. [PubMed: 16778259]Mayr FB, Yende S, Linde-Zwirble WT, et al. Infection rate and acute organ dysfunction risk as explanations for racial differences in severe sepsis. JAMA. 2010; [PubMed:20571016]Esper AM, Moss M, Lewis CA, Nisbet R, Mannino DM, Martin GS. The role of infection and comorbidity: factors that influence disparities in sepsis. Crit. Care Med. 2006; 16915108]Dombrovskiy VY, Martin AA, Sunderram J, Paz HL. Occurrence and outcomes of sepsis:influence of race. Crit. Care Med. 2007; 35(3):763768. [PubMed: 17255870]Danai PA, Sinha S, Moss M, Haber MJ, Martin GS. Seasonal variation in the epidemiology of sepsis. Crit. Care Med. 2007; 35(2):410-415. [PubMed: 17167351Kumar A, Roberts D, Wood KE, et al. Duration of hypotension before initiation of effective antimicrobial therapy is the critical determinant of survival in human septic shock. Crit. Care Med. 2006; 34(6):15891596. [PubMed: 16625125]Harbarth S, Garbino J, Pugin J, Romand JA, Lew D, Pittet D. Inappropriate initial antimicrobial therapy and its effect on survival in a clinical trial of immunomodulating therapy for severe sepsis. Am. J. Med. 2003; [PubMed: 14599631]Garnacho-Montero J, Garcia-Garmendia JL, Barrero-Almodovar A, Jimenez-Jimenez FJ, Perez- Paredes C, Ortiz-Leyba C. Impact of adequate empirical antibiotic therapy on the outcome of patients admitted to the intensive care unit with sepsis. Crit. Care Med. 2003; 14668610]Kumar A, Zarychanski R, Light B, et al. Early combination antibiotic therapy yields improved survival compared with monotherapy in septic shock: a propensity-matched analysis. Crit. Care Med. 2010; [PubMed: 20639750]Dellinger RP, Carlet JM, Masur H, et al. Surviving sepsis campaign guidelines for management of severe sepsis and septic shock. Crit. Care Med. 2004; [PubMed: 15090974]Department at Children's Hospital Orange County Orange, California, USA, A Guide for the Caregiver of the Hospitalized Child. January 2004International Statistical Classification of Diseases and Related Health Problems, Tenth Revision (ICD-IO). V012. Geneva, Switzerland: World Health Organization;2006Rodriguez F, Barrera L, De La Rosa G, Dennis R, Duenas C, Granados M, Londono D, Molina F, Ortiz G, Jaimes F: The epidemiology of sepsis in Colombia: a prospective multicenter cohort study in ten university hospitals. Crit Care Med 1675-1682Phares CR, Lynfield R, Farley MM, et al. Epidemiology of Invasive Group B Streptococcal Disease in the United States, 1999-2005. JAMA. 2008; 299:2056-2065. [PubMed: 18460666]Centers for Disease Control and Prevention. Prevention of perinatal group B streptococcal disease. MMWR. 2010;59:1-32.Weston EJ, Pondo T, Lewis MM, et al. The Burden of invasive earlyonset neonatal sepsis in the United States, 2005-2008. . Pediatr Infect Dis J.Vergnano S, Menson E, Kennea N, et al. Neonatal infections in England: the Neon IN surveillance network. Arch Dis Child Fetal Neonatal Ed.Clinical report of the American Academy of Pediatrics. Management of neonates with suspected of proven early-onset bacterial sepsis. Pediatrics. 2012; 129:1006-15Shankar MJ, Aggarwal R, Deorari AK, Paul VK. Symposium on AllMS protocol in Neonatology- Ill. Indian J Paediatr 2008;75:261-6.Stoll BJ, Hansen N, Fanaroff AA, Wright LL, Carlo WA, Ehrenkranz RA, et al. 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Kathmandu Univ Med J (KUMJ) 2006 Apr-Jun;4(2):187191. [PubMed: 18603896]Sharma R, Tepas JJ 3rd, Hudak ML, et al. Neonatal gut barrier and multiple organ failure: role of endotoxin and proinflammatory cytokines in sepsis and necrotizing enterocolitis. J Pediatr surg 2007 [PubMed: 17336180]Verboon-Maciolek MA, Krediet TG, Gerards LJ, Fleer A, van Loon TM. Clinical and epidemiologic characteristics of viral infections in a neonatal intensive care unit during a 12-year period. Pediatr Infect Dis J 2005 [PubMed: 16220089]Kawada J, Kimura H, Ito Y, et al. Evaluation of systemic inflammatory responses in neonates with herpes simplex virus infection. J Infect Dis 2004 Aug [PubMed:15243922C]Kermorvant-Duchemin E, Laborie S, Rabilloud M, Lapillonne A, Claris O. Outcome and prognostic factors in neonates with septic shock. Pediatr Crit Care Med 2008 [PubMed:18477932]Hyde TB, Hilger TM, Reingold A, Farley MM, O'Brien KL, Schuchat A. 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