Prevalencia de sepsis neonatal de puérperas con antecedentes de infecciones de vías urinarias en el Hospital General Teodoro Maldonado Carbo en el periodo de enero 2022 a enero del 2024.

Abstract

Introduction: Neonatal sepsis is a serious condition with high morbimortality, characterized by a systemic inflammatory response to infections of various pathogens. Objective: To identify the prevalence of neonatal sepsis in postpartum women with a history of urinary tract infections attended at the Hospital General Teodoro Maldonado Carbo from January 2022 to January 2024 Methodology: The design of this study was observational, retrospective, cross-sectional and analytical. Results: This study analyzed 102 neonates born to mothers with a history of urinary tract infections. The 56.9% were male and 90.2% were born preterm. Forty-nine percent had a birth weight between 1600 and 2500 g, and 11.8% had birth asphyxia. Of the pregnant women, 97.1% were at very high obstetric risk, with preeclampsia being the most frequent complication (15.7%). Cesarean section was the predominant type of delivery (94.1%) and 88.2% of the membranes were intact. Escherichia coli was the most common agent (28.4%). Neonatal sepsis occurred in 43.1% of neonates. A significant association was found between neonatal sepsis and the presence of meconium amniotic fluid (p = 0.033), high maternal obstetric risk (p < 0.001) and maternal Escherichia coli infection (p < 0.001). In addition, 91.7% of neonates with neonatal asphyxia developed sepsis (p = 0.035), evidencing a significant relationship. Conclusions: Neonatal sepsis was frequent in newborns of puerperae with UTI, with E. coli as the predominant pathogen, with a statistically significant association.