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新生儿败血症诊断的评估:使用临床和实验室参数作为诊断因素

[Evaluation of the neonatal sepsis diagnosis: use of clinical and laboratory parameters as diagnosis factors].

作者信息

de Assis Meireles Luciano, Vieira Alan Araújo, Costa Carolina Roella

机构信息

Universidade Federal do Rio de Janeiro, RJ, Brazil.

出版信息

Rev Esc Enferm USP. 2011 Mar;45(1):33-9. doi: 10.1590/s0080-62342011000100005.

Abstract

The purpose of this study was to describe and compare the clinical, laboratory and health care characteristics of newborns (NBs) with confirmed late onset sepsis and NBs with unconfirmed late sepsis, verify if there were any differences between the groups, and describe the germs prevalent in the studied neonatal unit. This is a descriptive study, involving 168 cases. It was observer that 33.3% had a confirmed diagnosis for late onset sepsis. The age at the time of sepsis onset, the length of stay, the total number of neutrophils, the number of immature neutrophils and the value of PC-r proved good parameters to differentiate between the two groups when analyzed separately. The most common isolated bacteria were: Klebsiella pneumoniae, Staphylococcus coagulase negative and S. aureus.

摘要

本研究的目的是描述和比较确诊为晚发性败血症的新生儿(NBs)与未确诊为晚发性败血症的NBs的临床、实验室和医疗保健特征,验证两组之间是否存在差异,并描述所研究新生儿病房中普遍存在的病菌。这是一项描述性研究,涉及168例病例。观察到33.3%的病例确诊为晚发性败血症。败血症发作时的年龄、住院时间、中性粒细胞总数、未成熟中性粒细胞数量和PC-r值在单独分析时被证明是区分两组的良好参数。最常见的分离细菌为:肺炎克雷伯菌、凝固酶阴性葡萄球菌和金黄色葡萄球菌。

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