Thực trạng và một số yếu tố liên quan đến nhiễm khuẩn huyết sơ sinh tại một số bệnh viện trên địa bàn thành phố Vinh, năm 2022-2023=The status and some related factors of neonatal sepsis in some hospitals in Vinh city, in 2022-2023

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Tác giả: Khắc Dũng Đậu, Thị Tuyết Đậu, Xuân Hải Tăng, Thị Kiều Anh Trần

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Y học cộng đồng, 2023

Mô tả vật lý: tr.120-129

Bộ sưu tập: Metadata

ID: 477636

Thêm vào giỏ

Describing the current situation and some factors related to neonatal sepsis in Vinh city in 2022-2023. Research method: Cross-sectional descriptive study with analysis of 93 patients diagnosed with neonatal sepsis. Result: The male/female ratio is 1,2/1
65% are premature babies, 62,4% are underweight and extremely underweight
17,2% of children suffered from suffocation after birth
47,3% of children were born by cesarean section
22,7% of cases of neonatal sepsis are related to the mother. Clinical features: hypothermia (22.5%)
decreased SpO2 (66.7%) and chest indrawing (33.3%)
62.3% of children had neurological manifestations such as lethargy, irritability, increased/decreased muscle tone
Regarding cardiovascular disease, 7.5% of children showed signs of arrhythmia. Pathogens: Gram (-) bacteria account for the highest proportion of 67.7%. There are 80.6% of children who survive treatment. Factors that increase the risk of death of newborns with sepsis include: gender, premature babies, hypothermia, children on mechanical ventilation, children with central catheters. Conclusion: The rate of children recovering from the disease is high. Neonatal sepsis has diverse clinical symptoms, subclinical changes are less variable and is mostly caused by Gram (-) bacteria.Mô tả thực trạng và một số yếu tố liên quan đến nhiễm khuẩn huyết sơ sinh tại địa bàn thành phố Vinh năm 2022-2023. Phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang có phân tích trên 93 bệnh nhân được chẩn đoán nhiễm khuẩn huyết sơ sinh. Kết quả nghiên cứu: Tỷ lệ nam/nữ là 1,2/1
có 65% là trẻ đẻ non, 62,4% trẻ nhẹ cân và cực nhẹ cân
17,2% trẻ bị ngạt sau khi sinh
47,3% trẻ được sinh ra bằng phương pháp đẻ mổ
22,7% trường hợp trẻ NKHSS liên quan đến bà mẹ. Đặc điểm lâm sàng: rối loạn thân nhiệt (22,5%)
giảm SpO2 (66,7%) và rút lõm lồng ngực (33,3%)
62,3% trẻ biểu hiện về thần kinh như li bì, kích thích, tăng/ giảm trương cơ lực
về tim mạch có 7,5% trẻ có biểu hiện rối loạn nhịp tim. Tác nhân gây bệnh: vi khuẩn Gram (-) chiếm tỷ lệ cao nhất 67,7%. Có 80,6% trẻ có kết quả điều trị sống. Các yếu tố làm tăng nguy cơ tử vong của sơ sinh nhiễm khuẩn huyết bao gồm: giới tính, trẻ đẻ non, rối loạn thân nhiệt, trẻ có thở máy, trẻ đặt catheter trung tâm. Kết luận: Tỷ lệ trẻ khỏi bệnh chiếm tỷ lệ cao. Nhiễm khuẩn huyết sơ sinh có triệu chứng lâm sàng đa dạng, cận lâm sàng ít biến đổi và phần lớn là do vi khuẩn Gram (-) gây bệnh.

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