Aspectos clínico-laboratoriais de recém-nascidos com risco infeccioso em alojamento conjunto

Abstract

Objectives: Characterize newborns with infectious risk admitted in rooming-in in what concerns their clinical and laboratory evolution and treatment received. Identify the defining criterion of antibiotic therapy. Methods: Retrospective, observational study. Medical records of a newborn sample over 35 weeks and at least with one infectious risk were analyzed. The variables analyzed were related to maternal and fetal health and the clinical and laboratory evolution of newborns, besides medical management instituted. Results: The most common infectious risks were: maternal urinary tract infection (46.2%), prenatal consultations under 6 (39.2%) and prolonged rupture of membranes (34.6%). The most frequent manifestation was respiratory distress. Treatment was established in 22.3% of the sample and the average hospitalization time was 7.17 days. There were no significant differences in the frequency of clinical manifestations between the treated groups of newborns and the untreated ones. The frequency of positive C-reactive protein among infants who started treatment was significantly higher compared to untreated ones. All newborns received the hospital discharged with good clinical conditions. Conclusions: The most common gestational infectious risks are in line with other published studies. The most common parameter used to set the start of antibiotic therapy in newborns with infectious risk was the C-reactive protein. All newborns presented a favorable clinical outcome.