Abstract
Introduction:The risk factors for early-onset neonatal sepsis (EOS) are well known. However, they have still not been evaluated in children of military personnel, which are a special population.Objective:To determine factors associated with EOS in children of Peruvian military personnel in a hospital.Materials and Methods:This is an observational, analytical, and retrospective study that included neonates hospitalized in the Neonatal Unit of the Hospital Militar Central, Peru between 2009 and 2017. Data were compiled from clinical history and hospital stay records. Sepsis cases were cross-checked against other variables of interest via generalized linear models.Results:Out of a total of 2,371 included neonates, 114 neonates were diagnosed with EOS. There was an increased frequency of neonatal sepsis with longer neonatal hospital stay (adjusted prevalence ratio (aPR): 1.21; 95% confidence interval (CI): 1.15–1.28; p<0.001), greater gestational age (aPR: 1.03; 95% CI: 1.01–1.05; p =0.003), and development of urinary tract infection in pregnant women in the third trimester of pregnancy (aPR: 2.27; 95% CI: 1.39–3.73; p=0.003). In contrast, there was a lower incidence of neonatal sepsis in female neonates (aPR: 0.64; 95% CI: 0.42–0.99; p=0.044).Conclusions:The associated factors with EOS in children of Peruvian military personnel were sex, longer neonatal hospital stay, gestational age and development of urinary tract infection in pregnant women during the third trimester of pregnancy. The aforementioned information is significant in describing this neonate population.
Highlights
The risk factors for early-onset neonatal sepsis (EOS) are well known
Out of a total of 2,585 neonates born at Hospital Militar Central (HMC), 2,371 were included in the study. 51.2% [1,213] were male, 7.3% [174] had jaundice, 3.2% [76] had macrosomia, 4.8% [114] had neonatal sepsis, and the median length of hospital stay was 3 days (Table 1)
In conducting the bivariate analysis of neonatal factors associated with sepsis, the results showed that the neonate’s sex (p=0.003) and length of hospital stay within the neonatology unit (p
Summary
The risk factors for early-onset neonatal sepsis (EOS) are well known. they have still not been evaluated in children of military personnel, which are a special population. Conclusions: The associated factors with EOS in children of Peruvian military personnel were sex, longer neonatal hospital stay, gestational age and development of urinary tract infection in pregnant women during the third trimester of pregnancy. We continue to see symptoms of EOS in different populations prior to the first 7 days of age and/or in cases with infection during the first 72 h of life [3] according to the definition employed This issue has been studied based on multiple realities and perspectives to evaluate the different associated factors [4,5,6,7], up till we found no research in the literature about EOS in the population of military children. In Peru, these children have access to a particular kind of healthcare service, which is exclusive and subsidized by the government In this sense, new studies involving military children should be helpful in understanding specific risk factors for EOS in this group and in comparison with the general population. The objective of the present study was to determine factors associated with EOS in children of Peruvian military personnel in a hospital
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