Uso de la punción lumbar en la evaluación de sepsis neonatal tardía en recién nacidos de bajo peso

Alonso Zea-Vera; Christie Gloria Turín; María Susana Rueda; Daniel Guillén-Pinto; Pilar Medina-Alva; Aldredo Tori; María Rivas; Jaime Zegarra; Anne Castañeda; Luis Cam; Theresa J. Ochoa

doi:10.17843/rpmesp.2016.332.2215

Uso de la punción lumbar en la evaluación de sepsis neonatal tardía en recién nacidos de bajo peso

Translated title of the contribution: Use of lumbar puncture in the evaluation of late-onset sepsis in low birth weight neonates

Alonso Zea-Vera
, Christie Gloria Turín
, María Susana Rueda
, Daniel Guillén-Pinto
, Pilar Medina-Alva
, Aldredo Tori
, María Rivas
, Jaime Zegarra
, Anne Castañeda
, Luis Cam
, Theresa J. Ochoa

Universidad Peruana Cayetano Heredia, Instituto de Medicina Tropical Alexander von Humboldt
Hospital Nacional Cayetano Heredia
Universidad Peruana Cayetano Heredia
Instituto Nacional Materno Perinatal, Lima
Hospital Nacional Guillermo Almenara Irigoyen ESSalud
San Bartolomé Mother-Child National Teaching Hospital
Hospital Nacional Alberto Sabogal Sologuren, EsSalud
University of Texas Health Science Center at Houston

Research output: Contribution to journal › Article › peer-review

6 Scopus citations

Abstract

The objective of this study was to analyze the use of lumbar punctures (LP) in the evaluation of late-onset neonatal sepsis. It is recommended to perform an LP as part of the evaluation of late-onset sepsis. We used a cohort of 414 newborns with a birth weight <2000g in three hospitals in Lima. A LP was performed in 45/214 (21.0%) of sepsis evaluations and in 13/48 (27.1%) of culture-proven sepsis. Meningitis was diagnosed in 8/214 (3.7%) of the episodes and 8/45 (17.5%) of the evaluations that included an LP. The duration of treatment of the sepsis episodes without a LP and the episodes with a negative LP was similar, and shorter than the episodes with a positive LP. The use of LP in the evaluation of late-onset sepsis is low and can result in undiagnosed and undertreated meningitis. The use of LP in the evaluation of neonatal sepsis must be encouraged in the neonatal units.

Translated title of the contribution	Use of lumbar puncture in the evaluation of late-onset sepsis in low birth weight neonates
Original language	Spanish
Pages (from-to)	278-282
Number of pages	5
Journal	Revista Peruana de Medicina Experimental y Salud Publica
Volume	33
Issue number	2
DOIs	https://doi.org/10.17843/rpmesp.2016.332.2215
State	Published - 1 Apr 2016

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Zea-Vera, A., Turín, C. G., Rueda, M. S., Guillén-Pinto, D., Medina-Alva, P., Tori, A., Rivas, M., Zegarra, J., Castañeda, A., Cam, L., & Ochoa, T. J. (2016). Uso de la punción lumbar en la evaluación de sepsis neonatal tardía en recién nacidos de bajo peso. Revista Peruana de Medicina Experimental y Salud Publica, 33(2), 278-282. https://doi.org/10.17843/rpmesp.2016.332.2215

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title = "Uso de la punci{\'o}n lumbar en la evaluaci{\'o}n de sepsis neonatal tard{\'i}a en reci{\'e}n nacidos de bajo peso",

abstract = "The objective of this study was to analyze the use of lumbar punctures (LP) in the evaluation of late-onset neonatal sepsis. It is recommended to perform an LP as part of the evaluation of late-onset sepsis. We used a cohort of 414 newborns with a birth weight <2000g in three hospitals in Lima. A LP was performed in 45/214 (21.0\%) of sepsis evaluations and in 13/48 (27.1\%) of culture-proven sepsis. Meningitis was diagnosed in 8/214 (3.7\%) of the episodes and 8/45 (17.5\%) of the evaluations that included an LP. The duration of treatment of the sepsis episodes without a LP and the episodes with a negative LP was similar, and shorter than the episodes with a positive LP. The use of LP in the evaluation of late-onset sepsis is low and can result in undiagnosed and undertreated meningitis. The use of LP in the evaluation of neonatal sepsis must be encouraged in the neonatal units.",

keywords = "Infant, Meningitis, Newborn, Spinal puncture",

author = "Alonso Zea-Vera and Tur{\'i}n, \{Christie Gloria\} and Rueda, \{Mar{\'i}a Susana\} and Daniel Guill{\'e}n-Pinto and Pilar Medina-Alva and Aldredo Tori and Mar{\'i}a Rivas and Jaime Zegarra and Anne Casta{\~n}eda and Luis Cam and Ochoa, \{Theresa J.\}",

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doi = "10.17843/rpmesp.2016.332.2215",

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Zea-Vera, A, Turín, CG, Rueda, MS, Guillén-Pinto, D, Medina-Alva, P, Tori, A, Rivas, M, Zegarra, J, Castañeda, A, Cam, L & Ochoa, TJ 2016, 'Uso de la punción lumbar en la evaluación de sepsis neonatal tardía en recién nacidos de bajo peso', Revista Peruana de Medicina Experimental y Salud Publica, vol. 33, no. 2, pp. 278-282. https://doi.org/10.17843/rpmesp.2016.332.2215

TY - JOUR

T1 - Uso de la punción lumbar en la evaluación de sepsis neonatal tardía en recién nacidos de bajo peso

AU - Zea-Vera, Alonso

AU - Turín, Christie Gloria

AU - Rueda, María Susana

AU - Guillén-Pinto, Daniel

AU - Medina-Alva, Pilar

AU - Tori, Aldredo

AU - Rivas, María

AU - Zegarra, Jaime

AU - Castañeda, Anne

AU - Cam, Luis

AU - Ochoa, Theresa J.

PY - 2016/4/1

Y1 - 2016/4/1

N2 - The objective of this study was to analyze the use of lumbar punctures (LP) in the evaluation of late-onset neonatal sepsis. It is recommended to perform an LP as part of the evaluation of late-onset sepsis. We used a cohort of 414 newborns with a birth weight <2000g in three hospitals in Lima. A LP was performed in 45/214 (21.0%) of sepsis evaluations and in 13/48 (27.1%) of culture-proven sepsis. Meningitis was diagnosed in 8/214 (3.7%) of the episodes and 8/45 (17.5%) of the evaluations that included an LP. The duration of treatment of the sepsis episodes without a LP and the episodes with a negative LP was similar, and shorter than the episodes with a positive LP. The use of LP in the evaluation of late-onset sepsis is low and can result in undiagnosed and undertreated meningitis. The use of LP in the evaluation of neonatal sepsis must be encouraged in the neonatal units.

AB - The objective of this study was to analyze the use of lumbar punctures (LP) in the evaluation of late-onset neonatal sepsis. It is recommended to perform an LP as part of the evaluation of late-onset sepsis. We used a cohort of 414 newborns with a birth weight <2000g in three hospitals in Lima. A LP was performed in 45/214 (21.0%) of sepsis evaluations and in 13/48 (27.1%) of culture-proven sepsis. Meningitis was diagnosed in 8/214 (3.7%) of the episodes and 8/45 (17.5%) of the evaluations that included an LP. The duration of treatment of the sepsis episodes without a LP and the episodes with a negative LP was similar, and shorter than the episodes with a positive LP. The use of LP in the evaluation of late-onset sepsis is low and can result in undiagnosed and undertreated meningitis. The use of LP in the evaluation of neonatal sepsis must be encouraged in the neonatal units.

KW - Infant

KW - Meningitis

KW - Newborn

KW - Spinal puncture

UR - https://www.scopus.com/pages/publications/84979225488

U2 - 10.17843/rpmesp.2016.332.2215

DO - 10.17843/rpmesp.2016.332.2215

M3 - Artículo

C2 - 27656928

AN - SCOPUS:84979225488

SN - 1726-4634

VL - 33

SP - 278

EP - 282

JO - Revista Peruana de Medicina Experimental y Salud Publica

JF - Revista Peruana de Medicina Experimental y Salud Publica

IS - 2

ER -

Uso de la punción lumbar en la evaluación de sepsis neonatal tardía en recién nacidos de bajo peso

Abstract

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