Unifying criteria for late neonatal sepsis: proposal for an algorithm of diagnostic surveillance

Authors

  • Alonso Zea-Vera Instituto de Medicina Tropical “Alexander von Humboldt”, Universidad Peruana Cayetano Heredia. Lima, Perú. Médico cirujano.
  • Christie G. Turin Instituto de Medicina Tropical “Alexander von Humboldt”, Universidad Peruana Cayetano Heredia. Lima, Perú. Médico cirujano.
  • Theresa J. Ochoa Instituto de Medicina Tropical “Alexander von Humboldt”, Universidad Peruana Cayetano Heredia. Lima, Perú. Departamento de Pediatría, Universidad Peruana Cayetano Heredia. Lima, Perú. Center for Infectious Diseases, School of Public Health, University of Texas. Texas, EE. UU. Médico infectólogo pediatra.

DOI:

https://doi.org/10.17843/rpmesp.2014.312.59

Keywords:

Sepsis, Infant, newborn, Algorithms, Diagnosis, Neonatal mortality

Abstract

Infections are a major cause of death in neonates. Diagnosis of neonatal sepsis is a major challenge because newborns have very nonspecific clinical signs and auxiliary tests have low sensitivity. In order to improve the correct diagnosis of this condition, we propose an algorithm of diagnostic surveillance for late neonatal sepsis in Peru and countries of the region. The algorithm classifies the episodes as confirmed, probable or possible sepsis, and especially seeks to identify those episodes that do not correspond to sepsis, preventing other diseases to be qualified as “sepsis”. Better diagnostics will enable more realistic rates of neonatal sepsis, improve the use of antibiotics and avoid their negative effects on newborns, as well as provide a more accurate view of their impact on public health.

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Published

2014-07-02

Issue

Section

Special Section

How to Cite

1.
Zea-Vera A, Turin CG, Ochoa TJ. Unifying criteria for late neonatal sepsis: proposal for an algorithm of diagnostic surveillance. Rev Peru Med Exp Salud Publica [Internet]. 2014 Jul. 2 [cited 2024 Mar. 29];31(2). Available from: https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/59

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