Introduction: Adherence to clinical practice guidelines (CPG) improves the management of neonatal sepsis, reducing complications and mortality in newborns. Objective: To identify factors associated with adherence to CPG for neonatal sepsis at the Instituto Nacional Materno Perinatal (INMP). Material and Methods: A retrospective case-control study was conducted at the INMP, analyzing 988 neonatal sepsis hospitalizations between May and December 2021. Maternal and neonatal variables were evaluated using a mixed-effects logistic regression model to estimate adjusted prevalence ratios with 95% confidence intervals (CI95%). Results: Overall adherence to CPG was 75%, higher in early-onset sepsis (81,4%) than in late-onset sepsis (66,9%). Late-onset sepsis was associated with lower adherence (adjusted OR=1.37; CI95 %=1.05-1.78; p<0.01). Care provided by non-neonatologist pediatricians reduce...

Environmental Microbiota of the Neonatology Department at the National Maternal Perinatal Perinatal, Lima, Perú

Introduction. Healthcare-associated infections (IAAS) increase neonatal morbidity and mortality. Identifying the microbiological profile and sensitivity of the microbiota allows us to reduce infection rates, rationalize the use of antibiotics and improve neonatal survival. Objectives. To know the environmental microbiota and antimicrobial sensitivity in the Department of Neonatology (DN). Methods. Observational, descriptive, cross-sectional study, carried out between April and May 2021, in the Intensive Care, Intermediate and Immediate Care services of the DN of the Instituto Nacional Materno Perinatal, a reference center for maternal and neonatal care. 144 surfaces were selected from the hospitalized patient environment. Using swabbing technique, samples were obtained and then seeded in common and selective culture media. Sensitivity was determined using Kirby-Bauer diffusion disks, the...

Objective: The objective of this research is to describe adherence to the neonatal sepsis clinical practice guideline according to the type of sepsis in a perinatal maternal institute in Lima, Peru. Method: A descriptive study was carried out between the months of June to December 2021 at the Instituto Nacional Maternal Perinatal (INMP). The adherence of care to the CPG for the prevention, diagnosis and treatment of neonatal sepsis based on the INMP evidence was evaluated. Medical care was evaluated by two physicians who reviewed compliance or not with the 16 CPG recommendations. Adequate adherence was considered to be compliance of 80% or more of the recommendations established by the guideline in one care. Global adherence was calculated in percentages, by dimensions, by item and according to maternal and perinatal characteristics of care. Results: A total of 968 medical attentions wer...