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Sepsis neonatal

Sepsis neonatal

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Sepsis neonatal
Article Last Updated: Aug 18, 2006 Art\u00edculo \u00daltima actualizaci\u00f3n: Aug 18, 2006
AUTHOR AND EDITOR INFORMATION Autor y
editor de la informaci\u00f3n
Section 1 of 11 Secci\u00f3n 1 de 11
\u2022
Authors and Editors Autores y Editores
\u2022
Introduction Introducci\u00f3n
\u2022
Clinical Cl\u00ednica
\u2022
Differentials Diferencias
\u2022
Workup Workup
\u2022
Treatment Tratamiento
\u2022
Medication Medicaci\u00f3n
\u2022
Follow-up Seguimiento
\u2022
Miscellaneous Miscellaneous
\u2022
Multimedia Multimedia
\u2022
References Referencias

Author: Ann L Anderson-Berry, MD, Assistant Professor of Pediatrics, Joint Division
of Newborn Medicine, Creighton University, University of Nebraska Medical Center
Autor: Ann Anderson L-Berry, MD, Profesor Adjunto de Pediatr\u00eda, Divisi\u00f3n Mixta del
Reci\u00e9n Nacido de Medicina, Universidad de Creighton, Universidad de Nebraska
Medical Center

Ann L Anderson-Berry is a member of the following medical societies:American
Academy of Pediatricsand Nebraska Medical Association Ann-L Anderson Berry es
miembro de las siguientes sociedades m\u00e9dicas: Academia Americana de Pediatr\u00eda y la
Asociaci\u00f3n M\u00e9dica de Nebraska
Coauthor(s): Linda L Bellig, MA, RN, NNP, Track Coordinator, Instructor, Neonatal
Nurse Practitioner Program, Medical University of South Carolina College of Nursing;
Bryan L Ohning, MD, PhD, Clinical Associate Professor of Pediatrics, Medical
University of South Carolina; Medical Director, NICU and Neonatal Transport Team,
Department of Neonatology, Greenville Children's Hospital Coautor (s): Linda L Bellig,
MA, RN, NNP, Coordinador de pista, Instructor, enfermera de pr\u00e1ctica neonatal
Programa de Medicina de la Universidad de Carolina del Sur Escuela de Enfermer\u00eda;
Ohning Bryan L, MD, PhD, Profesor Cl\u00ednico Asociado de Pediatr\u00eda, Universidad de
Medicina de Carolina del Sur; Director M\u00e9dico, UCIN y Equipo de Transporte Neonatal
del Departamento de Neonatolog\u00eda, Greenville Children's Hospital
Editors: Scott S MacGilvray, MD , Associate Professor, Department of Pediatrics, East

Carolina University School of Medicine; Mary L Windle, PharmD , Adjunct Assistant
Professor, University of Nebraska Medical Center College of Pharmacy, Pharmacy
Editor, eMedicine.com, Inc; David A Clark, MD , Chairman, Professor, Department of
Pediatrics, Albany Medical College; Carol L Wagner, MD , Professor of Pediatrics,
Medical University of South Carolina; Neil N Finer, MD, Professor, Department of
Pediatrics, University of California at San Diego School of Medicine; Program Director,
Division of Neonatology, University of California San Diego Medical Center Editores:S

MacGilvray Scott, MD, Profesor Asociado, Departamento de Pediatr\u00eda, East Carolina

University School of Medicine; Mar\u00eda L Windle, PharmD, Profesor Asistente Adjunto
de la Universidad de Nebraska Medical Center College de Farmacia, Farmacia Editor,
eMedicine.com, Inc; A David Clark, MD, Presidente, Profesor del Departamento de
Pediatr\u00eda, Albany Medical College; Carol L Wagner, MD, Profesor de Pediatr\u00eda,
Universidad M\u00e9dica de Carolina del Sur; Neil N fina, MD, Profesor del Departamento de
Pediatr\u00eda, Universidad de California en San Diego School of Medicine; Programa
Director de la Divisi\u00f3n de Neonatolog\u00eda, Universidad de California San Diego Medical
Center

Author and Editor Disclosure Autor y editor de divulgaci\u00f3n
Synonyms and related keywords: neonatal sepsis, neonatal infection, early-onset

neonatal sepsis, late-onset neonatal sepsis, early-onset sepsis syndrome, late-onset sepsis
syndrome, neonatal bacteremia Sin\u00f3nimos y palabras clave relacionadas: sepsis
neonatal, infecci\u00f3n neonatal, a principios de inicio sepsis neonatal, de aparici\u00f3n tard\u00eda
sepsis neonatal, a principios de sepsis de aparici\u00f3n de s\u00edndrome de aparici\u00f3n tard\u00eda,
s\u00edndrome de sepsis, bacteriemia neonatal

INTRODUCTION INTRODUCCI\u00d3N
Section 2 of 11 Secci\u00f3n 2 de 11
\u2022
Authors and Editors Autores y Editores
\u2022
Introduction Introducci\u00f3n
\u2022
Clinical Cl\u00ednica
\u2022
Differentials Diferencias
\u2022
Workup Workup
\u2022
Treatment Tratamiento
\u2022
Medication Medicaci\u00f3n
\u2022
Follow-up Seguimiento
\u2022
Miscellaneous Miscellaneous
\u2022
Multimedia Multimedia
\u2022
References Referencias
Background Fondo

Neonatal sepsis may be categorized as early or late onset. Sepsis neonatal puede ser
categorizada como principios o de inicio tard\u00edo. Eighty-five percent of newborns with
early-onset infection present within 24 hours, 5% present at 24-48 hours, and a smaller
percentage of patients present between 48 hours and 6 days of life. Ochenta y cinco por
ciento de los reci\u00e9n nacidos con inicio temprano de la infecci\u00f3n presente en las 24 horas,
5% actual al 24-48 horas, y un menor porcentaje de pacientes presentan entre 48 horas y
6 d\u00edas de vida. Onset is most rapid in premature neonates. El inicio es m\u00e1s r\u00e1pido en los
reci\u00e9n nacidos prematuros. Early-onset sepsis syndrome is associated with acquisition of
microorganisms from the mother. A principios de sepsis de aparici\u00f3n de s\u00edndrome se
asocia con la adquisici\u00f3n de los microorganismos de la madre. Transplacental infection
or an ascending infection from the cervix may be caused by organisms that colonize in
the mother's genitourinary tract, with acquisition of the microbe by passage through a
colonized birth canal at delivery. Infecci\u00f3n transplacentaria o una infecci\u00f3n ascendente
desde el cuello del \u00fatero puede ser causada por organismos que colonizan a la madre del
tracto genitourinario, con la adquisici\u00f3n de los microbios de paso a trav\u00e9s de un canal de
nacimiento colonizados en el momento del parto. The microorganisms most commonly
associated with early-onset infection include group BStr eptococcus (GBS),Es cher ichia

coli, Haemophilus influenzae,and Listeria monocytogenes. Los microorganismos m\u00e1s
com\u00fanmente asociados con la aparici\u00f3n temprana de la infecci\u00f3n incluyenStr eptococcus
del grupo B (GBS), Escherichia coli, Haemophilus influenzae y Listeria monocytogenes.

Late-onset sepsis syndrome occurs at 7-90 days of life and is acquired from the
caregiving environment. De aparici\u00f3n tard\u00eda, s\u00edndrome de sepsis se produce en 7-90 d\u00edas
de vida y se adquiere desde el entorno de asistencia a otras personas. Organisms that have
been implicated in causing late-onset sepsis syndrome include coagulase-negative
staphylococci, Staphylococcus aureus, E coli, Klebsiella, Pseudomonas, Enterobacter,

Candida,GBS, Serratia, Acinetobacter, and anaerobes. Los organismos que han estado
implicados en el origen de aparici\u00f3n tard\u00eda, s\u00edndrome de sepsis incluyen coagulasa-
negativos estafilococos, Staphylococcus aureus, E coli, Klebsiella, Pseudomonas,
Enterobacter, Candida,GBS, Serratia, Acinetobacter, y anaerobios. The infant's skin,

respiratory tract, conjunctivae, gastrointestinal tract, and umbilicus may become
colonized from the environment, leading to the possibility of late-onset sepsis from
invasive microorganisms. La piel del beb\u00e9, las v\u00edas respiratorias, conjunctivae, tracto
gastrointestinal, ombligo y puede llegar a ser colonizada desde el medio ambiente, dando
lugar a la posibilidad de aparici\u00f3n tard\u00eda de la sepsis microorganismos invasores. Vectors
for such colonization may include vascular or urinary catheters, other indwelling lines, or
contact from caregivers with bacterial colonization. Los vectores de esas colonizaci\u00f3n

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