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新生儿败血症在加纳开普海岸的一家三级卫生机构,加纳
Joshua Panyin Craymah1, Derek Anamaale Tuoyire2, Portia Adjei-Ofori3
1Department of Internal Medicine and Therapeutics, School of Medical Sciences, University of Cape Coast, Cape Coast, Ghana.
PloS one
|May 8, 2024
概括
新生儿败血症影响了加纳59%的新生儿,低的Apgar分数和低出生体重是关键的危险因素. 改善新生儿护理和关注母亲健康对于预防至关重要.
科学领域:
- 医学研究 医学研究
- 全球健康 全球健康
- 儿科 儿科 儿科
背景情况:
- 新生儿败血症是一个重大的全球卫生挑战,每年造成超过250万例死亡,对像加纳这样的低收入和中等收入国家产生不成比例的影响.
- 加纳面临着由于败血症而导致的新生儿死亡率的重大负担,需要本地数据来为干预措施提供信息.
研究的目的:
- 确定加纳开普海岸教学医院 (CCTH) 新生儿败血症的流行情况.
- 确定与新生儿败血症相关的新生儿和母亲因素.
主要方法:
- 一项回顾性横截面研究分析了CCTH (2018年1月至2021年12月) 360个随机选择的新生儿病历.
- 用描述性统计和二进制物流回归来分析患病率和相关因素.
主要成果:
- 新生儿败血症的总体患病率为59%,早期发作的新生儿败血症 (EONS) 为29%,晚期发作的新生儿败血症 (LONS) 为30%.
- 重要的新生儿风险因素包括低阿普加尔评分和低出生体重.
- 与败血症相关的孕产妇因素包括较低的孕产妇教育水平,剖腹产,孕产妇感染和臭臭的酒精.
结论:
- 这些发现凸显了加纳急需加强新生儿日常护理和评估方案的迫切需要.
- 解决已识别的新生儿和母亲风险因素对于有效的新生儿败血症预防策略至关重要.
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