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Quality of antenatal care as a risk factor for early onset neonatal infections in Rio de Janeiro, Brazil

BACKGROUND: Neonatal infection is a serious public health problem. The aim of this study was to assess the influence of the antenatal care on the risk of early-onset neonatal healthcare associated infection in two Brazilian maternities. METHODS: Cohort study – Newborns admitted at two public neonata...

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Autores principales: Mizumoto, B.R., Moreira, B.M., Santoro-Lopes, G., Cunha, A.J., dos Santos, R.M.R., Pessoa-Silva, C.L., Pinheiro, Azeredo A.N., Ferreira, M., Leobons, M.B., Hofer, Cristina Barroso
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9425413/
https://www.ncbi.nlm.nih.gov/pubmed/25795268
http://dx.doi.org/10.1016/j.bjid.2015.02.003
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author Mizumoto, B.R.
Moreira, B.M.
Santoro-Lopes, G.
Cunha, A.J.
dos Santos, R.M.R.
Pessoa-Silva, C.L.
Pinheiro, Azeredo A.N.
Ferreira, M.
Leobons, M.B.
Hofer, Cristina Barroso
author_facet Mizumoto, B.R.
Moreira, B.M.
Santoro-Lopes, G.
Cunha, A.J.
dos Santos, R.M.R.
Pessoa-Silva, C.L.
Pinheiro, Azeredo A.N.
Ferreira, M.
Leobons, M.B.
Hofer, Cristina Barroso
author_sort Mizumoto, B.R.
collection PubMed
description BACKGROUND: Neonatal infection is a serious public health problem. The aim of this study was to assess the influence of the antenatal care on the risk of early-onset neonatal healthcare associated infection in two Brazilian maternities. METHODS: Cohort study – Newborns admitted at two public neonatal intensive care units from 2008 to 2009 were included in the study. Data on antenatal and perinatal variables were collected from maternal prenatal cards and medical charts. Newborns were actively surveyed for early-onset neonatal healthcare associated infection, defined as a neonatal infection diagnosed within 48 h after birth. Multiple logistic regression was used to assess variables independently associated with early-onset neonatal healthcare associated infection. RESULTS: 561 neonate–mother pairs were included in the study. Early-onset neonatal healthcare associated infection was diagnosed in 283 neonates (51%), an incidence rate of 43.5/1000 live births. Neonates whose mothers had less then six antenatal visits were under risk significantly higher for early-onset neonatal healthcare associated infection (OR = 1.69, 95% CI = 1.11–2.57), after adjusting for birth weight, membranes ruptured for >18 h, maternal complications during delivery, maternal infection at admission, and hospital where patients received care. CONCLUSIONS: The risk of neonatal early-onset neonatal healthcare associated infection was significantly associated with insufficient number of antenatal care visits. Further studies assessing the quality of antenatal care and targeting its improvement are warranted.
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spelling pubmed-94254132022-08-31 Quality of antenatal care as a risk factor for early onset neonatal infections in Rio de Janeiro, Brazil Mizumoto, B.R. Moreira, B.M. Santoro-Lopes, G. Cunha, A.J. dos Santos, R.M.R. Pessoa-Silva, C.L. Pinheiro, Azeredo A.N. Ferreira, M. Leobons, M.B. Hofer, Cristina Barroso Braz J Infect Dis Original Article BACKGROUND: Neonatal infection is a serious public health problem. The aim of this study was to assess the influence of the antenatal care on the risk of early-onset neonatal healthcare associated infection in two Brazilian maternities. METHODS: Cohort study – Newborns admitted at two public neonatal intensive care units from 2008 to 2009 were included in the study. Data on antenatal and perinatal variables were collected from maternal prenatal cards and medical charts. Newborns were actively surveyed for early-onset neonatal healthcare associated infection, defined as a neonatal infection diagnosed within 48 h after birth. Multiple logistic regression was used to assess variables independently associated with early-onset neonatal healthcare associated infection. RESULTS: 561 neonate–mother pairs were included in the study. Early-onset neonatal healthcare associated infection was diagnosed in 283 neonates (51%), an incidence rate of 43.5/1000 live births. Neonates whose mothers had less then six antenatal visits were under risk significantly higher for early-onset neonatal healthcare associated infection (OR = 1.69, 95% CI = 1.11–2.57), after adjusting for birth weight, membranes ruptured for >18 h, maternal complications during delivery, maternal infection at admission, and hospital where patients received care. CONCLUSIONS: The risk of neonatal early-onset neonatal healthcare associated infection was significantly associated with insufficient number of antenatal care visits. Further studies assessing the quality of antenatal care and targeting its improvement are warranted. Elsevier 2015-03-17 /pmc/articles/PMC9425413/ /pubmed/25795268 http://dx.doi.org/10.1016/j.bjid.2015.02.003 Text en © 2015 Elsevier Editora Ltda. All rights reserved. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Article
Mizumoto, B.R.
Moreira, B.M.
Santoro-Lopes, G.
Cunha, A.J.
dos Santos, R.M.R.
Pessoa-Silva, C.L.
Pinheiro, Azeredo A.N.
Ferreira, M.
Leobons, M.B.
Hofer, Cristina Barroso
Quality of antenatal care as a risk factor for early onset neonatal infections in Rio de Janeiro, Brazil
title Quality of antenatal care as a risk factor for early onset neonatal infections in Rio de Janeiro, Brazil
title_full Quality of antenatal care as a risk factor for early onset neonatal infections in Rio de Janeiro, Brazil
title_fullStr Quality of antenatal care as a risk factor for early onset neonatal infections in Rio de Janeiro, Brazil
title_full_unstemmed Quality of antenatal care as a risk factor for early onset neonatal infections in Rio de Janeiro, Brazil
title_short Quality of antenatal care as a risk factor for early onset neonatal infections in Rio de Janeiro, Brazil
title_sort quality of antenatal care as a risk factor for early onset neonatal infections in rio de janeiro, brazil
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9425413/
https://www.ncbi.nlm.nih.gov/pubmed/25795268
http://dx.doi.org/10.1016/j.bjid.2015.02.003
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