Navegando por Palavras-chave "neonatal"

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    A case of neonatal Marfan syndrome with good late follow-up: is it possible to avoid an early unfavourable outcome?
    (Cambridge Univ Press, 2013-04-01) Brito-Filho, Sergio L. S. [UNIFESP]; Oporto, Victor [UNIFESP]; Campos, Orlando [UNIFESP]; Alvares, Ana B. [UNIFESP]; Carvalho, Antonio C. [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    We report a case of a child with neonatal Marfan syndrome who was submitted for clinical and surgical treatment with good late outcome 9 years after the first cardiac operation.
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    EARLY-ONSET NEONATAL PNEUMOCOCCAL SEPSIS: A FATAL CASE REPORT AND BRIEF LITERATURE REVIEW
    (Lippincott Williams & Wilkins, 2018) Jarovsky, Daniel; Marchetti, Ivan Cese; Mori, Mariana Alves da Silva; Souza, Ricardo Magalhaes de; Almeida, Flavia Jacqueline; Safadi, Marco Aurelio Palazzi [UNIFESP]; Berezin, Eitan Naaman [UNIFESP]
    Sepsis caused by Streptococcus pneumoniae is rare in neonates although associated with high morbidity and mortality. We report a fatal case of invasive pneumococcal disease in a term neonate whose mother was healthy and did not receive any pneumococcal vaccine. Investigation of the infection source yielded negative results. Acquisition of infection through the birth canal was considered unlikely.
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    Nível de ruído em unidade de terapia intensiva neonatal
    (Escola Paulista de Enfermagem, Universidade Federal de São Paulo (UNIFESP), 2007-12-01) Kakehashi, Tereza Yoshiko; Pinheiro, Eliana Moreira [UNIFESP]; Pizzarro, Gilberto [UNIFESP]; Guilherme, Arnaldo [UNIFESP]; Universidade São Marcos; Universidade Federal de São Paulo (UNIFESP)
    OBJECTIVE: Determine noise levels in the Neonatal Intensive Care Unit and identify the sources of these noises. METHODS: Quantitative, descriptive and exploratory study, carried out in São Paulo. Data was collected in April and May of 2005. A dosimeter was used to record a total of 96 hours of measurements. Nine hours of observation were also conducted to identify sources of noise. RESULTS: Leq noise levels ranged from of 61.3 to 66.6 dBA and were higher on the weekends. Peak values ranged from 90.8 to 123.4 dBC and the highest values were recorded at night. The sources of the noise were: beeping noises from ventilators and heart rate monitors, conversations between health professional and others. CONCLUSION: The deleterious effects of high levels of noise on newborns and health professionals show the need for interventions in routines and professionals and families' conduct.
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    Non-Multidrug-Resistant, Methicillin-Resistant Staphylococcus aureus in a Neonatal Unit
    (Lippincott Williams & Wilkins, 2014-10-01) Garcia, Cilmara P.; Rosa, Juliana F.; Cursino, Maria A.; Lobo, Renata D.; Mollaco, Carla H.; Gobara, Satiko; Malieno, Paula B.; Raymundo, Gabriela F.; Soares, Robson E.; Keil, Kleiste G.; Toma, Edi; Salomao, Matias C.; Helena Matte, M.; Krebs, Vera L.; Augusta Gibelli, M.; Kondo, Mario M.; Zugaib, Marcelo [UNIFESP]; Costa, Silvia F.; Levin, Anna S.; Universidade de São Paulo (USP); Universidade Federal de São Paulo (UNIFESP)
    Background: in the last decade, non-multiresistant methicillin-resistant Staphylococcus aureus (NM-MRSA) has been described as an important agent in bloodstream infections in our hospital.Methods: This prospective cohort study, conducted from February 2009 through January 2010 in the neonatal unit, evaluated 403 newborns (NB), their 382 mothers and 148 health care workers (HCW).Results: Approximately 217 NB (54%), 187 mothers (48%) and 87 HCW (59%) were colonized by S. aureus (SA). MRSA colonization was greater among NB (15%) than mothers (4.7%) and HCW (3.4%). Although mother-to-NB transmission occurred, in most cases mothers were not responsible for NB colonization. There were 2 predominant PFGE patterns among the NB and some mothers and HCW became colonized by them. Factors significantly associated with MRSA carriage by NB were lower level of maternal schooling (risk factor: odds ratio: 2.99; 95% confidence interval: 1.10-8.07) and maternal rhinosinusitis (protective factor: odds ratio: 0.33; 95% confidence interval: 0.12-0.88). Among NB who remained hospitalized for more than 72 hours, breast feeding was protective (odds ratio: 0.22; 95% confidence interval: 0.05-0.98). All the isolates were NM-MRSA, carried few virulence factors and SCCmec types IVa and type IVd predominated.Conclusions: Although there were no cases of infection, nosocomial transmission of MRSA clearly occurred in the neonatal unit, and this highlights the need for infection control practices such as hand hygiene to prevent cross-dissemination. Other healthcare practices, which are very basic but also ample in scope, may play a role, such as general education of women and breast feeding.