Estrategias de prevención de infecciones tardías en unidades de cuidados intensivos neonatales
Palabras clave:
sepsis, infección, prevención, antimicrobial stewardship, bundles, prematurez.Resumen
Introducción: la sepsis tardía (ST) sigue siendo un problema relevante en las unidades de cuidados intensivos de neonatología (UCIN), especialmente en recién nacidos (RN) menores de 1500 g o RN de muy bajo peso al nacer (RNMBPN). Método: se realizó una búsqueda de la mejor evidencia disponible respecto a las estrategias de prevención de infecciones en unidades de cuidados intensivos neonatales.
Resultados: se han descrito diversas estrategias para intentar disminuir su incidencia, entre estas se incluye el uso de vacunas en el embarazo, profilaxis con fluconazol y uso de probióticos. Han demostrado utilidad otras medidas destinadas a reducir y racionalizar el uso de antibióticos, la creación de equipos especializados y la incorporación de bundles a la práctica clínica. Conclusiones: Este artículo resume la evidencia actualmente disponible y proporciona herramientas que pueden ser utilizadas en la práctica cotidiana dentro de las UCIN.
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