Maria Bertha Romo Almanza
Guadalupe Victoria Maternity Hospital, Mexico
Title: Invasive candidiasis in newborns report of cases and review of literature diagnosis, treatment and prevention
Biography
Biography: Maria Bertha Romo Almanza
Abstract
Invasive candidiasis is an important cause of sepsis in the Neonatal Intensive Care Unit (NICU), whose incidence has increased considerably in recent decades in developing countries, due to the increase in survival of critically ill infants, predominantly preterm infants and it is also associated with a higher morbidity and mortality, including alterations in neurodevelopment in the long term. The frequency is variable according to each hospital center and the complexity of the patients that are managed with limited reports in Latin America. For this reason, this study is of greater relevance in order to establish an adequate surveillance, prevention, diagnosis and management strategy. This review proposes to carry out actions to prevent, give treatment and monitor invasive candidiasis in the newborn infant. The cases reported in the hospital center and in that way determine the modalities in which this condition occurs. Consequently, make an effective and timely management. Neonatal sepsis secondary to Candida sp. in the newborn is an important cause of morbidity and mortality in the NICU. In a newborn with risk factors and suspected infection, it is recommended to initiate an intentional search, with study and tracking of all the diana organs, when confirming the presence by blood culture and other indicators, specific antifungal treatment should be provided according to location or systems affected and the central vascular access lines should be removed within 24 hours to avoid colonization of the fungus. Also, implementation of essential actions of patient safety, as a method for the prevention of nosocomial infections.