The Role Of Infection And Sepsis In The Brazilian Network For Surveillance Of Severe Maternal Morbidity

dc.creatorPfitscher
dc.creatorLC; Cecatti
dc.creatorJG; Haddad
dc.creatorSM; Parpinelli
dc.creatorMA; Souza
dc.creatorJP; Quintana
dc.creatorSM; Surita
dc.creatorFG; Costa
dc.creatorML
dc.date2016
dc.date2016-12-06T18:31:18Z
dc.date2016-12-06T18:31:18Z
dc.date.accessioned2018-03-29T02:03:55Z
dc.date.available2018-03-29T02:03:55Z
dc.identifier1365-3156
dc.identifierTropical Medicine & International Health. WILEY-BLACKWELL, n. 21, n. 2, p. 183 - 193.
dc.identifier1360-2276
dc.identifierWOS:000369948300004
dc.identifier10.1111/tmi.12633
dc.identifierhttp://onlinelibrary-wiley-com.ez88.periodicos.capes.gov.br/doi/10.1111/tmi.12633/abstract?systemMessage=Wiley+Online+Library+will+be+unavailable+on+Saturday+26th+November+2016+from+07%3A00-11%3A00+GMT+%2F+02%3A00-06%3A00+EST+%2F+15%3A00-19%3A00+SGT+for+essential+maintenance.++Apologies+for+the+inconvenience.
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/320265
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1311031
dc.descriptionObjectiveTo identify the burden of severe infection within the Brazilian Network for Surveillance of Severe Maternal Morbidity and factors associated with worse maternal outcomes. MethodsThis was a multicentre cross-sectional study involving 27 referral maternity hospitals in Brazil. WHOs standardised criteria for potentially life-threatening conditions and maternal near miss were used to identify cases through prospective surveillance and the main cause of morbidity was identified as infection or other causes (hypertension, haemorrhage or clinical/surgical). Complications due to infection were compared to complications due to the remaining causes of morbidity. Factors associated with a severe maternal outcome were assessed for the cases of infection. ResultsA total of 502 (5.3%) cases of maternal morbidity were associated with severe infection vs. 9053 cases (94.7%) with other causes. Considering increased severity of cases, infection was responsible for one-fourth of all maternal near miss (23.6%) and nearly half (46.4%) of maternal deaths, with a maternal near miss to maternal death ratio three times (2.8:1) that of cases without infection (7.8:1) and a high mortality index (26.3%). Within cases of infection, substandard care was present in over one half of the severe maternal outcome cases. Factors independently associated with worse maternal outcomes were HIV/AIDS, hysterectomy, prolonged hospitalisation, intensive care admission and delays in medical care. ConclusionsInfection is an alarming cause of maternal morbidity and mortality and timely diagnosis and adequate management are key to improving outcomes during pregnancy. Delays should be addressed, risk factors identified, and specific protocols of surveillance and care developed for use during pregnancy.
dc.description21
dc.description
dc.description183
dc.description193
dc.description
dc.description
dc.description
dc.languageEnglish
dc.publisherWILEY-BLACKWELL
dc.publisherHOBOKEN
dc.relationTropical Medicine & International Health
dc.rightsfechado
dc.sourceWOS
dc.subjectSevere Acute Maternal Morbidity
dc.subjectMaternal Mortality
dc.subjectMaternal Near Miss
dc.subjectSepsis
dc.subjectInfection
dc.titleThe Role Of Infection And Sepsis In The Brazilian Network For Surveillance Of Severe Maternal Morbidity
dc.typeArtículos de revistas


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