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The challenges of neonatal sepsis management

Procianoy,Renato Soibelmann; Silveira,Rita C.

Abstract Objectives To present current evidence on the etiology, risk factors, diagnosis, and management of early and late neonatal sepsis. Source of data Non-systematic review of the Medline (PubMed), Scopus, Web of Science, Cochrane, and Google Scholar databases regarding the following terms: neonatal sepsis, early neonatal sepsis, late neonatal sepsis, empirical antibiotic therapy, sepsis calculator, vancomy...

Data: 2020   |   Origem: Oasisbr

Does ADHD worsen inhibitory control in preschool children born very premature a...

Lacerda,Bárbara Calil; Martínez,Sophia B.S.; Franz,Adelar Pedro; Moreira-Maia,Carlos Renato; Silveira,Rita C.; Procianoy,Renato S.; Rohde,Luis A.

Abstract Introduction Deficits in executive functioning, especially in inhibitory control, are present in children born very premature and/or with very low birth weight (VP/VLBW) and in children with attention-deficit/hyperactivity disorder (ADHD). Objective To evaluate whether ADHD imposes additional inhibitory control (IC) deficits in preschoolers born VP/VLBW. Methods 79 VP/VLBW (4 to 7 years) children were ...

Data: 2020   |   Origem: Oasisbr

Preterm newborn's postnatal growth patterns: how to evaluate them

Silveira,Rita C.; Procianoy,Renato Soibelmann

Abstract Objectives: There are several factors that influence the postnatal growth of preterm infants. It is crucial to define how to evaluate the growth rate of each preterm child and its individual trajectory, the type of growth curve, either with parameters of prescriptive curves for healthy preterm infants with no morbidities or, in the case of preterm infants and their "bundle of vulnerabilities", growth c...

Data: 2019   |   Origem: Oasisbr

Prevalence of metabolic syndrome-like in the follow-up of very low birth weight...

Heidemann,Luciana A.; Procianoy,Renato S.; Silveira,Rita C.

Abstract Objective: To assess the prevalence of metabolic syndrome-like symptoms in a population of preterm infants with very low birth weight (<1500 g) at 2 years of corrected age and identify the occurrence of associated risk factors. Methods: Cross-sectional study during a five-year period, including preterm infants born with very low birth weight evaluated at 2 years of corrected age. Metabolic syndrome-lik...

Data: 2019   |   Origem: Oasisbr

Motor development of preterm infants assessed by the Alberta Infant Motor Scale...

Fuentefria,Rubia do N.; Silveira,Rita C.; Procianoy,Renato S.

Abstract Objective: Premature newborns are considered at risk for motor development deficits, leading to the need for monitoring in early life. The aim of this study was to systematically review the literature about gross motor development of preterm infants, assessed by the Alberta Infant Motor Scale (AIMS) to identify the main outcomes in development. Data source: Systematic review of studies published from 2...

Data: 2017   |   Origem: Oasisbr

Risk factors associated with growth failure in the follow-up of very low birth ...

Rover,Milene M.S.; Viera,Cláudia S.; Silveira,Rita C.; Guimarães,Ana T.B.; Grassiolli,Sabrina

Abstract Objective: To determine risk factors during neonatal hospital stay and follow-up associated with failure to thrive in the first year of life of very low birth weight newborns. Methods: Study of preterm very low birth weight newborns followed from 2006 to 2013 in a public institutional hospital program. The study included newborns that attended at least one appointment in each of the three periods: Peri...

Data: 2016   |   Origem: Oasisbr

Hipotermia terapêutica para recém-nascidos com encefalopatia hipóxico isquêmica

Silveira,Rita C.; Procianoy,Renato S.

Resumo Objetivo: A hipotermia terapêutica reduz a lesão cerebral e melhora o desfecho neurológico de recém-nascidos após insulto hipóxico isquêmico. Indicada para recém-nascidos a termo ou próximo do termo com evidência de asfixia perinatal e encefalopatia hipóxico isquêmica (EHI). Fontes dos dados: Foi feita uma procura no PubMed por publicações sobre hipotermia terapêutica em recém-nascidos com asfixia perina...

Data: 2015   |   Origem: Oasisbr

Association of late-onset neonatal sepsis with late neurodevelopment in the fir...

Hentges,Cláudia Regina; Silveira,Rita C.; Procianoy,Renato Soibelmann; Carvalho,Clarissa Gutierrez; Filipouski,Gabriela Ribeiro

OBJECTIVE: To establish the influence of late-onset sepsis on neurodevelopment of preterm infants with very low birth weight (VLBW), according to the etiologic agent METHOD: This was a cohort of newborns with birth weight < 1,500 g and gestational age less than 32 weeks, admitted to the institutional intensive care unit (ICU) with up to 48 hours of life, and followed-up at the outpatient follow-up clinic for pr...

Data: 2014   |   Origem: Oasisbr

Uso de medicamentos off-label e não licenciados em unidade de tratamento intens...

Carvalho,Clarissa G.; Ribeiro,Mariana R.; Bonilha,Mariana M.; Fernandes Jr,Mauro; Procianoy,Renato S.; Silveira,Rita C.

OBJETIVO: Avaliar a frequência da prescrição de medicamentos de uso não licenciado (UL) e off-label (OL) em recém-nascidos internados em unidade de tratamento intensivo neonatal de hospital de nível terciário e verificar a associação do seu uso com a gravidade dos pacientes. MÉTODOS: Estudo observacional de coorte dos medicamentos prescritos no período de 6 semanas da internação de neonatos, entre julho e agost...

Data: 2012   |   Origem: Oasisbr

Níveis plasmáticos de cafeína no cordão umbilical e apneia da prematuridade

Hentges,Cláudia Regina; Guedes,Renata Rostirola; Silveira,Rita C.; Procianoy,Renato S.

OBJETIVO: Determinar a influência da presença de cafeína no sangue de cordão umbilical na ocorrência de apneia. MÉTODOS: Estudo de coorte prospectivo de recém-nascidos pré-termo com peso de nascimento menor que 2.000 g. Os critérios de exclusão foram: mães que receberam opioides; ventilação mecânica durante os primeiros 4 dias de vida; malformações cerebrais e cardíacas maiores; asfixia perinatal; hemorragia pe...

Data: 2010   |   Origem: Oasisbr

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