Manejo de la infección por candida en el recién nacido
Management of candida infection in the newborn
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A nivel mundial la mortalidad neonatal corresponde al 41% de las que ocurren en menores de cinco años. Dentro de las causas descritas por la OMS la sepsis corresponde a la tercera, después de la prematurez y la asfixia perinatal. La Candida sp es uno de los agentes etiológicos que en el período neonatal genera alta morbilidad y mortalidad, así como secuelas neurológicas a largo plazo en especial en prematuros y de bajo peso. Estos pacientes cuentan con características inmunológicas propias, requerimientos de procedimientos invasivos y mayor sobrevida en estancias hospitalarias prolongadas, que se convierten en factores de riesgo que predisponen a desarrollar candidiasis sistémica. Dado el impacto de esta patología es importante contar con un abordaje integral diagnóstico y terapéutico eficaz que disminuya la morbimortalidad, mejorando el pronóstico vital y funcional. En los últimos años se han generado diferentes guías y protocolos médicos en busca de optimizar el manejo de esta infección, por lo que es importante describir cuales son las mejores recomendaciones actuales para el enfoque, diagnóstico y tratamiento de la candidiasis neonatal.
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