![3DPREVE=](3D"prevenir_archivos/image002.gif")
CONDICIONES PARA CONSIDERAR A UN RECIEN NACIDO
DE ALTO RIESGO
Nos ha parecido estupendo este compromiso para prevenir
discapacidades elaborado por:
![3D---](3D"prevenir_archivos/image004.gif")
=
&nbs=
p;
QUITO:
Hospital Enrique Garcés
GUAYAQUIL:
Hospital del Niño Francisco de Icaza Bustamante
CUENC=
A:
Centro de Salud
MANTA:
Hospital Rafael Rodríguez Zambrano
![3D---](3D"prevenir_archivos/image005.gif")
=
Ministerio de Salud Pública – Direcci&oac=
ute;n
Nacional de Salud Mental Ecuador
INFA
Cooperación Española Junta de Andaluc&ia=
cute;a
NAR
Y como tan importante nos parece, os lo hacemos llegar
NEUROLÓGICO
1. =
RN
con peso < P10 para su edad gestacional o con peso < a 1500 grs. Al
nacer, o edad gestacional < 32 sem.
2. APGAR
< 3 al minuto, o <=
7 a
los 5 minutos.
3. RN
que ha precisado ventilación mecánica más de 24 h.
4. Hiperbilirrubinemia
grave: 20 mg% o más tratado con exanguinotransfusión, en los
primeros 3 días de vida.
5. Convulsiones
neonatales.
6. Sepsis,
meningitis o encefalitis neonatal..
7. Signos
de difusión neurológica persistente (anomalías del ton=
o,
reflejos o del estado de conciencia; asimetrías, trastornos de la su=
cción).
8. Hemorragia
o daño cerebral evidenciado en ECO o TAC...
9. Malformaciones
del SNC
10. Hipotiroidismo, Fenilcetonuria y ot=
ras
Metabolopatías que afecten al desarrollo neurológico del
niño.
11. Cromosomopatías
y otros S. dismórficos.
12. Hijo de madre con enfermedad mental=
y/o
infecciones y/o drogas durante el embarazo que pueda afectar al feto.
13. RN con hermano afecto de patolog&ia=
cute;a
neurológica no aclarado o con riesgo de recurrencia.
14. Hermano
gemelo, si el otro reune alguno de los criterios de inclusión.
15. Siempre que el pediatra lo considere
oportuno.
SENSORIAL
VISUAL
&=
nbsp; ![3D"*"](3D"prevenir_archivos/image007.gif")
=
Ventilación mecánica
prolongada
=
Gran prematuridad
=
Hidrocefalia
=
Infección congénita d=
el SNC
=
Patología craneal detectada =
por
ECO o TAC
=
S. malformativ=
os
con compromiso visual
=
Infecciones postnatales del SNC
AUDITIVO
=
Hiperbilirrubinemia
> 20 mg%
=
Gran
prematuridad
=
Infecciones
congénitas del SNC
=
Ingesta
de aminoglucósidos durante el período prolongado o niveles
plasmáticos elevados durante el tratamiento
=
Antecedentes
familiares de sordera
=
S.
Malformaciones con compromiso de la audición
=
Infecciones
postnatales del SNC
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