Device-associated infections in neonatal care units in a middle-income country, 2016-2018
J. pediatr. (Rio J.)
; J. pediatr. (Rio J.);99(5): 485-491, 2023. tab, graf
Article
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LILACS-Express
| LILACS
| ID: biblio-1514456
Biblioteca responsable:
BR1.1
ABSTRACT
Abstract Objective:
Describe the device-associated infections in the NICUs in Cali - Colombia, a middle-income country, between August 2016 to December 2018.Methods:
Observational cross-sectional study evaluating reports of device-associated infections in 10 NICUs in Cali, Colombia, between August 2016 and December 2018. Socio-demographic and microbiological data were obtained from the National Public Health surveillance system, through a specialized notification sheet. The relationship of device-associated infections with several outcomes including birth weight, microorganisms, and mortality was evaluated using OR Cl95%, using the logistic regression model. Data processing was performed using the statistical program STATA 16.Results:
226 device-associated infections were reported. The rate of infection with central line-associated bloodstream infections was 2.62 per 1000 days of device use and 2.32 per 1000 days for ventilator-associated pneumonia. This was higher in neonates under 1000 g; 4.59 and 4.10, respectively. 43.4% of the infections were due to gram-negative bacteria and 42.3% were due to gram-positive bacteria. Time from hospitalization to diagnosis of all device-associated infections had a median of 14 days. When compared by weight, infants with a weight lower than 1000 g had a greater chance of death (OR 3.61; 95% CI 1.53-8.49, p = 0.03). Infection by gram-negative bacteria was associated with a greater chance of dying (OR 3.06 CI 95 1.33-7.06, p = 0.008).Conclusions:
These results highlight the need to maintain epidemiological surveillance processes in neonatal intensive care units, especially when medical devices are used.
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Bases de datos:
LILACS
Idioma:
En
Revista:
J. pediatr. (Rio J.)
Asunto de la revista:
PEDIATRIA
Año:
2023
Tipo del documento:
Article
País de afiliación:
Colombia