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Healthcare-associated infections in a neonatal intensive care unit in Turkey in 2008: incidence and risk factors, a prospective study.
Yapicioglu, Hacer; Ozcan, Kenan; Sertdemir, Yasar; Mutlu, Birgul; Satar, Mehmet; Narli, Nejat; Tasova, Yesim.
Afiliación
  • Yapicioglu H; Cukurova University Medical Faculty, Department of Pediatrics, Division of Neonatology, Adana, Turkey. yyhacer@hotmail.com
J Trop Pediatr ; 57(3): 157-64, 2011 Jun.
Article en En | MEDLINE | ID: mdl-20601690
ABSTRACT
In this study, we have prospectively recorded healthcare-associated infections (HAIs) in NICU and found incidence density as 18 infections per 1000 patient days. Of the infections, 51.3% was bacteriemia (BSI), and 45.1% was ventilator-associated pneumonia (VAP). Gram-negative microorganisms were predominant in VAP and Staphylococcus epidermidis was the leading microorganism (53.0% of BSIs) in BSIs. Multivariate logistic regression analysis showed the importance of hood O(2) use in days (RR 1.3) and total parenteral nutrition use in days (RR 1.09) for BSIs. Umbilical arterial catheterization in days (RR 1.94), ventilator use in days (RR 1.05), chest tube (RR 12.55), orogastric feeding (RR 3.32) and total parenteral nutrition in days (RR 1.05) were found to be significantly associated with VAP. In conclusion, incidence density in our unit is high and Gram-negative rods are predominant similar to developing countries. These results strongly suggest improving measures of prevention and control of HAIs in the unit.
Asunto(s)

Texto completo: 1 Base de datos: MEDLINE Asunto principal: Unidades de Cuidado Intensivo Neonatal / Infección Hospitalaria Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies País/Región como asunto: Asia Idioma: En Revista: J Trop Pediatr Año: 2011 Tipo del documento: Article

Texto completo: 1 Base de datos: MEDLINE Asunto principal: Unidades de Cuidado Intensivo Neonatal / Infección Hospitalaria Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies País/Región como asunto: Asia Idioma: En Revista: J Trop Pediatr Año: 2011 Tipo del documento: Article