1998
DOI: 10.1016/s0195-6701(98)90174-8
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Device-associated nosocomial infection surveillance in neonatal intensive care using specified criteria for neonates

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Cited by 55 publications
(20 citation statements)
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“…In comparison, NNIS data showed 48% bloodstream infections among NIs in VLBW infants, of which > 80% were laboratory confirmed. Compared to other studies [14], we found few culture-proven cases of gram- [7]. Another reason for variations in NI incidence may be differences in the severity of illness of patients on admission -a premature infant with respiratory failure plus an open ductus arteriosus may be more prone to infection than a premature infant of equal gestational age without such problems.…”
Section: Discussioncontrasting
confidence: 74%
See 1 more Smart Citation
“…In comparison, NNIS data showed 48% bloodstream infections among NIs in VLBW infants, of which > 80% were laboratory confirmed. Compared to other studies [14], we found few culture-proven cases of gram- [7]. Another reason for variations in NI incidence may be differences in the severity of illness of patients on admission -a premature infant with respiratory failure plus an open ductus arteriosus may be more prone to infection than a premature infant of equal gestational age without such problems.…”
Section: Discussioncontrasting
confidence: 74%
“…The Centers for Disease Control (CDC) definition for necrotizing enterocolitis (NEC) was used: "Two of the following with no other recognized cause: vomiting, abdominal distention, or prefeeding residuals AND persistent blood in stools AND any of the following abdominal radiographic anomalies: 1) pneumoperitoneum 2) pneumatosis intestinalis 3) unchanging 'rigid' loops of small bowel" [6].The CDC criteria for sepsis, pneumonia, meningitis and urinary tract infection were modified to suit age-specific findings in neonates or premature infants ≤ 28 days after their estimated due date. The rationale for these changes (in italics) has been discussed previously and the criteria have been validated [7]. "Laboratory confirmed sepsis": 1) Recognized pathogen is isolated from blood culture and/or CSF.…”
Section: Cultures Antibiotics and Surveillancementioning
confidence: 99%
“…This dilemma has been described in detail by Cordero et al [8]. This, however, was one of the main reasons for the non-literal use of CDC criteria for infants < 1 year of age and specification of those criteria in our study according to Gastmeier et al [14], also used in the same manner in the German Neo-Kiss system [20]. At least for the latter system, the extremely large number of patients and ventilator days prospectively surveyed with identical criteria ascertains a real difference between NCPAP-and ventilator-associated pneumonia rates for VLBW infants.…”
Section: Discussionmentioning
confidence: 72%
“…The CDC definitions for nosocomial infections were applied with modifications for sepsis and pneumonia to suit age-specific findings in neonates and premature infants ≤ 28 d after their estimated due date according to Gastmeier et al [14]. Infections occurring < 48 h after birth or < 48 h after admission to the unit were not classified as nosocomial.…”
Section: Methodsmentioning
confidence: 99%
“…During the last two decades, coagulase-negative staphylococci (CoNS) have emerged as the leading cause of bloodstream infections and septicemia in neonatal intensive care units (NICUs) (11,12). Although bloodstream infections caused by CoNS do not cause excess mortality, they lead to increased rates of morbidity and longer hospital stays (7).…”
mentioning
confidence: 99%