Risk Factors for Nosocomial Infection in a Neonatal Intensive Care Unit

Couto, Renato Camargos; Pedrosa, Tânia Moreira Grillo; Tofani, Cristina de Paula; Pedroso, Ênio Roberto Pietra

doi:10.1086/504931

Cited by 60 publications

(44 citation statements)

References 22 publications

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“…3,10,19 Ön ce ki ça lış ma la ra ben zer şekil -de ça lış ma mız da da has ta ne de uzun ya tış, NE açı-sın dan risk fak tö rü ola rak tes pit edil miş tir. 14,[29][30][31] So nuç ola rak, yap tı ğı mız çok yön lü ana liz lerde an ti bi yo tik kul la nı mı, cer ra hi gi ri şim, oro gastrik uy gu la ma sı ve has ta ne de ya tış sü re si nin uzun ol ma sı NE ge li şi mi açı sın dan risk fak tö rü ola rak tes pit edil miş tir. YDYBÜ' sin de NE' le rin kon tro lü ça lış ma la rın da, öne mi gös te ril miş risk fak tör le ri nin he def len me si ya rar lı ola cak tır.…”

Section: Tar Tiş Maunclassified

Nosocomial Infections and Risk Factors in Neonatal Intensive Care Unit

Naz¹,

Özgüneş²,

Tekin³

et al. 2011

Turkiye Klinikleri J Med Sci

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Ö ÖZ ZE ET T A Am ma aç ç: : Ça lış ma mız da Ye ni do ğan Yo ğun Ba kım Üni te sinde (YDYBÜ) ya tan tüm has ta lar pros pek tif ola rak in ce le ne rek, no zo ko mi yal en fek si yon (NE) ge li şen ol gu la rın risk fak tör le ri klinik, eti yo lo jik, la bo ra tu var ve te da vi ve ri le ri nin in ce len me si amaç lan mış tır. G Ge e r re eç ç v ve e Y Yö ön n t te em m --l le er r: : Ça lış ma 01 Ocak 2005-01 Ocak 2006 ta rih le ri ara sın da Es ki şe hir Os man ga zi Üni ver si te si Tıp Fa kül te si Pe di at ri Ana bi lim Da lı YDYBÜ' de pros pek tif ola rak ya pıl dı. B Bu ul l g gu u l la ar r: : Ça lış ma pe ri yodun da YDYBÜ'n de ki 545 has ta iz len di. Bu has ta la rın 120'sin de top lam 133 NE ge liş ti. NE hı zı %24.4, in si dans dan si te si 21.3/1000 has ta gü nü ola rak tes pit edil di. Has ta özel lik le ri üze rin de ya pı -lan tek yön lü ana liz ler de dü şük do ğum ağır lı ğı, dü şük ges tas yo nel yaş, res pi ra tu ar dis tres sen dromu ve pe ri na tal as fik si NE' le rin yük sek oran da gö rül me ris ki ile iliş ki li bu lun du. YDYBÜ'n de iz le nen has ta la rın ola sı risk fak tör le ri mul ti var yant lo jis tik reg res yon yön te miy le in ce len di ğin de, NE ge li şen ol gu lar da an ti bi yo tik kul la nı mı (p= 0.002), cer ra hi gi ri şim (p= 0.015), oro gas trik son da uygu la ma sı (p= 0.023) ve has ta ne de ya tış sü re si nin uzun ol ma sı (p= 0.046), NE ge liş me yen ol gu la ra gö -re is ta tis tik sel ola rak an lam lı oran da yük sek ti. NE ta nı sı ile iz le nen has ta la rın çe şit li kül tür le rin de %58.6 (78/133)'sın da et ken izo le edil di. En sık sap ta nan et ken mik ro or ga niz ma lar S.au re us (%21.8), E.co li (%17.9), En te ro bac ter tür le ri (%11.5) ve ko a gu laz ne ga tif sta fi lo kok (%10.2) idi. S So o n nu uç ç: : Yaptı ğı mız çok yön lü ana liz ler de an ti bi yo tik kul la nı mı, cer ra hi gi ri şim, oro gas trik uy gu la ma sı ve hasta ne de uzun ya tış NE ge li şi mi açı sın dan risk fak tö rü ola rak tes pit edil miş tir. Bu bil gi le re da ya na rak NE' le rin ön len me si ne yö ne lik stra te ji le rin ge liş ti ril me si uy gun ola cak tır.A An na ah h t ta ar r K Ke e l li i m me e l le er r: : Yo ğun ba kım bi ri mi,ye ni do ğan; risk fak tör le ri A AB BS S T TR RA AC CT T O Ob b j je ec c t ti i v ve e: : In this study, we pros pec ti vely in ves ti ga ted all pa ti ents hos pi ta li zed in the ne o na tal in ten si ve ca re unit (NI CU) and as sessed the eti o lo gi cal fac tors and cli ni cal, la bo ra tory and tre at ment da ta of the pa ti ents who ex pe ri en ced no so co mi al in fec ti ons (NI). M Ma a t te e r ri i a al l a an nd d M Me et t h ho od ds s: : The study was con duc ted pros pec ti vely bet we en Ja nu ary 1, 2005 and Ja nu ary 1, 2006 in NI CU of Es ki se hir Os man ga zi Uni ver sity Fa culty of Me di ci ne, De part ment of Pe di at rics. R Re e--s su ul lt ts s: : Thro ug ho ut the study pe ri od, 545 pa ti ents we re as ses sed. A to tal of 133 epi so des of NI deve lo ped in 120 pa ti ents. Na so co mi al in fec...

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Section: Tar Tiş Maunclassified

Nosocomial Infections and Risk Factors in Neonatal Intensive Care Unit

Naz¹,

Özgüneş²,

Tekin³

et al. 2011

Turkiye Klinikleri J Med Sci

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“…These infections should not be in the latent stage or present upon the admission of the patient. In case foreign instruments are inserted or implanted into patient's body via surgery, it is predicted that nosocomial infections may occur within up to one year after the surgical procedure (1)(2)(3)(4)(5).…”

Section: Introductionmentioning

confidence: 99%

Resource allocation: The main problem in infection control in intensive care units of hospitals

Abbaszadeh

Mohamamdnejad

Souri

et al. 2016

J Nurs Midwifery Sci

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Background and Purpose: Nosocomial infections, especially those occurring in intensive care units (ICUs), are one of the major health problems in every community. Nosocomial infections are associated with increased mortality rate and high treatment costs. Effective control of these infections essentially depends on the knowledge of healthcare providers regarding the detection and eradication of the associated causes. This study aimed to investigate the main challenges involved in the prevention and control of nosocomial infections in hospital ICUs. Materials and Methods:This qualitative study was conducted on 21 healthcare providers selected via purposive sampling from various medical subgroups, including anesthesiologist, nursing managers, supervisors, faculty members, head nurses, and hospital managers. Data were collected via semi-structured interviews with the participants. Data analysis was performed using qualitative conventional content analysis. Results:In total, four main themes were emerged from conventional content analysis, as follows: 1) complex nature of work in the ICU; 2) lack of knowledge of healthcare providers; 3) inadequate equipment and resources and 4) human resource shortage. Conclusion:According to the results of this study, appropriate resource allocation, improvement of organizational health structures, and competency of healthcare personnel in hospital ICUs could be remarkably effective in the prevention, control and reduction of nosocomial infections.

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“…No nosso estudo e em concordância com outros estudos uni e multicêntricos publicados, valores baixos de PN e de IG associaram-se a maior risco de IACS. 7,[20][21][22][23][24][25][26][27][28] Por cada semana a mais de idade gestacional, o risco de IACS diminui 20%. RN com IG inferior a 28 semanas tiveram um OR de 5,4 (95% IC 3,1 -9,4. p < 0,001) e com PN inferior a 1 000 g um OR de 5,2 (95% IC 3,1 -8,8. p < 0,001).…”

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“…A NP tem sido referida como um dos principais fatores de risco para IACS, 7,10,22,25,26 o que foi confirmado neste estudo. Por cada dia a mais de NP, o risco de IACS aumenta 22%.…”

unclassified

“…14,20,22,[25][26][27][28] Esta associação poderá estar relacionada com contaminação durante a inserção, manipulação excessiva, interrupção na manutenção do sistema fechado para administração de antibioterapia ou hemoderivados, utilização de solutos contaminados ou contaminação da pele adjacente ao local de inserção. 32 Estudos comprovam que após 15 dias de permanência de CVC, o risco de sépsis aumenta drasticamente.…”

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Fatores de Risco para Sépsis Associada aos Cuidados de Saúde em Recém-nascidos de Muito Baixo Peso

et al. 2016

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RESUMOIntrodução: As infeções associadas aos cuidados de saúde constituem uma importante causa de morbi-mortalidade neonatal, levando a um aumento do tempo de internamento e consequentemente dos seus custos. O objetivo deste estudo foi avaliar a taxa de incidência de infeções associadas aos cuidados de saúde e os seus principais fatores de risco em recém-nascidos de muito baixo peso. Material e Métodos: Estudo retrospetivo dos recém-nascidos de muito baixo peso internados numa maternidade com apoio perinatal diferenciado, durante um período de 10 anos (2005)(2006)(2007)(2008)(2009)(2010)(2011)(2012)(2013)(2014) ABSTRACT Introduction: Healthcare associated infections in very low birth weight infants are associated with significant morbidity and mortality and are also a cause of increased length of stay and hospital costs. The objective of this study was to evaluate the rate of healthcareassociated sepsis and associated risk factors in very low birth weight infants. Material and Methods:Retrospective observational study including very low birth weight infants hospitalized in a Neonatal Intensive Care Unit during ten years (2005)(2006)(2007)(2008)(2009)(2010)(2011)(2012)(2013)(2014). We evaluated the association between several risk factors and healthcare-associated sepsis. Results: 461 very low birth weight infants were admitted. There were 110 episodes of HS in 104 very low birth weight infants and 53 episodes of sepsis associated with central vascular catheter. The density of the sepsis was 7.5/1 000 days of hospitalization and the density of central vascular catheter -associated sepsis was 22.6/1 000 days of use. The infants with HS had lower average birth weight and gestational age (959 ± 228 g vs 1191 ± 249 g and 27.6 ± 2 vs 29.8 ± 2.2 weeks), p < 0.001. After adjusting for birth weight and gestational age we verified an association between healthcare-associated sepsis and antibiotic therapy in D1, the duration of parenteral nutrition and central vascular catheter. After logistic regression only the gestational age and duration of parenteral nutrition remained as independent significant risk factors for healthcare-associated sepsis. Discussion: The independent factors for healthcare-associated sepsis are gestational age and duration of parenteral nutrition. Conclusion: For each extra week on gestational age the risk declined in 20% and for each day of NP the risk increased 22%. Keywords: Cross Infection; Infant, Low Birth Weight; Risk Factors; Sepsis. INTRODUÇÃOAs infeções associadas aos cuidados de saúde (IACS) constituem um problema grave e temível nas unidades de cuidados intensivos neonatais, estando associadas ao aumento da morbi-mortalidade, do tempo de internamento e dos seus custos. 1,2As taxas de IACS neonatais com gravidade associada, como sépsis, reportadas em estudos internacionais variam entre 0,1% nos recém-nascidos de termo e 21-30% nos recém-nascidos de muito baixo peso (RNMBP), tendo uma relação inversamente proporcional ao peso ao nascimento. 1,3Nos últimos anos, os avanços técnicos e a melh...

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Risk Factors for Nosocomial Infection in a Neonatal Intensive Care Unit

Abstract: Invasive device use and duration of use continue to greatly influence the development of nosocomial infection in NICUs. In our cohort, birth weight showed no influence on the development of nosocomial infection. Low maximum Fio(2) influenced the occurrence of overall nosocomial infection.

Cited by 60 publications

References 22 publications

Nosocomial Infections and Risk Factors in Neonatal Intensive Care Unit

Nosocomial Infections and Risk Factors in Neonatal Intensive Care Unit

Resource allocation: The main problem in infection control in intensive care units of hospitals

Fatores de Risco para Sépsis Associada aos Cuidados de Saúde em Recém-nascidos de Muito Baixo Peso

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