Yenidoğan ve yenidoğan yoğun bakım servisinde hastane enfeksiyonları

Abstract

Aim: Nosocomial infections (NI) in a neonatal intensive care unit (NICU) and neonatal clinic were evaluated during a one-year-period. Material and Method: 314 newborns were investigated for nosocomial infections. Local ethics committee approval was given for this study. Nosocomial infections was defined using the CDC criteria. Results: Nosocomial infections developed in 53% of 127 patients (58% with culture positivity) in the NICU and in 2.6% of 187 patients (all with a negative culture) in the neonatal clinic. In total, (NICU plus neonatal clinic), NI developed in 23% of hosptalized patients. Nosocomial infections rate was 42.3% and in terms of patient days, NI rate was 14/1000 patient-day. When evaluated separately, NI developed in 53.5% of patients admitted in NICU and in 2.6% of neonatal clinic patients. Also, NI rates were 17.9/1000 patient-day in NICU and 1.6/1000 patient-day in the neonatal clinic. Patients with NI stayed at the hospital for 73.6±47.8 day in NICU and for 16.0±6.7 day in the neonatal clinic. Nosocomial infections developed on the 29.4±30.9 th d in NICU and on the 7.6±2.9 th day in the neonatal clinic. In NICU, in terms of 128 NI episodes, the NI related mortality was 8.5%. 16.1% (n: 11) of the patients with NI died. They died on the 56.7±50.2 nd day of admission and on the 25.8±10.2 nd day second after NI diagnosis. There was no mortality in neonatal clinic patients. Conclusions: Our NI rates were slightly higher than the developed countries and lower than the developing countries. (Turk Arch Ped 2011; 46: 293-8)

Bloodstream Infections in a Neonatal Intensive Care Unit

“…In our NICU, catheterization is usually not used except in very low birth weight infants, and this may be a reason for the low incidence observed in sepsis. The median onset of infection from day of admission was 23 days, which is comparable with other studies [16,17]. It is well known that in addition to gestation age, prolonged hospital stay with a number of therapeutic interventions is associated with nosocomial infection.…”