Spatial and environmental correlates of organism colonization and infection in the neonatal intensive care unit

Objective To examine organism colonization and infection in the neonatal intensive care unit as a result of environmental and spatial factors. Study design A retrospective cohort of infants admitted between 2006 and 2015 ( n = 11 428), to assess the relationship between location and four outcomes:...

Ausführliche Beschreibung

Gespeichert in:

Bibliographische Detailangaben
Veröffentlicht in:	Journal of perinatology 2018-05, Vol.38 (5), p.567-573
Hauptverfasser:	Goldstein, Neal D., Tuttle, Deborah, Tabb, Loni P., Paul, David A., Eppes, Stephen C.
Format:	Artikel
Sprache:	eng
Schlagworte:	692/308/174 692/699/255/1318 Colonization Cross infection Cross Infection - epidemiology Cross Infection - prevention & control Data processing Delaware - epidemiology Design factors Drug resistance Environment Equipment Contamination Female Health risks Humans Infant, Newborn Infants Infection Infection Control - methods Infections Intensive care Intensive Care Units, Neonatal Intubation, Intratracheal - adverse effects Klebsiella Klebsiella Infections - epidemiology Klebsiella Infections - prevention & control Logistic Models Male Medical equipment Medicine Medicine & Public Health Methicillin Methicillin-Resistant Staphylococcus aureus Microbial colonies Neonatal diseases Neonates Newborn babies Newborn infants Outcome Assessment, Health Care Pediatric research Pediatric Surgery Pediatrics Pneumonia Pseudomonas aeruginosa Regression analysis Regression models Retrospective Studies Risk analysis Risk Factors Sepsis Sepsis - epidemiology Sepsis - prevention & control Spatial Analysis Spatial distribution Staphylococcal Infections - epidemiology Staphylococcal Infections - prevention & control Staphylococcus aureus Staphylococcus aureus infections Staphylococcus infections
Online-Zugang:	Volltext
Tags:	Tag hinzufügen Keine Tags, Fügen Sie den ersten Tag hinzu!

Beschreibung
Zusammenfassung:	Objective To examine organism colonization and infection in the neonatal intensive care unit as a result of environmental and spatial factors. Study design A retrospective cohort of infants admitted between 2006 and 2015 ( n = 11 428), to assess the relationship between location and four outcomes: methicillin-resistant Staphylococcus aureus (MRSA) colonization; culture-confirmed late-onset sepsis; and, if intubated, endotracheal tube colonization with Pseudomonas aeruginosa or Klebsiella pneumonia . Independent risk factors were identified with mixed-effects logistic regression models and Moran’s I for spatial autocorrelation. Result All four outcomes statistically clustered by location; neighboring colonization also influenced risk of MRSA ( p
ISSN:	0743-8346 1476-5543
DOI:	10.1038/s41372-017-0019-1