HealthCare-associated Infections in a Neonatal Intensive Care Unit in Turkey in 2008: Incidence and Risk Factors, A Prospective Study
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 pre...
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| Veröffentlicht in: | Journal of tropical pediatrics (1980) 2011-06, Vol.57 (3), p.157-164 |
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| container_title | Journal of tropical pediatrics (1980) |
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| creator | YAPICIOGIU, Hacer OZCAN, Kenan SERTDEMIR, Yasar MUTLU, Birgul SATAR, Mehmet NARLI, Nejat TASOVA, Yesim |
| description | 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. |
| doi_str_mv | 10.1093/tropej/fmq060 |
| format | Article |
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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. 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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.</description><subject>Biological and medical sciences</subject><subject>Catheter-Related Infections - epidemiology</subject><subject>Catheter-Related Infections - microbiology</subject><subject>Cross Infection - epidemiology</subject><subject>Cross Infection - microbiology</subject><subject>Female</subject><subject>General aspects</subject><subject>Human infectious diseases. 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Experimental studies and models</topic><topic>Humans</topic><topic>Incidence</topic><topic>Infant, Newborn</topic><topic>Infectious diseases</topic><topic>Intensive Care Units, Neonatal - statistics & numerical data</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Pneumonia, Ventilator-Associated - epidemiology</topic><topic>Pneumonia, Ventilator-Associated - microbiology</topic><topic>Prospective Studies</topic><topic>Risk Factors</topic><topic>Turkey - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>YAPICIOGIU, Hacer</creatorcontrib><creatorcontrib>OZCAN, Kenan</creatorcontrib><creatorcontrib>SERTDEMIR, Yasar</creatorcontrib><creatorcontrib>MUTLU, Birgul</creatorcontrib><creatorcontrib>SATAR, Mehmet</creatorcontrib><creatorcontrib>NARLI, Nejat</creatorcontrib><creatorcontrib>TASOVA, Yesim</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of tropical pediatrics (1980)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>YAPICIOGIU, Hacer</au><au>OZCAN, Kenan</au><au>SERTDEMIR, Yasar</au><au>MUTLU, Birgul</au><au>SATAR, Mehmet</au><au>NARLI, Nejat</au><au>TASOVA, Yesim</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>HealthCare-associated Infections in a Neonatal Intensive Care Unit in Turkey in 2008: Incidence and Risk Factors, A Prospective Study</atitle><jtitle>Journal of tropical pediatrics (1980)</jtitle><addtitle>J Trop Pediatr</addtitle><date>2011-06-01</date><risdate>2011</risdate><volume>57</volume><issue>3</issue><spage>157</spage><epage>164</epage><pages>157-164</pages><issn>0142-6338</issn><eissn>1465-3664</eissn><coden>JTRPAO</coden><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.</abstract><cop>Oxford</cop><pub>Oxford University Press</pub><pmid>20601690</pmid><doi>10.1093/tropej/fmq060</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Oxford University Press Journals All Titles (1996-Current); Alma/SFX Local Collection |
| subjects | Biological and medical sciences Catheter-Related Infections - epidemiology Catheter-Related Infections - microbiology Cross Infection - epidemiology Cross Infection - microbiology Female General aspects Human infectious diseases. Experimental studies and models Humans Incidence Infant, Newborn Infectious diseases Intensive Care Units, Neonatal - statistics & numerical data Male Medical sciences Pneumonia, Ventilator-Associated - epidemiology Pneumonia, Ventilator-Associated - microbiology Prospective Studies Risk Factors Turkey - epidemiology |
| title | HealthCare-associated Infections in a Neonatal Intensive Care Unit in Turkey in 2008: Incidence and Risk Factors, A Prospective Study |
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