Academic Journal
The prevalence and diagnostic criteria of health-care associated infections in neonatal intensive care units in Turkey: A multicenter point- prevalence study
| العنوان: | The prevalence and diagnostic criteria of health-care associated infections in neonatal intensive care units in Turkey: A multicenter point- prevalence study |
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| المؤلفون: | Demirdağ, Tuğba Bedir, Koç, Esin, Tezer, Hasan, Oğuz, Suna, Satar, Mehmet, Sağlam, Özge, Uygun, Saime Sunduz, Önal, Esra, Hirfanoğlu, İbrahim Murat, Tekgündüz, Kadir, Oygur, Nihal, Bülbül, Ali, Zubarioğlu, Adil Umut, Ustun, Nuran, Ünal, Sezin, Aygun, Canan, Karagöl, Belma Saygılı, Zenciroğlu, Ayşegül, Öncel, M. Yekta, Sağlık, Adviye Çakıl, Okulu, Emel, Terek, Demet, Narlı, Nejat, Aliefendioğlu, Didem, Gürsoy, Tuğba, Ünal, Sevim, Türkmen, Münevver Kaynak, Narter, Fatma Kaya, Çiftdemir, Nükhet Aladağ, Beken, Serdar, Çakır, Salih Çağrı, Yiğit, Şule, Çoban, Asuman, Ecevit, Ayşe, Çelik, Yalçın, Kulalı, Ferit |
| المساهمون: | Bursa Uludağ Üniversitesi/Tıp Fakültesi/Neonatoloji Anabilim Dalı., 0000-0001-5761-4757, ÇAKIR, SALİH ÇAĞRI, HJZ-4508-2023 |
| بيانات النشر: | Elsevier Taiwan |
| سنة النشر: | 2021 |
| المجموعة: | Açık Erişim@BUU (Bursa Uludağ Üniversitesi) |
| مصطلحات موضوعية: | Blood-stream infections, Nosocomial infections, Acquired infections, Risk-factors, Surveillance, Prevention, Strategies, Health-care associated infection, Neonate, Point prevalence, Pediatrics |
| الوصف: | Background: Healthcare-acquired infections (HAIs) in the neonatal period cause substantial morbidity, mortality, and healthcare costs. Our purpose was to determine the prevalence of HAIs, antimicrobial susceptibility of causative agents, and the adaptivity of the Centres for Disease Control and Prevention (CDC) criteria in neonatal HAI diagnosis.Methods: A HAI point prevalence survey was conducted in the neonatal intensive care units (NICUs) of 31 hospitals from different geographic regions in Turkey. Results: The Point HAI prevalence was 7.6%. Ventilator-associated pneumonia (VAP) and central line-associated bloodstream infections (CLABSI) and late onset sepsis were predominant. The point prevalence of VAP was 2.1%, and the point prevalence of CLABSI was 1.2% in our study. The most common causative agents in HAIs were Gram-negative rods (43.0%), and the most common agent was Klebsiella spp (24.6%); 81.2% of these species were extended spectrum beta-lactamase (ESBL) (& thorn;). Blood culture positivity was seen in 33.3% of samples taken from the umbilical venous catheter, whereas 0.9% of samples of peripherally inserted central catheters (PICCs) were positive. In our study, 60% of patients who had culture positivity in endotracheal aspirate or who had purulent endotracheal secretions did not have any daily FiO2 change (p = 0.67) and also 80% did not have any increase in positive end-expiratory pressure (PEEP) (p = 0.7). On the other hand, 18.1% of patients who had clinical deterioration compatible with VAP did not have endotracheal culture positivity (p = 0.005).Conclusions: Neonatal HAIs are frequent adverse events in district and regional hospitals. This at-risk population should be prioritized for HAI surveillance and prevention programs through improved infection prevention practices, and hand hygiene compliance should be conducted. CDC diagnostic criteria are not sufficient for NICUs. Future studies are warranted for the diagnosis of HAIs in NICUs. |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf |
| اللغة: | English |
| تدمد: | 1875-9572 2212-1692 |
| Relation: | Makale - Uluslararası Hakemli Dergi; Pediatrics and Neonatology; https://doi.org/10.1016/j.pedneo.2021.01.001; https://www.sciencedirect.com/science/article/pii/S1875957221000012; https://hdl.handle.net/11452/41669; 000631823700012; 208; 217; 62 |
| DOI: | 10.1016/j.pedneo.2021.01.001 |
| الاتاحة: | https://hdl.handle.net/11452/41669 https://doi.org/10.1016/j.pedneo.2021.01.001 https://www.sciencedirect.com/science/article/pii/S1875957221000012 |
| Rights: | info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsbas.DA007341 |
| قاعدة البيانات: | BASE |
Full Text Finder | تدمد: | 18759572 22121692 |
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| DOI: | 10.1016/j.pedneo.2021.01.001 |