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Risk Factors for Health Care-Associated Bloodstream Infections in a Neonatal Intensive Care Unit.

Abstract：

BACKGROUND:Healthcare-associated bloodstream infections (HCA-BSI) are a major cause of morbidity and mortality in neonatal intensive care units (NICUs). OBJECTIVES:We aimed to determine the causative organisms and risk factors of HCA-BSIs in NICUs. METHODS:This study was performed between January 2011 and December 2014 in the neonatal intensive care unit of Dicle university, Turkey. The study consisted of 126 patients (infected group) with positive blood culture and 126 randomly selected patients (uninfected control group) with negative blood culture after four days of hospitalization. RESULTS:We found that the most common causative agents isolated from nosocomial infections (NIs) were 20.7% Staphylococcus epidermidis, 26.7% Klebsiella spp., and 13.3% Acinetobacter spp. Incidences of low gestational age, low birth weight, vaginal birth type, and long length of hospitalization were higher in the infected neonates than in the uninfected neonates. In the univariate analysis, surgical operation, ventriculoperitoneal shunt, use of umbilical catheter, nasogastric or orogastric tube, urinary catheter, mechanical ventilation, surfactant treatment, erythrocyte transfusion, plasma transfusion, thrombocyte transfusion, total parenteral nutrition infusion, intracranial hemorrhage, length of hospital stay, fifth-minute Apgar score, and total parenteral nutrition time were significantly associated with NIs. In the multiple logistic regression analysis, fifth-minute Apgar, use of erythrocyte transfusion and surgical operation were found as the independent risk factors for HCA-BSI. CONCLUSIONS:This study determined the causative organisms and risk factors of HCA-BSIs in NICUs.

journal_name

Iran J Pediatr

journal_title

Iranian journal of pediatrics

authors

Ertugrul S,Aktar F,Yolbas I,Yilmaz A,Elbey B,Yildirim A,Yilmaz K,Tekin R

doi

10.5812/ijp.5213

subject

Has Abstract

pub_date

2016-07-27 00:00:00

pages

e5213

issue

5

eissn

2008-2142

issn

2008-2150

journal_volume

26

pub_type

杂志文章

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