[Overview of nosocomial infections in a neonatal intensive care unit (1989-1993)].
Newborns admitted to any Intensive Care Unit (ICU) are more at risk for nosocomial infections. The author analyzed the incidence of nosocomial bacteriaemias occurred in the neonatal ICU of Trento, especially focusing on the relationship between weight at delivery, incidence of infections and mortality. The incidence of bacteriaemiae during the observation period (1.189-31.12.93) accounted for 3.5%, and 2.8% were classified as nosocomial. The most frequently involved organism was the Staphylococcus PCN (62% of bacteriaemiae). High risk newborns weighted < 1500 g; 10.7% were affected by nosocomial bactaeriaemia, representing the 56.1% of all the observed bacteriaemiae. A strong association (p < 0.05) was also observed between bactaeriaemiae and mortality, in newborns weighting less than 1000 g. Since low and very low birth weigh infants are particularly at risk for infections, special attention should be paid to the invasive techniques and a systematic reporting and documentation of epidemiology of infections, in order to monitor impact of modifications in caring techniques is warranted.
D016470:Bacteremia / Q000209:etiology* / Q000401:mortality; D001724:Birth Weight; D003428:Cross Infection / Q000209:etiology* / Q000401:mortality; D017052:Hospital Mortality; D006801:Humans; D015994:Incidence; D007231:Infant, Newborn; D017053:Infection Control; D007363:Intensive Care Units, Neonatal; D012307:Risk Factors
Sorveglianza delle infezioni nosocomiali in unità di terapia intensiva neonatale (1989-1993).