title: Risk factors for neonatal Klebsiella septicemia in Srinagarind Hospital.
abstract: Three years' data were analysed to assess the risk factors for neonatal Klebsiella septicemia in Srinagarind Hospital. The incidence of Klebsiella septicemia was 4.1 per 1,000 livebirths or 5.2 per 100 discharged infants. Eighty-two per cent of infected cases were low birth weight infants and 67.7% were born prematurely. From multivariate analysis, the risk factors were endotracheal intubation (OR 31.57, 95% CI 289-343.82) and central venous catheterization (OR 16.99, 95% CI1.15-250.37). The overall mortality rate was 67.7%. Periodic review and continuous reinforcement of infection control policies in the neonatal unit are of paramount importance to decrease the incidence of nosocomial infection and successful control of outbreaks as well.
authors.affiliation: Department of Pediatrics, Khon Kaen University, Thailand.
authors.forename: K
authors.initials: K
authors.lastname: Pengsaa
authors.forename: P
authors.initials: P
authors.lastname: Lumbiganon
authors.forename: S
authors.initials: S
authors.lastname: Taksaphan
authors.forename: S
authors.initials: S
authors.lastname: Pairojkul
authors.forename: T
authors.initials: T
authors.lastname: Sookpranee
authors.forename: P
authors.initials: P
authors.lastname: Kosuwon
authors.forename: C
authors.initials: C
authors.lastname: Panthongviriyakul
authors.forename: M
authors.initials: M
authors.lastname: Sookpranee
authors.forename: W
authors.initials: W
authors.lastname: Kosuwon
authors.forename: C
authors.initials: C
authors.lastname: Wilailuckana
authors.forename: J
authors.initials: J
authors.lastname: Noppawinyoowong
authors.forename: W
authors.initials: W
authors.lastname: Bhudisawasdi
authors.forename: J
authors.initials: J
authors.lastname: Sithikesorn
authors.forename: P
authors.initials: P
authors.lastname: Waetasak
authors.forename: C
authors.initials: C
authors.lastname: Namkun
mesh_terms: D016470:Bacteremia / Q000517:prevention & control / Q000635:transmission*; D016022:Case-Control Studies; D003428:Cross Infection / Q000517:prevention & control / Q000635:transmission*; D003906:Developing Countries; D005260:Female; D006801:Humans; D007230:Infant, Low Birth Weight; D007231:Infant, Newborn; D007235:Infant, Premature, Diseases / Q000453:epidemiology* / Q000517:prevention & control; D007363:Intensive Care Units, Neonatal / Q000706:statistics & numerical data; D007710:Klebsiella Infections / Q000517:prevention & control / Q000635:transmission*; D008297:Male; D012189:Retrospective Studies; D012307:Risk Factors; D013785:Thailand / Q000453:epidemiology