[Microbiological monitoring in neonatal intensive care].
There is no "ideal" method of infection diseases control, but there are some different methods according to the risk degree of patient, the problems, the information accuracy and also the available resources. Some important points need to be stressed about infectious diseases control in Neonatal Intensive Care Unit:--continuous microbiological surveillance in Neonatal Intensive Care Unit is necessary, because newborns admitted are at very high risk of infection disease;--continuous microbiological data review is needed: therefore criticism and integration with other clinical and laboratory data are necessary to exclude simple colonisation;--critical analysis of data allows more rational use of antimicrobical agents to avoid the selection of multiresistant bacteric streams;--a rational analysis of laboratory data needs necessarily a strict collaboration among neonatologists, microbiologists and the Committee for infectious diseases control;--in epidemics, techniques of bacterial streams typization are needed, and methods of molecular biology (DNA and proteins analysis) are better;--this implies a collection of microbiological data, by database integrating microbiological, clinical and anamnestic data and allowing retrospective studies too.
Fabris
C
C
Cattedra di Neonatologia, Università di Torino. fabris@pediatria.unito.it
Coscia
A
A
Bertino
E
E
Borgione
S
S
Martano
C
C
Spola
R
R
Rossetti
G
G
Simonitti
A
A
D003428:Cross Infection / Q000517:prevention & control*; D006801:Humans; D007231:Infant, Newborn; D015931:Intensive Care, Neonatal; D011159:Population Surveillance