title: Healthcare-associated infections in a neonatal intensive care unit in Turkey in 2008: incidence and risk factors, a prospective study.
abstract: In this study, we have prospectively recorded healthcare-associated infections (HAIs) in NICU and found incidence density as 18 infections per 1000 patient days. Of the infections, 51.3% was bacteriemia (BSI), and 45.1% was ventilator-associated pneumonia (VAP). Gram-negative microorganisms were predominant in VAP and Staphylococcus epidermidis was the leading microorganism (53.0% of BSIs) in BSIs. Multivariate logistic regression analysis showed the importance of hood O(2) use in days (RR: 1.3) and total parenteral nutrition use in days (RR: 1.09) for BSIs. Umbilical arterial catheterization in days (RR: 1.94), ventilator use in days (RR: 1.05), chest tube (RR: 12.55), orogastric feeding (RR: 3.32) and total parenteral nutrition in days (RR: 1.05) were found to be significantly associated with VAP. In conclusion, incidence density in our unit is high and Gram-negative rods are predominant similar to developing countries. These results strongly suggest improving measures of prevention and control of HAIs in the unit.
authors.affiliation: Cukurova University Medical Faculty, Department of Pediatrics, Division of Neonatology, Adana, Turkey. yyhacer@hotmail.com
authors.forename: Hacer
authors.initials: H
authors.lastname: Yapicioglu
authors.forename: Kenan
authors.initials: K
authors.lastname: Ozcan
authors.forename: Yasar
authors.initials: Y
authors.lastname: Sertdemir
authors.forename: Birgul
authors.initials: B
authors.lastname: Mutlu
authors.forename: Mehmet
authors.initials: M
authors.lastname: Satar
authors.forename: Nejat
authors.initials: N
authors.lastname: Narli
authors.forename: Yesim
authors.initials: Y
authors.lastname: Tasova
mesh_terms: D055499:Catheter-Related Infections / Q000453:epidemiology / Q000382:microbiology; D003428:Cross Infection / Q000453:epidemiology* / Q000382:microbiology; D005260:Female; D006801:Humans; D015994:Incidence; D007231:Infant, Newborn; D007363:Intensive Care Units, Neonatal / Q000706:statistics & numerical data*; D008297:Male; D053717:Pneumonia, Ventilator-Associated / Q000453:epidemiology / Q000382:microbiology; D011446:Prospective Studies; D012307:Risk Factors; D014421:Turkey / Q000453:epidemiology