title: [NEOCAT, surveillance network of catheter-related bloodstream infections in neonates: 2010 data].
abstract: The NEOCAT surveillance network was implemented in 2006 in order to address catheter-associated bloodstream infections (BSIs) in neonates. The results for 2010 surveillance are presented herein. Neonatal intensive care units (NICUs) participated in the study on a voluntary basis. Umbilical catheters (UCs) and central venous catheters (CVCs) were analyzed separately. In 2010, 26NICUs participated. Overall, 2953 neonates were included (median weight, 1550 g; median gestational age, 32 weeks). These neonates had 2551UCs (median insertion duration, 4 days) and 2147CVCs (median insertion duration, 12 days). Thirty-three BSIs associated with UCs were reported, yielding a 2.9/1000UC-day incidence density, 95% confidence interval (95%CI) (1.9-3.8). UC-associated BSIs appeared after a median period of 5 days after UC insertion. The main microorganism isolated from blood cultures was coagulase negative staphylococci (CNS, n=27), S. aureus (n=3), and Enterobacteriaceae (n=5). Three hundred and six CVC-associated BSIs were recorded, yielding a 11.2/1000 CVC-day incidence density (95%CI, 10.0-12.5). These BSIs occurred after a median period of 12 days after CVC insertion. The main microorganisms were CNS (83%), S. aureus (6%), and Enterobacteriaceae (5%). The NEOCAT network provides a useful benchmark for participating wards.
authors.affiliation: Centre de coordination de la lutte contre les infections nosocomiales (CCLIN) Paris-Nord, 96, rue Didot, 75014 Paris, France. francois.l-heriteau@sap.aphp.fr
authors.forename: F
authors.initials: F
authors.lastname: L'Hériteau
authors.forename: L
authors.initials: L
authors.lastname: Lacavé
authors.forename: B
authors.initials: B
authors.lastname: Leboucher
authors.forename: J-W
authors.initials: JW
authors.lastname: Decousser
authors.forename: C
authors.initials: C
authors.lastname: De Chillaz
authors.forename: P
authors.initials: P
authors.lastname: Astagneau
authors.forename: Y
authors.initials: Y
authors.lastname: Aujard
mesh_terms: D016470:Bacteremia / Q000453:epidemiology*; D055499:Catheter-Related Infections / Q000453:epidemiology*; D005260:Female; D005602:France; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D011159:Population Surveillance