title: [Epidemiology of nosocomial bacterial infection in a neonatal intensive care unit in Morocco].
abstract: In neonatal intensive care units, the incidence of nosocomial infection is high. This study aimed to determine the epidemiology of a nosocomial bacterial infection in the neonatal intensive care unit of Mohamed VI university hospital. A total of 702 newborns were included in this study. Of the 702 neonates studied, 91 had developed a nosocomial infection. The incidence rate was 13% and incidence density was 21.2 per 1000 patient-days. The types of infection were: bloodstream infections (89%), pneumonia (6.6%), meningitis (3.3%), and urinary tract infections (1.1%). Nosocomial infection was particularly frequent in cases of low birth weight, prematurity, young age at admission, umbilical venous catheter, and mechanical ventilation. Multiresistant bacteria included enterobacteria producing betalactamase (76.9%), especially enterobacteria that were dominated by Klebsiella pneumoniae (39.7%). The mortality rate was 52.7% in nosocomial infections, 19 (20.87%) of whom had septic shock. The results of this study show that nosocomial infection is an intrahospital health problem that could be remedied by a prevention strategy.
authors.affiliation: Unité de recherche sur l'enfance, la santé et le développement, faculté de médecine, université Cadi-Ayyad, Marrakech, Maroc; Service de réanimation néonatale, hôpital Mère-Enfant, CHU Mohammed VI, Marrakech, Maroc. Electronic address: fadl2020@hotmail.com.
authors.forename: F-M-R
authors.initials: FM
authors.lastname: Maoulainine
authors.affiliation: Unité de recherche sur l'enfance, la santé et le développement, faculté de médecine, université Cadi-Ayyad, Marrakech, Maroc; Service de réanimation néonatale, hôpital Mère-Enfant, CHU Mohammed VI, Marrakech, Maroc.
authors.forename: N-S
authors.initials: NS
authors.lastname: Elidrissi
authors.affiliation: Unité de recherche sur l'enfance, la santé et le développement, faculté de médecine, université Cadi-Ayyad, Marrakech, Maroc; Service de réanimation néonatale, hôpital Mère-Enfant, CHU Mohammed VI, Marrakech, Maroc.
authors.forename: G
authors.initials: G
authors.lastname: Chkil
authors.affiliation: Unité de recherche sur l'enfance, la santé et le développement, faculté de médecine, université Cadi-Ayyad, Marrakech, Maroc; Service de réanimation néonatale, hôpital Mère-Enfant, CHU Mohammed VI, Marrakech, Maroc.
authors.forename: F
authors.initials: F
authors.lastname: Abba
authors.affiliation: Laboratoire d'analyses médicales, hôpital Mère-Enfant, CHU Mohammed VI, Marrakech, Maroc.
authors.forename: N
authors.initials: N
authors.lastname: Soraa
authors.affiliation: Laboratoire d'analyses médicales, hôpital Mère-Enfant, CHU Mohammed VI, Marrakech, Maroc.
authors.forename: L
authors.initials: L
authors.lastname: Chabaa
authors.affiliation: Laboratoire de statistique, faculté de médecine, université Cadi-Ayyad, Marrakech, Maroc.
authors.forename: M
authors.initials: M
authors.lastname: Amine
authors.affiliation: Unité de recherche sur l'enfance, la santé et le développement, faculté de médecine, université Cadi-Ayyad, Marrakech, Maroc; Service de réanimation néonatale, hôpital Mère-Enfant, CHU Mohammed VI, Marrakech, Maroc.
authors.forename: A
authors.initials: A
authors.lastname: Aboussad
mesh_terms: D001424:Bacterial Infections / Q000453:epidemiology* / Q000382:microbiology; D002406:Catheterization, Peripheral; D003428:Cross Infection / Q000453:epidemiology* / Q000382:microbiology; D005260:Female; D017052:Hospital Mortality; D006785:Hospitals, University; D006801:Humans; D007230:Infant, Low Birth Weight; D007231:Infant, Newborn; D007234:Infant, Premature; D007363:Intensive Care Units, Neonatal; D008297:Male; D009018:Morocco / Q000453:epidemiology; D011446:Prospective Studies; D012121:Respiration, Artificial; D012307:Risk Factors; D012772:Shock, Septic / Q000209:etiology / Q000401:mortality