Device-associated pneumonia of very low birth weight infants in Polish Neonatal Intensive Care Units

Wójkowska‐Mach, Jadwiga; Merritt, T. Allen; Borszewska−Kornacka, Maria Katarzyna; Domańska, Joanna; Gulczyńska, Ewa; Nowiczewski, Marek; Helwich, Ewa; Kordek, Agnieszka; Pawlik, Dorota; Adamski, Paweł

doi:10.1016/j.advms.2015.09.002

Cited by 12 publications

(8 citation statements)

References 23 publications

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“…45 , 46 The neonates exposed to non-invasive ventilation had an insignificant risk of acquiring HAIs, similar to other studies showing that the increased duration of NIV utilization poses a higher risk of acquiring HAIs. 24 , 47 …”

Section: Discussionmentioning

confidence: 99%

Preventable contributors to the neonatal healthcare-associated infections: a uni-center analytical study from South India.

Rani

Lewis²,

Chawla

et al. 2022

F1000Res

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Background: Globally, neonatal healthcare-associated infections (HAIs) are known to cause high mortality. HAIs is a preventable condition related to the healthcare environment. The current study explored the contributors to neonatal HAIs in one of the largest tertiary care referral hospitals in South India. Methods: Neonates from December 2016 to June 2018 were observed for the occurrence of healthcare-associated infections and compared with the matched control group. Various observations on neonatal demography, maternal contributors, and medical procedures were made and recorded to explore and analyse the contributors to neonatal HAIs. Univariate and multivariate analysis was carried out to find the contributors. The Odds ratio with 95% CI was also computed and reported. Results: Bloodstream infection (83%) was prevalent among neonates; the maternal contributor was only preterm labor (Odds ratio of 11.93; 95% CI; 6.47-21.98; p<.05) to acquire HAIs. On univariate analysis, mechanical ventilation for > 3days duration, NIV for > five days, and PICC line insertion procedure were significant (p<0.05) contributors to neonatal HAIs. IV cannulation for more than three times in four consecutive days was found in 100(85%) neonates considered being associated with neonatal HAIs. On multivariate analysis, NIV, PICC line, preterm labor, and low birth weight were significant (p<0.05) contributors to neonatal HAIs. Conclusion: The increased duration of invasive and non-invasive therapeutic devices and catheters contributes to neonatal HAIs. Neonates are acquiring bloodstream infections; low birth weight (LBW) neonates are more susceptible to acquiring HAIs.

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Section: Discussionmentioning

confidence: 99%

Preventable contributors to the neonatal healthcare-associated infections: a uni-center analytical study from South India.

Rani

Lewis²,

Chawla

et al. 2022

F1000Res

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“…11,18 ). Unfortunately, a high incidence of PN was observed in Poland not only in adults ICUs but also in neonatal ICUs 19 .…”

Section: Discussionmentioning

confidence: 99%

Epidemiology of healthcare-associated infections in Polish intensive care. A multicenter study based on active surveillance

Wałaszek

Różańska

Bulanda

et al. 2018

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub

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Despite the lack of widely implemented active targeted surveillance programmes and top-down incentives, it is possible to carry out effective surveillance of HAIs in ICUs in Poland. The results of this study are comparable with the ECDC data, but the results are alarmingly high in two fields: epidemiology of PN and BSIs and very high antibiotic resistance in Gram-negative rods, which indicate the need for intense control in this area and for further studies to clarify the source of the observed discrepancy.

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“…These data are higher than those reported for NHSN surveillance, but similar to rates reported by Wójkowska-Mach et al in six Polish NICU (3.1/1000 NICU patient days) between 2009 and 2011 and by Tekin et al in a 4-year device-associated nosocomial infections surveillance in a single NICU of Turkey (6.4 per 1000/ventilator days). 21 , 22 In another study included in our analysis, Rosenthal et al described VAP rates in 30 NICU from a multicenter study and included two Brazilian NICU, but it was not possible to determine the exact rate in these two units.…”

Section: Discussionmentioning

confidence: 99%

Ventilator-associated pneumonia agents in Brazilian Neonatal Intensive Care Units – a systematic review

Silva

Bom

et al. 2018

The Brazilian Journal of Infectious Diseases

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Device-associated pneumonia of very low birth weight infants in Polish Neonatal Intensive Care Units

Cited by 12 publications

References 23 publications

Preventable contributors to the neonatal healthcare-associated infections: a uni-center analytical study from South India.

Preventable contributors to the neonatal healthcare-associated infections: a uni-center analytical study from South India.

Epidemiology of healthcare-associated infections in Polish intensive care. A multicenter study based on active surveillance

Ventilator-associated pneumonia agents in Brazilian Neonatal Intensive Care Units – a systematic review

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