Health care–associated infection surveillance in a tertiary neonatal intensive care unit: A prospective clinical study after moving to a new building

Cura, Ceyhun; Özen, Metehan; Kara, Aybüke Akaslan; Alkan, Gülsüm; Çetin, Emel Sesli

doi:10.1016/j.ajic.2015.07.032

Cited by 10 publications

(8 citation statements)

References 14 publications

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“…The uropathogens identified in this study is similar to other studies. 9,11 The E.coli is the most common pathogen isolated with a rate of 55.88% similar to studies done by Srinath MP et al (53.8%) 9 Manjula N.G.et al(56.89%) 12 and Ranjan et al(50%) 8. E. coli being a endogenous flora of the colon, usually colonize the periurethral area and vaginal introitus.Pregnancy may make difficulty to maintain personal hygiene due to anatomical and functional changes in them.…”

Section: Graphsupporting

confidence: 58%

Etiology and Prevalence of Urinary Tract Infections Among Pregnant Women in a Tertiary Care Hospital in Kota Region

Saxena

Sharma

Soni

et al. 2019

IJMBS

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Background: UTI’s are more common during pregnancy because of changes in the urinary tract and has been reported among 20% of the pregnant women with significant reason for hospital admission. It has several adverse outcomes not only on the mother but also on the fetus like chronic renal failure, pyelonephritis, preeclampsia, anemia, fetal mortality and premature delivery. Patients and methods: The aim of this study was to determine the prevalence and etiologyof UTI among 120 pregnant women attending the ANC of GMC Kotaduring the study period from January 2017 to June 2017.UTI was diagnosed by growth of at least 105 CFU/ml of a urinary tract pathogen in a culture of a midstream urine sample. The isolated bacteria were identified by biochemical tests. Results: Of the 120 urine samples examined in this study,34 (28.33%) were found to contain significant bacteriuria. Of the variables examined, Highest prevalence was observed in 21-25 years age group (50%), multipara (44.11%), and in 3rd trimester (55.88%). The bacterial pathogens isolated were most commonly Escherichia coli (55.88%), Klebsiella sps(20.6%), Pseudomonas sps(8.82%), Proteus sps(5.88%), Enterobacter sps(5.88%), Enterococcus sps(2.94%). Conclusion: The prevalence rate of urinary tract infection (UTI) during pregnancy is high. So it is important to do routine screening of all pregnant women for significant bacteriuria to reduce the complications on both maternal and fetal health. The study also recommends health education on personal sanitary hygiene.

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Section: Graphsupporting

confidence: 58%

Etiology and Prevalence of Urinary Tract Infections Among Pregnant Women in a Tertiary Care Hospital in Kota Region

Saxena

Sharma

Soni

et al. 2019

IJMBS

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“…In the multivariate analysis, we identified the use of CVC/UC, being born before < 32 weeks of gestation and the use of urinary catheter as independent risk factors for HCAI. Similarly, Aurit et al and Djordjevic et al reported the same determinants as independent risk factors [36,37]. Administration of TPN, the use of devices such as catheters and ventilators was found to be a risk factor by Yapicioglu et al [20].…”

Section: Discussionmentioning

confidence: 88%

“…Many factors such as length of hospitalization, gestational age, birth weight, mechanical ventilation, use of central catheter, parenteral nutrition, male sex, surgical operation, fifth-minute APGAR score and use of intravenous antibiotics have been reported as risk factors for HCAIs in various studies [22,24,[35][36][37]. In the multivariate analysis, we identified the use of CVC/UC, being born before < 32 weeks of gestation and the use of urinary catheter as independent risk factors for HCAI.…”

Section: Discussionmentioning

confidence: 99%

Health care-associated infection surveillance: A prospective study of a tertiary neonatal intensive care unit

Kilic

Okulu

Kocabaş

et al. 2019

J Infect Dev Ctries

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Introduction: Health care-associated infection (HCAI) is a serious problem of neonatal intensive care units (NICUs) which is related to morbidity, mortality and increased cost of medical care. This study aimed to determine the incidence of HCAI in a tertiary NICU and identify the risk factors. Methodology: This prospective cohort study was conducted between July 1, 2011 and June 30, 2012. All newborns admitted to the NICU except for those who died or were discharged within 48 hours after admission were included. The definitions of Centers for Disease Control and Prevention (CDC) were used to diagnose specific types of infections. The incidence, causative organisms, risk factors and mortality of HCAIs were evaluated. Results: Among 352 newborns, a total of 60 HCAI episodes were evaluated in 37 (10.5%) of the patients over 5,212 patient-days. The overall incidence of HCAI was 17%, and the rate was 11.5/1,000 patient-days. Blood stream infection (BSI) was the most common HCAI (n = 42, 70%). In a multivariable logistic regression analysis, the presence of a central venous catheter/umbilical catheter (CVC/UC), the presence of a urinary catheter, and gestational age (< 32 weeks of gestation) were identified as significant independent risk factors. Gram-negative pathogens were the most common isolates. The overall mortality rate was 4%. The HCAI-related mortality rate was 10.8%. Conclusions: Patient care quality can be improved with surveillance of HCAI. The incidence and rate of HCAI in our NICU were found to be higher than international reports with a direct impact on mortality of preterm infants.

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“…Infections associated with neonatal care present a real public health problem responsible for increased neonatal morbidity and mortality. Literature reports a prevalence of health-care associated infections (HAI) in neonatal intensive care unit (NICU) varying from 8.7% to 74.3% [1, 2, 3]. The incidence of NICU HAI in Europe is 25.6% [4].…”

Section: Introductionmentioning

confidence: 99%

Assessment of surface cleaning and disinfection in neonatal intensive care unit

Chiguer

Maleb

Amrani

et al. 2019

Heliyon

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BackgroundSurveillance for healthcare-associated infections (HAI) is a priority in the neonatal intensive care unit (NICU), given the critical immune status of patients. The aim of this study was to assess surface bacterial contamination before and after improving cleaning and disinfection practices.Materials and methodsThis was a cross-sectional study conducted in March 2018. Surface samples were taken from the same areas in three steps: after cleaning, after "improved" cleaning, and after terminal disinfection using hydrogen peroxide vapor (VHP). Sampling and culture was carried out according to standard ISO14698-1: 2004. Results interpretation was based on the thresholds defined by good hospital pharmacy practice. Statistical analysis was performed by SPSS 21.0 and a P-value < 0.05 was considered to be significant.ResultsIn total, 290 samples were taken from different zones: fixed equipment (69%), aseptic washbasins (12%), pneumatic system (9%), computer equipment (6%) and mobile equipment (4%). Prevalence of non-compliances after cleaning and disinfection was 75%, 10% after “improved” cleaning, and 0% after automated VHP (P < 0.0001). Median of CFU was 24[EI (0–625)] after standard cleaning, 2[EI (0–35)] after “improved” cleaning and 0 [EI (0–3)] after VHP (P < 0.0001). Isolated germs werecoagulase-negative Staphylococcus (31.2%), Acinetobacter baumannii (26%), Staphylococcus aureus (19.5%), Pseudomonas aeruginosa (9%), Klebsiella pneumoniae (9%), E. coli (4%) and Enterobacter sp (1.3%).ConclusionImproved cleaning and disinfection practices associated to VHP give microbiological satisfactory results. It is important to educate cleaning staff for effective surface cleaning and disinfection operations to control HAI.

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Health care–associated infection surveillance in a tertiary neonatal intensive care unit: A prospective clinical study after moving to a new building

Cited by 10 publications

References 14 publications

Etiology and Prevalence of Urinary Tract Infections Among Pregnant Women in a Tertiary Care Hospital in Kota Region

Etiology and Prevalence of Urinary Tract Infections Among Pregnant Women in a Tertiary Care Hospital in Kota Region

Health care-associated infection surveillance: A prospective study of a tertiary neonatal intensive care unit

Assessment of surface cleaning and disinfection in neonatal intensive care unit

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