Infections Acquired in the Nursery: Epidemiology and Control

Heath, Joan; Zerr, Danielle M.

doi:10.1016/b0-72-160537-0/50037-2

Cited by 14 publications

(12 citation statements)

References 229 publications

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“…1,4,9 Causative organisms can be bacterial, viral, or fungal in origin. 1,7,9 Technically, even Candida diaper dermatitis is a NI as it was acquired during the hospital stay and was not perinatally transmitted.…”

Section: Types Of Nosocomial Infectionmentioning

confidence: 98%

“…7 The infant may be inoculated with these organisms in utero or during deliveries but not present with an infection, often late-onset meningitis, until after the first week of life. 8 This late-onset phenomenon often complicates the categorization of neonatal NIs.…”

Section: Types Of Nosocomial Infectionmentioning

confidence: 99%

“…When tracked using NNIS standardized protocols, 89% of the infants with perinatally acquired infections presented with symptoms in the first 48 hours of life. 7 The consortium formed by the National Institute of Child Health and Human Development (NICHD) Neonatal Research Network defines late onset, nosocomially acquired infections as those occurring after the first 3 days, or 72 hours, of life. 5…”

Section: Nosocomial Infections Definitionmentioning

confidence: 99%

“…To help determine whether a neonatal infection is perinatally acquired or nosocomial in origin, neonatal infections have been divided into early-and late-onset infections on the basis of the timing of the presentation of symptoms and causative organism. [5][6][7][8] An early onset or perinatally acquired infection often presents at delivery or becomes evident by day 3 of life. 6 The Centers for Disease Control and Prevention studied the epidemiology of neonatal NIs and developed the National Nosocomial Infections Surveillance (NNIS) system to benchmark NI-rate data for patients in the NICU.…”

Section: Nosocomial Infections Definitionmentioning

confidence: 99%

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Nosocomial Infection in Neonates

Newby¹

2008

Journal of Perinatal &Amp; Neonatal Nursing

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In the neonatal intensive care unit population the nosocomial infection rate is highest in the lowest-birth-weight infants. It is this group of infants who require the most therapeutic interventions to support them leading to frequent invasive procedures and the longest exposure to the hospital environment. However, infection rates vary from one unit to another, suggesting that there are differences in either how infection rates are determined or the care provided in the various units. This article will describe nosocomial infections and rates in the neonatal intensive care unit and identify strategies of care to minimize the risks of nosocomial infection in low-birth-weight infants.

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Section: Types Of Nosocomial Infectionmentioning

confidence: 98%

Section: Types Of Nosocomial Infectionmentioning

confidence: 99%

Section: Nosocomial Infections Definitionmentioning

confidence: 99%

Section: Nosocomial Infections Definitionmentioning

confidence: 99%

See 2 more Smart Citations

Nosocomial Infection in Neonates

Newby¹

2008

Journal of Perinatal &Amp; Neonatal Nursing

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“…Meningitis was diagnosed when there was a high leukocyte count (> 20/mm 3 ), a high protein concentration (> 150 mg/dL) in CSF, and bacterial growth in a CSF culture. [4][5][6] The study protocol was approved by the ethical committee of the hospital and written informed consent from a parent was obtained for each child prior to the study.…”

Section: Methodsmentioning

confidence: 99%

Pentoxifylline Treatment of Very Low Birth Weight Neonates with Nosocomial Sepsis

et al. 2017

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The objective of this study was to assess the result of intravenous pentoxifylline as an adjunct to antibiotic therapy on mortality and morbidity in very low birth weight (VLBW) preterm neonates with nosocomial sepsis. For the 18 VLBW preterm neonates, as an adjunct therapy to antibiotics regimens, pentoxifylline (5 mg/kg/h for 6 hours) was administered to premature infants with sepsis on 3 successive days. Clinical and laboratory parameters were recorded before and after treatment. Following pentoxifylline therapy, the immature-to-total neutrophil ratio and C-reactive protein (CRP) levels were significantly decreased, while the blood pH and base excess were significantly increased ( < 0.05). The axillary temperature, noninvasive blood pressure, hemoglobin, leukocyte, and thrombocyte values did not significantly differ after treatment ( > 0.05). Coagulase-negative staphylococci (CoNS) (32%), (7.3%), (5.3%), and (3.1%) were identified in the blood cultures. There were no short-term morbidities (intraventricular hemorrhages, necrotizing enterocolitis, periventricular leukomalacia, and patent ductus arteriosus), no adverse effects, and no mortalities during or after the pentoxifylline therapy in the preterm neonate participants. The CRP levels and heart rate both decreased, while the pH and base excess parameters of the blood gas analysis changed positively after pentoxifylline treatment in VLBW preterm neonates with nosocomial sepsis.

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The Newborn Infant

Cashore¹

2008

Practical Guide to the Care of the Pediatric Patient

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Infections Acquired in the Nursery: Epidemiology and Control

Cited by 14 publications

References 229 publications

Nosocomial Infection in Neonates

Nosocomial Infection in Neonates

Pentoxifylline Treatment of Very Low Birth Weight Neonates with Nosocomial Sepsis

The Newborn Infant

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