Nosocomial infections in a neonatal intensive care unit in south-western Saudi Arabia

Mahfouz, Ahmed A.; Al-Azraqi, Tarik A.; Abbag, Fuad; Al-Gamal, M N; Seef, S; Bello, Carme

doi:10.26719/2010.16.1.40

Cited by 34 publications

(31 citation statements)

References 13 publications

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“…In this study among nosocomial infections, most infections were pneumonia with a prevalence of 47.7%, which correlate with other studies carried out in other areas of the world that showed the high prevalence of this infection (17)(18)(19)(20)(21)(22)(23)). It appears that one of the reasons that causes this type of infection can be high density of patients in each ward or it is probably due to the use of a ventilator.…”

Section: Discussionsupporting

confidence: 78%

“…The prevalence rate of the nosocomial infection is comparable with European countries; the prevalence rates of the nosocomial infection in Norway (13), Italy (14), and France (15) was 5.1%, 5.4%, and 4.9%, respectively. Additionally, in Asian countries, such as the countries of Morocco (6), India (16), Thailand (17), Pakistan (18), and Saudi Arabia (19) is between 5% up to 60%. In some studies that were conducted in Iran, the prevalence rate of nosocomial infection was 4.1%, 0.6%, and 8.4%, respectively in Sari (20), Tehran (7), and Urmia (21), which the prevalence rate of the nosocomial infection was higher than the present study.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Prevalence of Nosocomial Infection in Different Wards of Ghaem Hospital, Mashhad

Falahi¹,

Khaledi²,

Alikhani³

et al. 2017

Avicenna J Clin Microbiol Infect

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Background: The CDC defines a nosocomial infection as a localized or systemic condition caused by an adverse reaction to the presence of an infectious agent(s) or its toxin(s). It is an infection that occurs between 48 to 72 hours after admission of patients in the hospital or as soon after the hospital discharge and on the admission time, patients don't have this infection. Objectives: This study aimed to characterize the prevalence of nosocomial infection in Ghaem hospital, Mashhad, Iran. Methods: This retrospective study was conducted in all wards of the Ghaem hospital, Mashhad during the 1 year period (2013); the data were collected from the wards records and HIS system and analyzed by the SPSS software (version16). Results: In the present study, of total 35979 hospitalized patients in different wards of the Ghaem hospital was reported 1.1% of nosocomial infection. In the meantime, overall, the most prevalent organism was Acinetobacter baumannii with a prevalence of 37.2% and the minimum was linked to the Bacillus species with a prevalence 0.3%. The highest and lowest prevalence of the nosocomial infection was in the ICU and CCU with 49.9% and 0.3%, respectively. In general, among all wards of the mentioned hospital, the most frequent nosocomial infection was pneumonia (47.4%) and the lowest belonged to CSF (2.3%). Conclusions: In our study, the ICU ward was accounted for the highest rate of nosocomial infection, due to the critical importance of this ward. Preventive measures and survivelance system for reduction of nosocomial infections is needed.

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Section: Discussionsupporting

confidence: 78%

Section: Discussionmentioning

confidence: 99%

Prevalence of Nosocomial Infection in Different Wards of Ghaem Hospital, Mashhad

Falahi¹,

Khaledi²,

Alikhani³

et al. 2017

Avicenna J Clin Microbiol Infect

View full text Add to dashboard Cite

show abstract

“…An Italian study identified 6.6% children with VAP among 451 on mechanical ventilation [25], and a mixed PICU in Australia identified 6.7% children with VAP among 269 on mechanical ventilation [26]. VAP is also common in the NICU and proportions between 6.8% and 57.0% of HAIs have been reported [34,[60][61][62][63][64][65][66]. A Spanish study identified VAP in 9.1% of 198 neonates on mechanical ventilation [67].…”

Section: Epidemiologymentioning

confidence: 99%

Ventilator-associated pneumonia in neonates, infants and children

Aelami

Lotfi

Zingg

2014

Antimicrob Resist Infect Control

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Ventilator-associated pneumonia (VAP) is relatively common in mechanically-ventilated children, but there is a wide variation in reported VAP rates, depending on settings and geographical regions. Surveillance definitions in children are challenging. Although these are provided by the German nosocomial infection surveillance system and an independent Dutch group, the combination of clinical and radiologic signs leaves room for interpretation. Of note, the United States Centers for Disease Prevention and Control guidelines do not offer algorithms for neonates. Despite the fact that most experts agree on the low sensitivity and specificity of existing definitions, little has changed over the past years. However, the number of studies reporting on VAP prevention programs has increased in recent years. Single interventions, such as chlorhexidine mouth wash or stress ulcer prophylaxis, were not effective. Successful prevention programs combined multiple interventions, such as hand hygiene, glove and gown use for endotracheal tube manipulation, backrest elevation, oral care with chlorhexidine, stress ulcer prophylaxis, cuff pressure maintenance where appropriate, use of orogastric tubes, avoidance of gastric overdistension, and elimination of non-essential tracheal suction. These multimodal strategies have proved to be successful among neonates, infants, and children. Importantly, they are applicable in high-as well as in low-and middle-income countries. This review provides an update of VAP incidence rates and summarizes current knowledge on its epidemiology, risk factors, surveillance definitions, and prevention programs in the pediatric setting.

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“…The vast majority of infections were caused by Gram-positive organisms according to literature -70%, 10%. (14,15) In our study the percentage of these infections has been about 39% in 2010 and was lowered in 2015 to 22.7%. It was accomplished by putting PICCs instead of umbilical venous catheters and peripheral lines.…”

Section: Discussionmentioning

confidence: 91%

Late onset perinatal sepsis in the neonatology intensive care unit – risk factors

2016

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The lowest-birth-weight premature is very susceptible for nosocomial infections. These infants require the most invasive therapeutic interventions and the longest exposure to environment conductive for microbial colonization. Incidence of nosocomial infection and risk factors in premature has been compared over two years, 2010 and 2015. We examined the effects of common procedures on the incidence of nosocomial sepsis. Birth weight,

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Nosocomial infections in a neonatal intensive care unit in south-western Saudi Arabia

Cited by 34 publications

References 13 publications

Prevalence of Nosocomial Infection in Different Wards of Ghaem Hospital, Mashhad

Prevalence of Nosocomial Infection in Different Wards of Ghaem Hospital, Mashhad

Ventilator-associated pneumonia in neonates, infants and children

Late onset perinatal sepsis in the neonatology intensive care unit – risk factors

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