Original Article The prevalence and diagnostic criteria of health-care associated infections in neonatal intensive care units in Turkey: A multicenter point- prevalence study
| العنوان: | Original Article The prevalence and diagnostic criteria of health-care associated infections in neonatal intensive care units in Turkey: A multicenter point- prevalence study |
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| المؤلفون: | Canan Aygün, Esin Koç, M. Yekta Öncel, Mehmet Satar, Belma Saygili Karagol, Salih Çağrı Çakır, Kadir Şerafettin Tekgündüz, Nejat Narli, Sezin Unal, Yalçın Çelik, Saime Sündüz Uygun, Adil Umut Zübarioğlu, Nükhet Aladağ Çiftdemir, Demet Terek, Ayşe Ecevit, Ibrahim Murat Hirfanoglu, Emel Okulu, Didem Aliefendioğlu, Ozge Saglam, Sule Yigit, Hasan Tezer, Ayşegül Zenciroğlu, Ali Bulbul, Serdar Beken, Münevver Türkmen, Esra Onal, Nuran Üstün, Nihal Oygür, Asuman Coban, Ferit Kulali, Tugba Gursoy, Sevim Ünal, Tuğba Bedir Demirdağ, Adviye Çakıl Sağlık, Suna Oguz, Fatma Narter |
| المساهمون: | Ege Üniversitesi, Gürsoy, Tuğba (ORCID 0000-0002-6084-4067 & YÖK ID 214691), Demirdağ, Tuğba Bedir, Koç¸ Esin, Tezer, Hasan, Oğuz, Suna, Satar, Mehmet, Sağlam, Özge, Uygun, Saime Sündüz, Önal, Esra, Hırfanoğlu, İbrahim Murat, Tekgündüz, Kadir, Oygür, Nihal, Bülbül, Ali, Zübarioğlu, Umut, Üstün, Nuran, Ünal, Sezin, Aygün, Canan, Karagöl, Belma Saygılı, Zenciroğlu, Ayşegül, Öncel, M. Yekta, Sağlık, Adviye Çakıl, Okulu, Emel, Terek, Demet, Narlı, Nejat, Aliefendioğlu, Didem, Ünal, Sevim, Türkmen, Münevver Kaynak, Narter, Fatma Kaya, Çiftdemir, Nükhet Aladağ, Beken, Serdar, Çakır, Salih Çağrı, Yiğit, Şule, Çoban, Asuman, Ecevit, Ayşe, Çelik, Yalçın, Kulalı, Ferit, School of Medicine, Acibadem University Dspace |
| المصدر: | Pediatrics and Neonatology, Vol 62, Iss 2, Pp 208-217 (2021) Pediatrics and Neonatology |
| بيانات النشر: | Elsevier Taiwan, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | medicine.medical_specialty, animal structures, Turkey, media_common.quotation_subject, Population, Prevalence, 030501 epidemiology, 03 medical and health sciences, 0302 clinical medicine, Hygiene, Intensive Care Units, Neonatal, Sepsis, Surveys and Questionnaires, 030225 pediatrics, Intensive care, medicine, Humans, Infection control, Blood culture, education, point prevalence, media_common, Cross Infection, education.field_of_study, medicine.diagnostic_test, business.industry, Infant, Newborn, lcsh:RJ1-570, Pneumonia, Ventilator-Associated, virus diseases, lcsh:Pediatrics, health-care associated infection, medicine.disease, Medicine, Neonatology, Pediatrics, Pneumonia, Catheter, Health-care associated infection, Neonate, Point prevalence, Surveillance, Catheter-Related Infections, Pediatrics, Perinatology and Child Health, Emergency medicine, surveillance, neonate, 0305 other medical science, business |
| الوصف: | Background: healthcare-acquired infections (HAIs) in the neonatal period cause substantial morbidity, mortality, and healthcare costs. Our purpose was to determine the prevalence of HAIs, antimicrobial susceptibility of causative agents, and the adaptivity of the Centres for Disease Control and Prevention (CDC) criteria in neonatal HAI diagnosis. Methods: a HAI point prevalence survey was conducted in the neonatal intensive care units (NICUs) of 31 hospitals from different geographic regions in Turkey. Results: the Point HAI prevalence was 7.6%. Ventilator-associated pneumonia (VAP) and central line-associated bloodstream infections (CLABSI) and late onset sepsis were predominant. The point prevalence of VAP was 2.1%, and the point prevalence of CLABSI was 1.2% in our study. The most common causative agents in HAIs were Gram-negative rods (43.0%), and the most common agent was Klebsiella spp (24.6%); 81.2% of these species were extended spectrum beta-lactamase (ESBL) (+). Blood culture positivity was seen in 33.3% of samples taken from the umbilical venous catheter, whereas 0.9% of samples of peripherally inserted central catheters (PICCs) were positive. In our study, 60% of patients who had culture positivity in endotracheal aspirate or who had purulent endotracheal secretions did not have any daily FiO2 change (p = 0.67) and also 80% did not have any increase in positive end-expiratory pressure (PEEP) (p = 0.7). On the other hand, 18.1% of patients who had clinical deterioration compatible with VAP did not have endotracheal culture positivity (p = 0.005). Conclusions: neonatal HAIs are frequent adverse events in district and regional hospitals. This at-risk population should be prioritized for HAI surveillance and prevention programs through improved infection prevention practices, and hand hygiene compliance should be conducted. CDC diagnostic criteria are not sufficient for NICUs. Future studies are warranted for the diagnosis of HAIs in NICUs. NA |
| وصف الملف: | pdf; application/pdf |
| اللغة: | English |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::ad9c7d788d0de7af2a29790a018f36aa https://hdl.handle.net/11454/69587 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....ad9c7d788d0de7af2a29790a018f36aa |
| قاعدة البيانات: | OpenAIRE |
| الوصف غير متاح. |