Risk factors for nosocomial infections in a neonatal intensive-care unit.

Abstract The clinical records a years cohort of 280 newborn infants consecutively hospitalized for 48h or more in our neonatal intensive-care unit (NICU) were reviewed. Information on the infants' conditions during the first 12h of life, and on the procedures used in the NICU, were collected. Statistical significance was tested by univariate analysis with the χ 2 test and by multivariate logistic regression analysis with the software program SPSS (Version 10). Over the one-year period reviewed, 90 hospital-acquired infections (HAIs) were contracted; 55 (19.6%) of infants had at least one infection during their stay. The overall in-hospital mortality was 7.1%, and mortality was higher in infants in whom at least one infection developed than in non-infected infants (12.7 vs. 5.8% P =0.13). Very low birthweight infants (VLBW

[1]  L. Grohskopf,et al.  Prevalence of nosocomial infections in neonatal intensive care unit patients: Results from the first national point-prevalence survey. , 2001, The Journal of pediatrics.

[2]  D. Goldmann,et al.  A randomized trial comparing povidone-iodine to a chlorhexidine gluconate-impregnated dressing for prevention of central venous catheter infections in neonates. , 2001, Pediatrics.

[3]  D. K. Benjamin,et al.  Bacteremia, central catheters, and neonates: when to pull the line. , 2001, Pediatrics.

[4]  A. Lenaerts,et al.  Catheter manipulations and the risk of catheter-associated bloodstream infection in neonatal intensive care unit patients. , 2001, The Journal of hospital infection.

[5]  P. Beutels,et al.  Additional hospital stay and charges due to hospital-acquired infections in a neonatal intensive care unit. , 2001, The Journal of hospital infection.

[6]  W. Abdullah J Pediatr Child Health , 2000 .

[7]  J. Jordan,et al.  Comparison of 16S rRNA Gene PCR and BACTEC 9240 for Detection of Neonatal Bacteremia , 2000, Journal of Clinical Microbiology.

[8]  J. Karlowsky,et al.  Rapid Identification of Bacteria from Positive Blood Cultures by Fluorescence-Based PCR–Single-Strand Conformation Polymorphism Analysis of the 16S rRNA Gene , 2000, Journal of Clinical Microbiology.

[9]  K. Barrington,et al.  Vancomycin for prophylaxis against sepsis in preterm neonates. , 2000, The Cochrane database of systematic reviews.

[10]  S. Tibby,et al.  Diagnostic markers of infection: comparison of procalcitonin with C reactive protein and leucocyte count , 1999, Archives of disease in childhood.

[11]  J. Coste,et al.  Comparison of procalcitonin with C-reactive protein, interleukin 6 and interferon-alpha for differentiation of bacterial vs. viral infections. , 1999, The Pediatric infectious disease journal.

[12]  G. Escobar,et al.  Neonatal risk scoring systems. Can they predict mortality and morbidity? , 1998, Clinics in perinatology.

[13]  M. Ouellette,et al.  Preventing Antibiotic Resistance through Rapid Genotypic Identification of Bacteria and of Their Antibiotic Resistance Genes in the Clinical Microbiology Laboratory , 1998, Journal of Clinical Microbiology.

[14]  J. Ferguson,et al.  Risk‐stratified nosocomial infection surveillance in a neonatal intensive care unit: Report on 24 months of surveillance , 1996, Journal of paediatrics and child health.

[15]  W J Martone,et al.  Nosocomial infections among neonates in high-risk nurseries in the United States. National Nosocomial Infections Surveillance System. , 1996, Pediatrics.

[16]  J. Tyson,et al.  Early-onset sepsis in very low birth weight neonates: a report from the National Institute of Child Health and Human Development Neonatal Research Network. , 1996, The Journal of pediatrics.

[17]  G. Parry,et al.  CRIB (clinical risk index for babies) in relation to nosocomial bacteraemia in very low birthweight or preterm infants. , 1996, Archives of disease in childhood. Fetal and neonatal edition.

[18]  R A Weinstein,et al.  Strategies to Prevent and Control the Emergence and Spread of Antimicrobial-Resistant Microorganisms in Hospitals. A challenge to hospital leadership. , 1996, JAMA.

[19]  T. N. Raju,et al.  Improving handwashing habits in the newborn nurseries. , 1991, The American journal of the medical sciences.

[20]  B. Yangco,et al.  CDC definitions for nosocomial infections. , 1989, American journal of infection control.

[21]  J M Hughes,et al.  CDC definitions for nosocomial infections, 1988. , 1988, American journal of infection control.

[22]  J. Hughes,et al.  The financial incentive for hospitals to prevent nosocomial infections under the prospective payment system. An empirical determination from a nationally representative sample. , 1987, JAMA.

[23]  D. Goldmann,et al.  Nosocomial infection and death in a neonatal intensive care unit. , 1983, The Journal of infectious diseases.

[24]  D. Goldmann,et al.  Nosocomial infections in a neonatal intensive care unit. , 1981, The Journal of infectious diseases.

[25]  M. R. Britt,et al.  Nosocomial infections in a newborn intensive-care unit. Results of forty-one months of surveillance. , 1976, The New England journal of medicine.

[26]  E. Bingen,et al.  Prolongation of hospital stay and extra costs due to hospital-acquired infection in a neonatal unit. , 1997, The Journal of hospital infection.

[27]  D. Goldmann,et al.  Control of nosocomial antimicrobial-resistant bacteria: a strategic priority for hospitals worldwide. , 1997, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.