scholarly journals Infrastructure and Organization of Adult Intensive Care Units in Resource-Limited Settings

2019 ◽  
pp. 31-68
Author(s):  
Alfred Papali ◽  
Neill K. J. Adhikari ◽  
Janet V. Diaz ◽  
Arjen M. Dondorp ◽  
Martin W. Dünser ◽  
...  
Keyword(s):  
Intensive Care ◽  
Intensive Care Units ◽  
Resource Limited Settings ◽  
Resource Limited

Current practice of diagnosis and management of acute kidney injury in intensive care unit in resource limited settings

2018 ◽  
Vol 46 ◽  
pp. 44-49 ◽  
Author(s):  
Nattachai Srisawat ◽  
Nattaya Sintawichai ◽  
Win Kulvichit ◽  
Nuttha Lumlertgul ◽  
Patita Sitticharoenchai ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Acute Kidney Injury ◽  
Intensive Care ◽  
Current Practice ◽  
Kidney Injury ◽  
Resource Limited Settings ◽  
Diagnosis And Management ◽  
Resource Limited

scholarly journals Incidence and Determinants of Health Care Associated Blood Stream Infection at a Neonatal Intensive Care Unit in Ujjain, India: A Prospective Cohort Study

2018 ◽  
Author(s):  
Mamta Dhaneria ◽  
Sachin Jain ◽  
Poonam Singh ◽  
Aditya Mathur ◽  
Cecilia Stålsby Lundborg ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cohort Study ◽  
Intensive Care ◽  
Neonatal Intensive Care ◽  
Blood Stream Infection ◽  
Blood Stream ◽  
Preterm Neonates ◽  
Resource Limited Settings ◽  
Resource Limited ◽  
Incidence Risk

Very little is known about laboratory confirmed blood stream infections (LCBIs) in neonatal intensive care units (NICUs) in resource-limited settings. The aim of this cohort study was to determine the incidence, risk factors, and causative agents of LCBIs in a level-2 NICU in India. The diagnosis of LCBIs was established using the Centre for Disease Control, USA criteria. A predesigned questionnaire containing risk factors associated with LCBIs was filled-in. A total of 150 neonates (43% preterm) were included in the study. The overall incidence of LCBIs was 31%. The independent risk factors for LCBIs were: preterm neonates (relative risk (RR) 2.23), duration of NICU stay more than 14 days (RR 1.75), chorioamnionitis in the mother (RR 3.18), premature rupture of membrane in mothers (RR 2.32), neonate born through meconium-stained amniotic fluid (RR 2.32), malpresentation (RR 3.05), endotracheal intubation (RR 3.41), umbilical catheterization (RR 4.18), and ventilator-associated pneumonia (RR 3.17). The initiation of minimal enteral nutrition was protective from LCBIs (RR 0.22). The predominant causative organisms were gram-negative pathogens (58%). The results of the present study can be used to design antibiotic interventions to reduce LCBIs in resource-limited settings.

Sign in / Sign up

Export Citation Format

Share Document