NOSOCOMIAL INFECTION IN NEONATAL INTENSIVE CARE UNIT: A THREAT FOR TERTIARY REFERRAL CENTRE OF BANGLADESH

Author(s):  
Mohammad Abdul Mannan
2021 ◽  
pp. 175045892110452
Author(s):  
CU Menakaya ◽  
M Durand-Hill ◽  
O Okereke ◽  
DM Eastwood

Introduction: Nosocomial COVID-19 increases morbidity and mortality in patients undergoing surgical procedures. This study assesses the consenting process in patients admitted for surgical procedures with regard to risks of contracting nosocomial COVID-19 infection during the three lockdown periods in the United Kingdom. Methods: Retrospective review of consecutive surgical patients admitted to our tertiary referral centre for surgical procedures during the lockdown periods in the United Kingdom. Data from our hospital’s electronic theatre database cross-referenced with the online surgical operative, admission and discharge records were reviewed by three independent reviewers. Discussion: A total of 180 patients (104 males and 76 females) were studied. No patients tested positive perioperatively for COVID-19. The first lockdown had a significantly larger proportion of consultants consenting (P < 0.001). Surgeons consented patients for risk of COVID-19 infection in 34.4% of cases, COVID-19-related illness in 33.9%, inpatient Intensive Care Unit (ITU) admission secondary to COVID-19 infection and risk of death due to COVID-19 in 0.0% and risk of death secondary to inpatient COVID infection in 1.1%. Conclusion: As surgical activity continues and COVID-19 persists, surgeons should be vigilant and ensure proper documentation for consent regarding COVID-19-related complications in line with the Royal College of Surgeons of England guidelines.


CHEST Journal ◽  
2016 ◽  
Vol 150 (4) ◽  
pp. 1314A
Author(s):  
Rucha Dagaonkar ◽  
Dominic Marshall ◽  
Yeow Chan ◽  
Anura Peters ◽  
Kin Tan Siew ◽  
...  

2001 ◽  
Vol 155 (10) ◽  
pp. 1098 ◽  
Author(s):  
Nagma Zafar ◽  
Colleen M. Wallace ◽  
Patricia Kieffer ◽  
Patricia Schroeder ◽  
Mario Schootman ◽  
...  

2013 ◽  
Vol 83 (3) ◽  
pp. 196-199 ◽  
Author(s):  
F. Abdel-Wahab ◽  
M. Ghoneim ◽  
M. Khashaba ◽  
A.-H. El-Gilany ◽  
D. Abdel-Hady

2019 ◽  
Vol 11 (1) ◽  
pp. 17-21
Author(s):  
Asma Helyaich ◽  
Nadia El Idrissi Slitine ◽  
Fatiha Bennaoui ◽  
abdelmounaim Aboussad ◽  
Nabila Soraa ◽  
...  

Background and AimNosocomial infections are one of the major causes of morbidity in the Neonatal Intensive Care Unit (NICU). Known risk factors include birth weight, gestational age, severity of illness and its related length of stay, and instrumentation.Objective:The purpose of this article is to determine the occurrence of Nosocomial Infections (NIs), including infection rates, main infection sites, and common microorganisms.Methods:A retrospective study was conducted between June 2015 and December 2016.Results:The incidence of nosocomial infection was 16%. The primary reasons for admission were intauterin growth retardation (52.5%).Klebsiella Pneumoniaewas the most commonly identified agent in the blood cultures and in the hospital unit (43.6%). The mortality rate from nosocomial infection was 52.6%. The proportion of infected newborns with a lower than normal birth weight was predominant (58.13%).Conclusion:Thus, prevention of bacterial infection is crucial in these settings of unique patients. In this view, improving neonatal management is a key step, and this includes promotion of breast-feeding and hygiene measures.


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