scholarly journals 04 - NOSOCOMIAL INFECTIONS AND ANTIMICROBIAL RESISTANCE IN A PEDIATRIC AND NEONATAL INTENSIVE CARE UNIT IN SPAIN

2018 ◽  
Author(s):  
Lorena Bermúdez Barrezueta ◽  
María Miñambres
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Antimicrobial Resistance ◽  
Neonatal Intensive Care Unit ◽  
Nosocomial Infections ◽  
Neonatal Intensive Care

Nosocomial Infections in a Neonatal Intensive Care Unit

1983 ◽  
Vol 147 (4) ◽  
pp. 787-787
Author(s):  
D. A. Goldmann ◽  
W. A. Durbin ◽  
J. Freeman
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Nosocomial Infections ◽  
Neonatal Intensive Care

scholarly journals Nosocomial infections in a neonatal intensive care unit during 16 years: 1997-2012

2014 ◽  
Vol 47 (3) ◽  
pp. 321-326 ◽  
Author(s):  
Jane Eire Urzedo ◽  
Maria Margarida Morena Domingos Levenhagen ◽  
Reginaldo Santos Pedroso ◽  
Vânia Olivetti Steffen Abdallah ◽  
Sebastiana Silva Sabino ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Nosocomial Infections ◽  
Neonatal Intensive Care

scholarly journals Bacterial Nosocomial Infection: Experience of the Neonatal Intensive Care Unit at the University Hospital of Marrakech

2019 ◽  
Vol 11 (1) ◽  
pp. 17-21
Author(s):  
Asma Helyaich ◽  
Nadia El Idrissi Slitine ◽  
Fatiha Bennaoui ◽  
abdelmounaim Aboussad ◽  
Nabila Soraa ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Birth Weight ◽  
Nosocomial Infection ◽  
Neonatal Intensive Care Unit ◽  
Nosocomial Infections ◽  
Neonatal Intensive Care ◽  
Severity Of Illness ◽  
University Hospital ◽  
Hygiene Measures

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.

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

2010 ◽  
Vol 16 (01) ◽  
pp. 40-44 ◽  
Author(s):  
A.A. Mahfouz ◽  
T.A. Al Azraqi ◽  
F.I. Abbag ◽  
M.N. Al Gamal ◽  
S. Seef ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Saudi Arabia ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Nosocomial Infections ◽  
Neonatal Intensive Care

scholarly journals Nosocomial infections in neonatal intensive care units: Cost-effective control strategies in resource-limited countries

2013 ◽  
Vol 40 (2) ◽  
pp. 125-132
Author(s):  
SN Uwaezuoke ◽  
HA Obu
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Hand Hygiene ◽  
Neonatal Intensive Care Unit ◽  
Nosocomial Infections ◽  
Neonatal Intensive Care ◽  
Control Strategies ◽  
Cost Effective ◽  
Effective Control ◽  
Resource Limited

Background: Nosocomial infections or hospital-acquired infectionsconstitute a global health problem. They lead to significant morbidity and mortality in both developed and resource-limited countries. The neonatal intensive care unit (NICU) is a suitable environment for disseminating these infections; underscoring the need for preventive intervention measures.Objectives: This review aims to highlight the global burden of nosocomialinfections in neonatal intensive care units (NICUs), to discuss their epidemiology and clinical spectrum, as well as the costeffective control strategies in resource-limited settings.Sources: Sources of information were from Google searches andPubMed- linked articles using the key words- nosocomial infections,neonatal intensive care unit, control. Related articles from hard copiesof medical literature and journals were also gathered.Results: Although paucity of data exists on the incidence of nosocomialinfections in NICUs in developing countries, reports from developedcountries indicate a range of 6% to 25%. Much higher figures were noted in some developing countries. Several risk factors for nosocomial infections were identified but varied in different NICUs surveyed. Effective control strategies have been recommended but hand washing or hand hygiene appears universally applicable in both developed and resource-limitedcountries. Economic analyses of these strategies in developed countrieshave established their costeffectiveness while the adaptability of hand hygiene program to resource-limited settings has been demonstrated in a World Health Organization pilot study in sub- Saharan Africa.Conclusion: Hand washing or hand hygiene by health-care personnelremains the most important evidence-based and cost-effective controlstrategy for the spread of nosocomial infections in NICUs in resource-limited countries.Key words: nosocomial infections; neonatal intensive care unit;control.

scholarly journals Quality improvement initiative approach to decrease the unindicated usage of antibiotics in a neonatal intensive care unit of a tertiary care teaching hospital in Hyderabad, India

2021 ◽  
Vol 10 (Suppl 1) ◽  
pp. e001474
Author(s):  
Kalyan Chakravarthy Konda ◽  
Himabindu Singh ◽  
Alimelu Madireddy ◽  
Megha Mala Rao Poodari
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Quality Improvement ◽  
Antimicrobial Resistance ◽  
Neonatal Intensive Care Unit ◽  
Antibiotic Stewardship ◽  
Neonatal Intensive Care ◽  
Tertiary Care ◽  
Quality Improvement Initiative ◽  
Antibiotic Lock

Antimicrobial resistance is an emerging global problem concerned with patient safety. It is even more challenging in developing countries like India. Antibiotic stewardship initiative is the best arrow in the quiver to prevent and control this antimicrobial resistance. We observed 61% of the neonates admitted to neonatal intensive care unit of Niloufer hospital, Hyderabad, India were receiving improper antibiotics with respect to choice of drug or dosage or duration. Subsequently, an antibiotic stewardship team was formed to address the antibiotic misuse. Team consisted of neonatology faculty, residents, staff nurses, infection control nurses and microbiologist. We identified problems related to staff awareness, policy issues like lack of display of the antibiotic policy and lack of antibiotic lock, process issues like low rate of documentation of indication for initiation or escalation of antibiotic and a lack of dynamic review plan regarding continuation or de-escalation. We used the Plan-Do-Study-Act cycles to test and adapt solutions to these problems. Within 10 weeks of starting our quality improvement (QI) project, the proportion of unindicated antibiotic usage decreased from 61% to 27%. Timely de-escalation of antibiotic is a neglected intervention in neonates, and yielded the maximum result in our study. We conclude that QI projects are simple, doable yet powerful effective tools to address the burning problems like antibiotic misuse. This result was very satisfying and encouraging boosting our team’s faith in the effectiveness of QI approach.

Sign in / Sign up

Export Citation Format

Share Document