scholarly journals Risk Factors for Health Care-Associated Bloodstream Infections in a Neonatal Intensive Care Unit

2016 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Sabahattin Ertugrul ◽  
Fesih Aktar ◽  
Ilyas Yolbas ◽  
Ahmet Yilmaz ◽  
Bilal Elbey ◽  
...  
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Bloodstream Infections

Risk Factors Associated With Laboratory-confirmed Bloodstream Infections in a Tertiary Neonatal Intensive Care Unit

2014 ◽  
Vol 33 (10) ◽  
pp. 1027-1032 ◽  
Author(s):  
Michael A. Padula ◽  
Maya L. Dewan ◽  
Samir S. Shah ◽  
Amy M. Padula ◽  
Lakshmi Srinivasan ◽  
...  
Keyword(s):  
Risk Factors ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Bloodstream Infections ◽  
Factors Associated

Nosocomial Infection Outbreak with Enterobacter aerogenes at a Neonatal Intensive Care Unit and Its Outcomes

2019 ◽  
Vol 14 (05) ◽  
pp. 223-227 ◽  
Author(s):  
Dilek Ulubaş Işık ◽  
Ahmet Yagmur Bas ◽  
Ferit Kulali ◽  
Beyza Ozcan ◽  
Sezin Unal ◽  
...  
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Enterobacter Aerogenes ◽  
Morbidity And Mortality ◽  
Prevention Measures ◽  
Objective Health

Objective Health care associated infections (HAIs) in the neonatal intensive care unit (NICU) are a significant cause of neonatal morbidity and mortality. Enterobacter aerogenes, a gram-negative bacterium, rarely causes HAI in the pediatric and NICUs. We report the case of a HAI outbreak of E. aerogenes in an NICU and discuss the clinical spectrum and outcome of the affected preterm newborns and successful prevention measures. Materials and Methods A retrospective study was conducted in a level III NICU of Etlik Zubeyde Hanım Women's Health Teaching and Research Hospital. The infants with blood cultures positive for E. aerogenes during the outbreak were enrolled. Perinatal risk factors, laboratory findings, symptoms, treatment, and prognosis were recorded. Clinical applications and prevention measures were identified. Results A preterm infant of 27 weeks of gestation who was diagnosed on the eighth postnatal day was the initial case of the reported outbreak of health care associated E. aerogenes infection. Subsequently, 12 more infants were diagnosed in the next 3 months. Infants' mean gestational age was 27.1 ± 2.3 weeks, and mean birthweight was 902 ± 161 g. The clinical symptoms at presentation were respiratory distress, sclerema, circulatory failure, and shock, which appeared at a mean age of 7.6 ± 5.8 days. Analysis of E. aerogenes strains revealed that all strains were of the same clonal type. Eight patients died in follow-up due to E. aerogenes septicemia during this outbreak. The mean interval between the onset of symptoms and death was 1.5 ± 1 days. Conclusion Outbreaks of health care associated E. aerogenes infection result in a high mortality rate among very low birthweight infants. Awareness of adjustable risk factors and preventive measures to control the outbreak decreases both morbidity and mortality.

Risk factors for central vascular catheter-associated bloodstream infections among patients in a neonatal intensive care unit

2001 ◽  
Vol 48 (2) ◽  
pp. 108-116 ◽  
Author(s):  
L.M. Mahieu ◽  
A.O. De Muynck ◽  
M.M. Ieven ◽  
J.J. De Dooy ◽  
H.J. Goossens ◽  
...  
Keyword(s):  
Risk Factors ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Bloodstream Infections

scholarly journals Risk factors for hospital acquired bloodstream infections in neonatal intensive care unit of B.P. Koirala Institute of Health Sciences, Nepal

2017 ◽  
Vol 46 (1) ◽  
pp. 16 ◽  
Author(s):  
Sunil Kumar Yadav ◽  
Shankar Prasad Yadav ◽  
Nisha Keshary Bhatta ◽  
Piush Kanodia ◽  
Rupa Rajbhandari Singh ◽  
...  
Keyword(s):  
Risk Factors ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Bloodstream Infections ◽  
Health Sciences ◽  
Hospital Acquired

Gestational age as a single predictor of health care‒associated bloodstream infections in neonatal intensive care unit patients

2011 ◽  
Vol 39 (2) ◽  
pp. 159-162 ◽  
Author(s):  
Pamela Barbadoro ◽  
Anne Marigliano ◽  
Marcello Mario D’Errico ◽  
Virgilio Carnielli ◽  
Emilia Prospero
Keyword(s):  
Health Care ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Gestational Age ◽  
Neonatal Intensive Care ◽  
Bloodstream Infections ◽  
Single Predictor

Risk factors and laser therapy for retinopathy of prematurity in neonatal intensive care unit

2009 ◽  
Vol 5 (4) ◽  
pp. 304-307 ◽  
Author(s):  
Li Liu ◽  
Tian Tian ◽  
Chong-Xun Zheng ◽  
Vatavu Ileana ◽  
Anca Ioana ◽  
...  
Keyword(s):  
Risk Factors ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Laser Therapy ◽  
Retinopathy Of Prematurity ◽  
Neonatal Intensive Care

An In-Service Educational Package Improves Alarm Management in the Neonatal Intensive Care Unit (NICU): Before and After Study

2021 ◽  
pp. 097321792110512
Author(s):  
Suryaprakash Hedda ◽  
Shashidhar A. ◽  
Saudamini Nesargi ◽  
Kalyan Chakravarthy Balla ◽  
Prashantha Y. N. ◽  
...  
Keyword(s):  
Health Care ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Response Time ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Alarm Management ◽  
Educational Package ◽  
Before And After ◽  
Before And After Study

Background: Monitoring in neonatal intensive care unit (NICU) largely relies on equipment which have a number of alarms that are often quite loud. This creates a noisy environment, and moreover leads to desensitization of health-care personnel, whereby potentially important alarms may also be ignored. The objective was to evaluate the effect of an educational package on alarm management (the number of alarms, response to alarms, and appropriateness of settings). Methods: A before and after study was conducted at a tertiary neonatal care center in a teaching hospital in India involving all health-care professionals (HCP) working in the high dependency unit. The intervention consisted of demo lectures about working of alarms and bedside demonstrations of customizing alarm limits. A pre- and postintervention questionnaire was also administered to assess knowledge and attitude toward alarms. The outcomes were the number and type of alarms, response time, appropriateness of HCP response, and appropriateness of alarm limits as observed across a 24-h period which were compared before and after the intervention. Findings: The intervention resulted in a significant decrease in the number of alarms (11.6-9.6/h). The number of times where appropriate alarm settings were used improved from 24.3% to 67.1% ( P < .001). The response time to alarm did not change significantly (225 s vs 200 s); however, the appropriate response to alarms improved significantly from 15.6% to 68.8%. Conclusion: A simple structured intervention can improve the appropriate management of alarms. Application to Practice: Customizing alarm limits and nursing education reduce the alarm burden in NICUs

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