Nosocomial infections in neonatology clinic and neonatal intensive care unit

Abstract

Aim: Nosocomial infections NI in a neonatal intensive care unit NICU and neonatal clinic were evaluated during a one year period Material and Method: 314 newborns were investigated for nosocomial infections Local ethics committee approval was given for this study Nosocomial infections was defined using the CDC criteria Results: Nosocomial infections developed in 53 of 127 patients 58 with culture positivity in the NICU and in 2 6 of 187 patients all with a negative culture in the neonatal clinic In total NICU plus neonatal clinic NI developed in 23 of hosptalized patients Nosocomial infections rate was 42 3 and in terms of patient days NI rate was 14 1000 patient day When evaluated separately NI developed in 53 5 of patients admitted in NICU and in 2 6 of neonatal clinic patients Also NI rates were 17 9 1000 patient day in NICU and 1 6 1000 patient day in the neonatal clinic Patients with NI stayed at the hospital for 73 6 plusmn;47 8 day in NICU and for 16 0 plusmn;6 7 day in the neonatal clinic Nosocomial infections developed on the 29 4 plusmn;30 9th d in NICU and on the 7 6 plusmn;2 9th day in the neonatal clinic In NICU in terms of 128 NI episodes the NI related mortality was 8 5 16 1 n: 11 of the patients with NI died They died on the 56 7 plusmn;50 2nd day of admission and on the 25 8 plusmn;10 2nd day second after NI diagnosis There was no mortality in neonatal clinic patients Conclusions: Our NI rates were slightly higher than the developed countries and lower than the developing countries Turk Arch Ped 2011; 46: 302 7

Keywords

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Yenidoğan ve yenidoğan yoğun bakım servisinde hastane enfeksiyonları

Öz

Amaç: Bir yılda Yenidoğan Yoğun Bakım Birimi YYBB ve Yenidoğan Kliniği rsquo;ne yatan hastalarda gelişen hastane enfeksiyonları HE incelendi Gereç ve Yöntem: Hastane enfeksiyonları Centers for Diseases Control and Prevention CDC ölçütlerine göre tanımlandı Çalışma için Uludağ Üniversitesi Tıp Fakültesi Etik Kurul onayı alındı 04 Mart 2008 tarih ve 2008 5 12 sayılı etik kurul yazısı

Bulgular: Yenidoğan YBB rsquo;de yatan 127 hastanın 53 rsquo;ünde 58 5 rsquo;i kültür pozitif Yenidoğan Kliniği rsquo;nde yatan 187 hastanın 2 6 rsquo;sında hepsi kültür negatif HE gelişti Yenidoğan YBB ve Yenidoğan Kliniği rsquo;nde toplam 23 hastada HE gelişti HE hızı 42 3 yatış gününe göre HE oranı ise 14 1000 hasta günü olarak bulundu Hastane enfeksiyonları oranı YYBB rsquo;de 17 9 Yenidoğan Kliniği rsquo;nde 1 6 1000 hasta günü bulundu Hastane enfeksiyonları olan hastalar YYBB rsquo;de 73 6 plusmn;47 8 gün Yenidoğan Kliniği rsquo;nde 16 0 plusmn;6 7 gün yattı Hastane enfeksiyonları tanısı YYBB rsquo;sinde hastaneye yatışlarının ortalama 29 4 plusmn;30 9 gününde Yenidoğan Kliniği rsquo;nde 7 6 plusmn;2 9 gününde konuldu Yenidoğan YBB rsquo;de 128 HE atağında atak ilişkili ölüm oranı 8 5 idi Hastane enfeksiyonları saptanan 68 hastanın 11 rsquo;i 16 1 kaybedildi Hastane enfeksiyonları tanısı alan hastalar Yenidoğan YBB rsquo;de ortalama yatışının 56 7 plusmn;50 2 gününde kaybedildi Hastane enfeksiyonları tanısı konulduktan sonraki ortalama ölüm günü; YYBB rsquo;de 25 8 plusmn;10 2 gün olarak saptandı Yenidoğan Kliniği rsquo;nde HE gelişen hastalarda ölüm saptanmadı.

Çıkarımlar: Kliniğimizde Yenidoğan YBB ve Yenidoğan Kliniği rsquo;ndeki HE rsquo;leri gelişmiş ülkelere göre biraz yüksek gelişmekte olan ülkelere göre daha düşük saptandı Türk Ped Arfl 2011; 46: 302 7

Anahtar Kelimeler

• Hastane enfeksiyonu
• tanı
• yenidoğan
• yoğunbakım

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