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

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dc.contributor.authorErtugrul, Sabahattin
dc.contributor.authorAktar, Fesih
dc.contributor.authorYolbas, Ilyas
dc.contributor.authorYilmaz, Ahmet
dc.contributor.authorElbey, Bilal
dc.contributor.authorYildirim, Ahmet
dc.contributor.authorYilmaz, Kamil
dc.date.accessioned2024-04-24T17:28:04Z
dc.date.available2024-04-24T17:28:04Z
dc.date.issued2016
dc.departmentDicle Üniversitesien_US
dc.description.abstractBackground: Healthcare-associated bloodstream infections (HCA-BSI) are a major cause of morbidity and mortality in neonatal intensive care units (NICUs). Objectives: We aimed to determine the causative organisms and risk factors of HCA-BSIs in NICUs. Methods: This study was performed between January 2011 and December 2014 in the neonatal intensive care unit of Dicle university, Turkey. The study consisted of 126 patients (infected group) with positive blood culture and 126 randomly selected patients (uninfected control group) with negative blood culture after four days of hospitalization. Results: We found that the most common causative agents isolated from nosocomial infections (NIs) were 20.7% Staphylococcus epidermidis, 26.7% Klebsiella spp., and 13.3% Acinetobacter spp. Incidences of low gestational age, low birth weight, vaginal birth type, and long length of hospitalization were higher in the infected neonates than in the uninfected neonates. In the univariate analysis, surgical operation, ventriculoperitoneal shunt, use of umbilical catheter, nasogastric or orogastric tube, urinary catheter, mechanical ventilation, surfactant treatment, erythrocyte transfusion, plasma transfusion, thrombocyte transfusion, total parenteral nutrition infusion, intracranial hemorrhage, length of hospital stay, fifth-minute Apgar score, and total parenteral nutrition time were significantly associated with NIs. In the multiple logistic regression analysis, fifth-minute Apgar, use of erythrocyte transfusion and surgical operation were found as the independent risk factors for HCA-BSI. Conclusions: This study determined the causative organisms and risk factors of HCA-BSIs in NICUs.en_US
dc.identifier.doi10.5812/ijp.5213
dc.identifier.issn2008-2142
dc.identifier.issn2008-2150
dc.identifier.issue5en_US
dc.identifier.pmid28203330
dc.identifier.scopus2-s2.0-84994713347
dc.identifier.scopusqualityQ3
dc.identifier.urihttps://doi.org/10.5812/ijp.5213
dc.identifier.urihttps://hdl.handle.net/11468/20311
dc.identifier.volume26en_US
dc.identifier.wosWOS:000394017200009
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherKowsar Corpen_US
dc.relation.ispartofIranian Journal of Pediatrics
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectHealthcare-Associated Infectionsen_US
dc.subjectBloodstream Infectionsen_US
dc.subjectNeonatesen_US
dc.subjectRisk Factorsen_US
dc.titleRisk Factors for Health Care-Associated Bloodstream Infections in a Neonatal Intensive Care Uniten_US
dc.titleRisk Factors for Health Care-Associated Bloodstream Infections in a Neonatal Intensive Care Unit
dc.typeArticleen_US

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