HealthCare-associated Infections in a Neonatal Intensive Care Unit in Turkey in 2008: Incidence and Risk Factors, A Prospective Study

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Yapicioglu H., OZCAN K., Sertdemir Y., MUTLU B., SATAR M., NARLI N., ...More

JOURNAL OF TROPICAL PEDIATRICS, vol.57, no.3, pp.157-164, 2011 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 57 Issue: 3
  • Publication Date: 2011
  • Doi Number: 10.1093/tropej/fmq060
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.157-164
  • Keywords: Healthcare-associated infections, neonatal intensive care unit, risk factors, Turkey, NOSOCOMIAL INFECTIONS, PROSPECTIVE SURVEILLANCE, PEDIATRIC-PATIENTS, POLICIES, INFANTS
  • Çukurova University Affiliated: Yes


In this study, we have prospectively recorded healthcare-associated infections (HAIs) in NICU and found incidence density as 18 infections per 1000 patient days. Of the infections, 51.3% was bacteriemia (BSI), and 45.1% was ventilator-associated pneumonia (VAP). Gram-negative microorganisms were predominant in VAP and Staphylococcus epidermidis was the leading microorganism (53.0% of BSIs) in BSIs. Multivariate logistic regression analysis showed the importance of hood O(2) use in days (RR: 1.3) and total parenteral nutrition use in days (RR: 1.09) for BSIs. Umbilical arterial catheterization in days (RR: 1.94), ventilator use in days (RR: 1.05), chest tube (RR: 12.55), orogastric feeding (RR: 3.32) and total parenteral nutrition in days (RR: 1.05) were found to be significantly associated with VAP. In conclusion, incidence density in our unit is high and Gram-negative rods are predominant similar to developing countries. These results strongly suggest improving measures of prevention and control of HAIs in the unit.