Risk factors for nosocomial infection in a Brazilian neonatal intensive care unit
This study was designed to describe the epidemiology and risk factors for nosocomial infection (NI) in a Brazilian neonatal intensive care unit (NICU). This study was a retrospective cohort from January to December, 2003. All neonates admitted to the NICU. Infection surveillance was conducted accord...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
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| Series: | Brazilian Journal of Infectious Diseases |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702008000100016&lng=en&tlng=en |
| _version_ | 1818281670613139456 |
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| author | Ana Carolina Vieira Costa Fernandes Távora Antonieta B. Castro Maria Afonsina M. Militão José Eduilton Girão Karina de Cássia Braga Ribeiro Lara Gurgel Fernandes Távora |
| author_facet | Ana Carolina Vieira Costa Fernandes Távora Antonieta B. Castro Maria Afonsina M. Militão José Eduilton Girão Karina de Cássia Braga Ribeiro Lara Gurgel Fernandes Távora |
| author_sort | Ana Carolina Vieira Costa Fernandes Távora |
| collection | DOAJ |
| description | This study was designed to describe the epidemiology and risk factors for nosocomial infection (NI) in a Brazilian neonatal intensive care unit (NICU). This study was a retrospective cohort from January to December, 2003. All neonates admitted to the NICU. Infection surveillance was conducted according to the NNIS, CDC. Chi-square test and logistic regression model were performed for statistical analyses. The study was conducted at a public, tertiary referral NICU of a teaching hospital in the Northeast of Brazil. A total of 948 medical records were reviewed. Overall NI incidence rate was 34%. The main neonatal NI was bloodstream infection (68.1%), with clinical sepsis accounting for 47.2%, and pneumonia was the second most common NI (8.6%). Multivariate analysis identified seven independent risk factors for NIs: birth weight, exposure to parenteral nutrition, percutaneous catheter, central venous catheter or mechanical ventilation, abruptio placentae and mother's sexually transmitted disease (STD). Neonates from mothers with STD or abruptio placentae, those weighing less than 1,500 g at birth or those who used invasive devices were at increased risk for acquiring NI. |
| first_indexed | 2024-12-13T00:08:49Z |
| format | Article |
| id | doaj.art-5c7e4c8a6dee4b739266a4e1213925bb |
| institution | Directory Open Access Journal |
| issn | 1678-4391 |
| language | English |
| last_indexed | 2024-12-13T00:08:49Z |
| publisher | Elsevier |
| record_format | Article |
| series | Brazilian Journal of Infectious Diseases |
| spelling | doaj.art-5c7e4c8a6dee4b739266a4e1213925bb2022-12-22T00:06:06ZengElsevierBrazilian Journal of Infectious Diseases1678-4391121757910.1590/S1413-86702008000100016S1413-86702008000100016Risk factors for nosocomial infection in a Brazilian neonatal intensive care unitAna Carolina Vieira Costa Fernandes Távora0Antonieta B. Castro1Maria Afonsina M. Militão2José Eduilton Girão3Karina de Cássia Braga Ribeiro4Lara Gurgel Fernandes Távora5Walter Cantídeo Universitary HospitalCésar Cals HospitalCésar Cals HospitalCésar Cals HospitalHospital A. C. CamargoCésar Cals HospitalThis study was designed to describe the epidemiology and risk factors for nosocomial infection (NI) in a Brazilian neonatal intensive care unit (NICU). This study was a retrospective cohort from January to December, 2003. All neonates admitted to the NICU. Infection surveillance was conducted according to the NNIS, CDC. Chi-square test and logistic regression model were performed for statistical analyses. The study was conducted at a public, tertiary referral NICU of a teaching hospital in the Northeast of Brazil. A total of 948 medical records were reviewed. Overall NI incidence rate was 34%. The main neonatal NI was bloodstream infection (68.1%), with clinical sepsis accounting for 47.2%, and pneumonia was the second most common NI (8.6%). Multivariate analysis identified seven independent risk factors for NIs: birth weight, exposure to parenteral nutrition, percutaneous catheter, central venous catheter or mechanical ventilation, abruptio placentae and mother's sexually transmitted disease (STD). Neonates from mothers with STD or abruptio placentae, those weighing less than 1,500 g at birth or those who used invasive devices were at increased risk for acquiring NI.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702008000100016&lng=en&tlng=enRisk factorsneonatal nosocomial infectionneonatal intensive care unit |
| spellingShingle | Ana Carolina Vieira Costa Fernandes Távora Antonieta B. Castro Maria Afonsina M. Militão José Eduilton Girão Karina de Cássia Braga Ribeiro Lara Gurgel Fernandes Távora Risk factors for nosocomial infection in a Brazilian neonatal intensive care unit Brazilian Journal of Infectious Diseases Risk factors neonatal nosocomial infection neonatal intensive care unit |
| title | Risk factors for nosocomial infection in a Brazilian neonatal intensive care unit |
| title_full | Risk factors for nosocomial infection in a Brazilian neonatal intensive care unit |
| title_fullStr | Risk factors for nosocomial infection in a Brazilian neonatal intensive care unit |
| title_full_unstemmed | Risk factors for nosocomial infection in a Brazilian neonatal intensive care unit |
| title_short | Risk factors for nosocomial infection in a Brazilian neonatal intensive care unit |
| title_sort | risk factors for nosocomial infection in a brazilian neonatal intensive care unit |
| topic | Risk factors neonatal nosocomial infection neonatal intensive care unit |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702008000100016&lng=en&tlng=en |
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