Epidemiology of nosocomial Staphylococcus epidermidis and Acinetobacter baumannii infections in a neonatal intensive care unit

Background and Objectives: This study aimed to investigate epidemiology of Staphylococcus epidermidis (S. epidermidis) and Acinetobacter baumannii (A. baumannii) infections in neonatal intensive care unit (NICU) in a period of 8 years. Materials and Methods: This retrospective cohort study was cond...

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Main Authors: Fatemeh Nayeri, Hosein Dalili, Mamak Shariat, Nahid Farrokhzad, Kosar Abouhamzeh, Leyla Sahebi
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2023-06-01
Series:Iranian Journal of Microbiology
Subjects:
Online Access:https://ijm.tums.ac.ir/index.php/ijm/article/view/4123
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author Fatemeh Nayeri
Hosein Dalili
Mamak Shariat
Nahid Farrokhzad
Kosar Abouhamzeh
Leyla Sahebi
author_facet Fatemeh Nayeri
Hosein Dalili
Mamak Shariat
Nahid Farrokhzad
Kosar Abouhamzeh
Leyla Sahebi
author_sort Fatemeh Nayeri
collection DOAJ
description Background and Objectives: This study aimed to investigate epidemiology of Staphylococcus epidermidis (S. epidermidis) and Acinetobacter baumannii (A. baumannii) infections in neonatal intensive care unit (NICU) in a period of 8 years. Materials and Methods: This retrospective cohort study was conducted on 46 cases of nosocomial infection by S. epidermidis, and 44 neonates with A. baumannii in NICU of Valiasr hospital, Iran. Results: The trend of A. baumannii and S. epidermidis infection were as follows: 1 and 7 in 2014, 11 and 7 in 2015, 20 and 11 in 2016, 1 and 4 in 2017, 4 and 6 in 2018, 4 and 4 in 2019, 0 and 1 in 2020, and 3 and 6 in 2021-March 2022 respectively. Mortality proportion (%) in neonates with S. epidermidis and A. baumannii infection was at 8.3 and 32.1, respectively. There was a strong positive correlation between number of infected neonates in month and average of prescribed antibiotics before incidence of infection in every baby in that month. Fluconazole prescription before incidence of infection were associated with the A. baumannii infection in month too. Amikacin prescription had adjusted correlation on increasing of A. baumannii and S. epidermidis infection in month. Conclusion: It seems reducing of hospitalization duration and medication prescriptions management plays an important role in reducing of nosocomial infections.
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spelling doaj.art-ba36ed01c43943279b08aa98e33a67112023-06-19T06:29:58ZengTehran University of Medical SciencesIranian Journal of Microbiology2008-32892008-44472023-06-0115310.18502/ijm.v15i3.12895Epidemiology of nosocomial Staphylococcus epidermidis and Acinetobacter baumannii infections in a neonatal intensive care unitFatemeh Nayeri0Hosein Dalili1Mamak Shariat2Nahid Farrokhzad3Kosar Abouhamzeh4Leyla Sahebi5Maternal-Fetal and Neonatal Research Center, Family Health Research Institute, Tehran University of Medical Sciences, Tehran, IranBreastfeeding Research Center, Family Health Research Institute, Tehran University of Medical Sciences, Tehran, IranMaternal-Fetal and Neonatal Research Center, Family Health Research Institute, Tehran University of Medical Sciences, Tehran, IranMaternal-Fetal and Neonatal Research Center, Family Health Research Institute, Tehran University of Medical Sciences, Tehran, IranStudents' Scientific Research Center (SSRC), Tehran University of Medical Sciences, Tehran, IranMaternal-Fetal and Neonatal Research Center, Family Health Research Institute, Tehran University of Medical Sciences, Tehran, Iran Background and Objectives: This study aimed to investigate epidemiology of Staphylococcus epidermidis (S. epidermidis) and Acinetobacter baumannii (A. baumannii) infections in neonatal intensive care unit (NICU) in a period of 8 years. Materials and Methods: This retrospective cohort study was conducted on 46 cases of nosocomial infection by S. epidermidis, and 44 neonates with A. baumannii in NICU of Valiasr hospital, Iran. Results: The trend of A. baumannii and S. epidermidis infection were as follows: 1 and 7 in 2014, 11 and 7 in 2015, 20 and 11 in 2016, 1 and 4 in 2017, 4 and 6 in 2018, 4 and 4 in 2019, 0 and 1 in 2020, and 3 and 6 in 2021-March 2022 respectively. Mortality proportion (%) in neonates with S. epidermidis and A. baumannii infection was at 8.3 and 32.1, respectively. There was a strong positive correlation between number of infected neonates in month and average of prescribed antibiotics before incidence of infection in every baby in that month. Fluconazole prescription before incidence of infection were associated with the A. baumannii infection in month too. Amikacin prescription had adjusted correlation on increasing of A. baumannii and S. epidermidis infection in month. Conclusion: It seems reducing of hospitalization duration and medication prescriptions management plays an important role in reducing of nosocomial infections. https://ijm.tums.ac.ir/index.php/ijm/article/view/4123Acinetobacter baumannii;Staphylococcus epidermidis;Outbreak;Neonatal intensive care units;Nosocomial infections
spellingShingle Fatemeh Nayeri
Hosein Dalili
Mamak Shariat
Nahid Farrokhzad
Kosar Abouhamzeh
Leyla Sahebi
Epidemiology of nosocomial Staphylococcus epidermidis and Acinetobacter baumannii infections in a neonatal intensive care unit
Iranian Journal of Microbiology
Acinetobacter baumannii;
Staphylococcus epidermidis;
Outbreak;
Neonatal intensive care units;
Nosocomial infections
title Epidemiology of nosocomial Staphylococcus epidermidis and Acinetobacter baumannii infections in a neonatal intensive care unit
title_full Epidemiology of nosocomial Staphylococcus epidermidis and Acinetobacter baumannii infections in a neonatal intensive care unit
title_fullStr Epidemiology of nosocomial Staphylococcus epidermidis and Acinetobacter baumannii infections in a neonatal intensive care unit
title_full_unstemmed Epidemiology of nosocomial Staphylococcus epidermidis and Acinetobacter baumannii infections in a neonatal intensive care unit
title_short Epidemiology of nosocomial Staphylococcus epidermidis and Acinetobacter baumannii infections in a neonatal intensive care unit
title_sort epidemiology of nosocomial staphylococcus epidermidis and acinetobacter baumannii infections in a neonatal intensive care unit
topic Acinetobacter baumannii;
Staphylococcus epidermidis;
Outbreak;
Neonatal intensive care units;
Nosocomial infections
url https://ijm.tums.ac.ir/index.php/ijm/article/view/4123
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