Time trends in late-onset sepsis and meningitis in very low birth weight infants from 2000 to 2013: results from a Portuguese tertiary level Neonatal Intensive Care Unit
Objective: To assess the evolution of the prevalence of late-onset sepsis (LOS) and meningitis and its predictors in a Portuguese tertiary level Neonatal Intensive Care Unit (NICU) during its participation in the Vermont Oxford Network (VON) between 2000 and 2013. Methods: Descriptive retrospective...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Hygeia Press di Corridori Marinella
2020-03-01
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| Series: | Journal of Pediatric and Neonatal Individualized Medicine |
| Subjects: | |
| Online Access: | https://www.jpnim.com/index.php/jpnim/article/view/898 |
| _version_ | 1819089426757713920 |
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| author | Maria Francisca Maia Joselina Barbosa Sandra Costa Susana Pissarra Hercília Guimarães |
| author_facet | Maria Francisca Maia Joselina Barbosa Sandra Costa Susana Pissarra Hercília Guimarães |
| author_sort | Maria Francisca Maia |
| collection | DOAJ |
| description | Objective: To assess the evolution of the prevalence of late-onset sepsis (LOS) and meningitis and its predictors in a Portuguese tertiary level Neonatal Intensive Care Unit (NICU) during its participation in the Vermont Oxford Network (VON) between 2000 and 2013.
Methods: Descriptive retrospective study of all very low birth weight infants admitted to a level-III NICU between 2000 and 2013. Outborn infants, infants who died in the delivery room and neonates who died during the first 12 hours in NICU were excluded. Patients’ demographic characteristics and clinical data were collected. Data from neonates with and without LOS were compared.
Results: The prevalence of LOS significantly decreased from 56.3% between 2000 and 2004 to 26.5% between 2010 and 2013. Infants with a gestational age of 22-27 weeks had more LOS (65.6%) than neonates with 32-36 weeks (20.9%). Similarly, smaller infants (weighing ≤ 1,000 g) had more LOS (59.4%) than babies with a weight > 1,000 g (33.3%). LOS was significantly associated with a gestational age between 22 and 27 weeks, mechanical ventilation (MV), nasal CPAP, necrotizing enterocolitis and the use of steroids for bronchopulmonary dysplasia.
Conclusions: Preterm infants require many invasive devices to ensure their survival, such as MV, which greatly increases their infection risk. To minimize this risk, it is crucial to guarantee that better practices are followed, necessitating the use of regular audits. It is really important to know the data about LOS from our NICU, which allows sharing and comparison with peers in order to improve nosocomial infection prevention and control practices. |
| first_indexed | 2024-12-21T22:07:45Z |
| format | Article |
| id | doaj.art-f7ef4ac8cced4b15919014cfb8d6c670 |
| institution | Directory Open Access Journal |
| issn | 2281-0692 |
| language | English |
| last_indexed | 2024-12-21T22:07:45Z |
| publishDate | 2020-03-01 |
| publisher | Hygeia Press di Corridori Marinella |
| record_format | Article |
| series | Journal of Pediatric and Neonatal Individualized Medicine |
| spelling | doaj.art-f7ef4ac8cced4b15919014cfb8d6c6702022-12-21T18:48:40ZengHygeia Press di Corridori MarinellaJournal of Pediatric and Neonatal Individualized Medicine2281-06922020-03-0191e090120e09012010.7363/090120757Time trends in late-onset sepsis and meningitis in very low birth weight infants from 2000 to 2013: results from a Portuguese tertiary level Neonatal Intensive Care UnitMaria Francisca Maia0Joselina Barbosa1Sandra Costa2Susana Pissarra3Hercília Guimarães4Faculty of Medicine, University of Porto, Porto, PortugalFaculty of Medicine, University of Porto, Porto, PortugalFaculty of Medicine, University of Porto, Porto, Portugal; Neonatal Intensive Care Unit, Centro Hospitalar Universitário de São João, Porto, PortugalFaculty of Medicine, University of Porto, Porto, Portugal; Neonatal Intensive Care Unit, Centro Hospitalar Universitário de São João, Porto, PortugalFaculty of Medicine, University of Porto, Porto, Portugal; Neonatal Intensive Care Unit, Centro Hospitalar Universitário de São João, Porto, Portugal; Cardiovascular R&D Unit, Faculty of Medicine, University of Porto, Porto, PortugalObjective: To assess the evolution of the prevalence of late-onset sepsis (LOS) and meningitis and its predictors in a Portuguese tertiary level Neonatal Intensive Care Unit (NICU) during its participation in the Vermont Oxford Network (VON) between 2000 and 2013. Methods: Descriptive retrospective study of all very low birth weight infants admitted to a level-III NICU between 2000 and 2013. Outborn infants, infants who died in the delivery room and neonates who died during the first 12 hours in NICU were excluded. Patients’ demographic characteristics and clinical data were collected. Data from neonates with and without LOS were compared. Results: The prevalence of LOS significantly decreased from 56.3% between 2000 and 2004 to 26.5% between 2010 and 2013. Infants with a gestational age of 22-27 weeks had more LOS (65.6%) than neonates with 32-36 weeks (20.9%). Similarly, smaller infants (weighing ≤ 1,000 g) had more LOS (59.4%) than babies with a weight > 1,000 g (33.3%). LOS was significantly associated with a gestational age between 22 and 27 weeks, mechanical ventilation (MV), nasal CPAP, necrotizing enterocolitis and the use of steroids for bronchopulmonary dysplasia. Conclusions: Preterm infants require many invasive devices to ensure their survival, such as MV, which greatly increases their infection risk. To minimize this risk, it is crucial to guarantee that better practices are followed, necessitating the use of regular audits. It is really important to know the data about LOS from our NICU, which allows sharing and comparison with peers in order to improve nosocomial infection prevention and control practices.https://www.jpnim.com/index.php/jpnim/article/view/898late-onset sepsisvlbw infantsneonatal intensive care unitnosocomial infectionpreterm infantsvon database |
| spellingShingle | Maria Francisca Maia Joselina Barbosa Sandra Costa Susana Pissarra Hercília Guimarães Time trends in late-onset sepsis and meningitis in very low birth weight infants from 2000 to 2013: results from a Portuguese tertiary level Neonatal Intensive Care Unit Journal of Pediatric and Neonatal Individualized Medicine late-onset sepsis vlbw infants neonatal intensive care unit nosocomial infection preterm infants von database |
| title | Time trends in late-onset sepsis and meningitis in very low birth weight infants from 2000 to 2013: results from a Portuguese tertiary level Neonatal Intensive Care Unit |
| title_full | Time trends in late-onset sepsis and meningitis in very low birth weight infants from 2000 to 2013: results from a Portuguese tertiary level Neonatal Intensive Care Unit |
| title_fullStr | Time trends in late-onset sepsis and meningitis in very low birth weight infants from 2000 to 2013: results from a Portuguese tertiary level Neonatal Intensive Care Unit |
| title_full_unstemmed | Time trends in late-onset sepsis and meningitis in very low birth weight infants from 2000 to 2013: results from a Portuguese tertiary level Neonatal Intensive Care Unit |
| title_short | Time trends in late-onset sepsis and meningitis in very low birth weight infants from 2000 to 2013: results from a Portuguese tertiary level Neonatal Intensive Care Unit |
| title_sort | time trends in late onset sepsis and meningitis in very low birth weight infants from 2000 to 2013 results from a portuguese tertiary level neonatal intensive care unit |
| topic | late-onset sepsis vlbw infants neonatal intensive care unit nosocomial infection preterm infants von database |
| url | https://www.jpnim.com/index.php/jpnim/article/view/898 |
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