Literature DB >> 19438843

Nosocomial infection in a Danish Neonatal Intensive Care Unit: a prospective study.

Anne L Olsen1, Jes Reinholdt, Anders Mørup Jensen, Leif P Andersen, Elsebeth Tvenstrup Jensen.   

Abstract

AIM: The aim of this study was to estimate the incidence and identify independent risk factors for nosocomial infections in a Danish Neonatal Intensive Care Unit and to compare these findings with international results.
METHODS: The study was performed prospectively from January 1, 2005 to December 31, 2005 in the Neonatal Intensive Care Unit at Rigshospitalet, Copenhagen. Specific criteria for blood stream infection and respiratory tract infection adapted for neonates in our ward were worked out.
RESULTS: Six hundred and eighty-three patients were included. The overall incidence of nosocomial infection was 8.8/1000 hospital days. Blood stream infection was the most frequent type of infection, with an incidence of 5.1/1000 hospital days. Multivariate analysis showed gestational age and heart disease to be significant independent risk factors for both first time blood stream infection and respiratory tract infection, and central venous catheter and parenteral nutrition risk factors for first time blood stream infection.
CONCLUSION: This first prospective study of nosocomial infection in a Danish Neonatal Intensive Care Unit found an overall incidence of 8.8/1000 hospital days, which is low or similar compared to other studies. Further Danish multicentre studies are needed, and we suggest that procedures related to central venous catheters should be a future focus area.

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Year:  2009        PMID: 19438843     DOI: 10.1111/j.1651-2227.2009.01322.x

Source DB:  PubMed          Journal:  Acta Paediatr        ISSN: 0803-5253            Impact factor:   2.299


  11 in total

1.  Risk Factors for Central Line-Associated Bloodstream Infection in Critically Ill Neonates.

Authors:  Heladia García; Belina Romano-Carro; Guadalupe Miranda-Novales; Héctor Jaime González-Cabello; Juan Carlos Núñez-Enríquez
Journal:  Indian J Pediatr       Date:  2019-02-27       Impact factor: 1.967

Review 2.  Early removal versus expectant management of central venous catheters in neonates with bloodstream infection.

Authors:  Chakrapani Vasudevan; Sam J Oddie; William McGuire
Journal:  Cochrane Database Syst Rev       Date:  2016-04-20

3.  Sepsis in young infants with congenital heart disease.

Authors:  S B Ascher; P B Smith; R H Clark; M Cohen-Wolkowiez; J S Li; K Watt; E Jacqz-Aigrain; F Kaguelidou; P Manzoni; D K Benjamin
Journal:  Early Hum Dev       Date:  2012-05       Impact factor: 2.079

4.  Nosocomial infections in a neonatal intensive care unit in South Brazil.

Authors:  Karla Dal-Bó; Rosemeri Maurici da Silva; Thiago Mamôru Sakae
Journal:  Rev Bras Ter Intensiva       Date:  2012-12

Review 5.  Antimicrobial-impregnated central venous catheters for prevention of catheter-related bloodstream infection in newborn infants.

Authors:  Munisha Balain; Sam J Oddie; William McGuire
Journal:  Cochrane Database Syst Rev       Date:  2015-09-27

Review 6.  Percutaneous central venous catheters versus peripheral cannulae for delivery of parenteral nutrition in neonates.

Authors:  Sean Ainsworth; William McGuire
Journal:  Cochrane Database Syst Rev       Date:  2015-10-06

Review 7.  Early planned removal versus expectant management of peripherally inserted central catheters to prevent infection in newborn infants.

Authors:  Adrienne Gordon; Mark Greenhalgh; William McGuire
Journal:  Cochrane Database Syst Rev       Date:  2018-06-25

Review 8.  Risk of parenteral nutrition in neonates--an overview.

Authors:  Walter Zingg; Maren Tomaske; Maria Martin
Journal:  Nutrients       Date:  2012-10-16       Impact factor: 5.717

9.  Antimicrobial-impregnated central venous catheters for preventing neonatal bloodstream infection: the PREVAIL RCT.

Authors:  Ruth Gilbert; Michaela Brown; Rita Faria; Caroline Fraser; Chloe Donohue; Naomi Rainford; Alessandro Grosso; Ajay K Sinha; Jon Dorling; Jim Gray; Berit Muller-Pebody; Katie Harron; Tracy Moitt; William McGuire; Laura Bojke; Carrol Gamble; Sam J Oddie
Journal:  Health Technol Assess       Date:  2020-11       Impact factor: 4.106

10.  PCR for the detection of pathogens in neonatal early onset sepsis.

Authors:  Clarissa Oeser; Marcus Pond; Philip Butcher; Alison Bedford Russell; Philipp Henneke; Ken Laing; Timothy Planche; Paul T Heath; Kathryn Harris
Journal:  PLoS One       Date:  2020-01-24       Impact factor: 3.240

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