Evaluation of device-associated infections in a neonatal intensive care unit

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dc.contributor.authorYalaz, Mehmet
dc.contributor.authorAltun-Koroglu, Ozge
dc.contributor.authorUlusoy, Behiye
dc.contributor.authorYildiz, Basak
dc.contributor.authorAkisu, Mete
dc.contributor.authorVardar, Fadil
dc.contributor.authorOzinel, Mehmet Ali
dc.contributor.authorKultursay, Nilgun
dc.date.accessioned2019-10-27T21:43:52Z
dc.date.available2019-10-27T21:43:52Z
dc.date.issued2012
dc.departmentEge Üniversitesien_US
dc.description.abstractYalaz M, Altun-Koroglu O, Ulusoy B, Yildiz B, Akisu M, Vardar F, Ozinel MA, Kultursay N. Evaluation of device-associated infections in a neonatal intensive care unit. Turk J Pediatr 2012; 54: 128-135. Device-associated infections are common in Neonatal Intensive Care Units (NICUs) in accordance with the frequent use of invasive devices, and they must be continuously and closely monitored for infection control. Six hundred newborn infants hospitalized longer than 72 hours in Ege University Children's Hospital NICU between January 2008 and December 2010 were prospectively followed for occurrence of device-associated infections (central venous catheter- and umbilical catheter-associated blood stream infections [CVC/UC BSI] and ventilator-associated pneumonia [VAP]). In a total of 10,052 patient days, the VAP rate was 13.76/1000 ventilator days with a ventilator utilization ratio of 0.29, and the CVC/UC BSI rate was 3.8/1000 catheter days with a catheter utilization ratio of 0.24. The CVC/UC BSI rate was lower than national averages, being close to rates reported from developed countries. The VAP rate was higher than the national and international rates and was associated with prolonged mechanical ventilation and very low birth weight. VAP also appeared to be an important risk factor for mortality. The most frequent agents were gram-negative pathogens for YAP and coagulase-negative staphylococci for CVC/UC BSIs, with resistance patterns similar to the previous years. In conclusion, with device utilization rates similar to those in developed countries, our CVC/UC BSI rate was comparable, but the YAP rate was higher than that of the developed countries. Necessary precautions are urgently needed to decrease YAP rates and YAP-related mortality.en_US
dc.identifier.endpage135en_US
dc.identifier.issn0041-4301
dc.identifier.issue2en_US
dc.identifier.pmid22734298en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage128en_US
dc.identifier.urihttps://hdl.handle.net/11454/47158
dc.identifier.volume54en_US
dc.identifier.wosWOS:000305675200006en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTurkish J Pediatricsen_US
dc.relation.ispartofTurkish Journal of Pediatricsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectnosocomialen_US
dc.subjectnewbornen_US
dc.subjectdevice-associated infectionen_US
dc.subjectventilator-associated pneumoniaen_US
dc.subjectcatheter-associated infectionen_US
dc.titleEvaluation of device-associated infections in a neonatal intensive care uniten_US
dc.typeArticleen_US

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