The prevalence and diagnostic criteria of health-care associated infections in neonatal intensive care units in Turkey: A multicenter point- prevalence study

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dc.authoridÇakır, Salih Çağrı/0000-0001-5761-4757
dc.authoridUnal, Sezin/0000-0002-5124-4422
dc.authoridOkulu, Emel/0000-0002-1101-3355
dc.authoridSEREN, CANAN AYGUN/0000-0002-7955-5943
dc.authoridOncel, Mehmet Yekta/0000-0003-0760-0773
dc.authoridunal, sevim/0000-0002-7863-1924
dc.authoridUygun, Saime Sundus/0000-0002-6694-8115
dc.authorwosidZoglu, Aysegul/HJP-7031-2023
dc.authorwosidÇakır, Salih Çağrı/HJZ-4508-2023
dc.authorwosidUnal, Sezin/G-5003-2017
dc.authorwosidOkulu, Emel/AAH-8855-2020
dc.authorwosidSEREN, CANAN AYGUN/U-7814-2019
dc.authorwosidOncel, Mehmet Yekta/L-5664-2013
dc.authorwosidunal, sevim/G-4468-2014
dc.contributor.authorDemirdag, Tugba Bedir
dc.contributor.authorKoc, Esin
dc.contributor.authorTezer, Hasan
dc.contributor.authorOguz, Suna
dc.contributor.authorSatar, Mehmet
dc.contributor.authorSaglam, Ozge
dc.contributor.authorUygun, Saime Sunduz
dc.date.accessioned2024-06-12T11:03:03Z
dc.date.available2024-06-12T11:03:03Z
dc.date.issued2021
dc.departmentTrakya Üniversitesien_US
dc.description.abstractBackground: Healthcare-acquired infections (HAIs) in the neonatal period cause substantial morbidity, mortality, and healthcare costs. Our purpose was to determine the prevalence of HAIs, antimicrobial susceptibility of causative agents, and the adaptivity of the Centres for Disease Control and Prevention (CDC) criteria in neonatal HAI diagnosis. Methods: A HAI point prevalence survey was conducted in the neonatal intensive care units (NICUs) of 31 hospitals from different geographic regions in Turkey. Results: The Point HAI prevalence was 7.6%. Ventilator-associated pneumonia (VAP) and central line-associated bloodstream infections (CLABSI) and late onset sepsis were predominant. The point prevalence of VAP was 2.1%, and the point prevalence of CLABSI was 1.2% in our study. The most common causative agents in HAIs were Gram-negative rods (43.0%), and the most common agent was Klebsiella spp (24.6%); 81.2% of these species were extended spectrum beta-lactamase (ESBL) (& thorn;). Blood culture positivity was seen in 33.3% of samples taken from the umbilical venous catheter, whereas 0.9% of samples of peripherally inserted central catheters (PICCs) were positive. In our study, 60% of patients who had culture positivity in endotracheal aspirate or who had purulent endotracheal secretions did not have any daily FiO2 change (p = 0.67) and also 80% did not have any increase in positive end-expiratory pressure (PEEP) (p = 0.7). On the other hand, 18.1% of patients who had clinical deterioration compatible with VAP did not have endotracheal culture positivity (p = 0.005). Conclusions: Neonatal HAIs are frequent adverse events in district and regional hospitals. This at-risk population should be prioritized for HAI surveillance and prevention programs through improved infection prevention practices, and hand hygiene compliance should be conducted. CDC diagnostic criteria are not sufficient for NICUs. Future studies are warranted for the diagnosis of HAIs in NICUs.en_US
dc.identifier.doi10.1016/j.pedneo.2021.01.001
dc.identifier.endpage217en_US
dc.identifier.issn1875-9572
dc.identifier.issn2212-1692
dc.identifier.issue2en_US
dc.identifier.pmid33546932en_US
dc.identifier.scopus2-s2.0-85100414539en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage208en_US
dc.identifier.urihttps://doi.org/10.1016/j.pedneo.2021.01.001
dc.identifier.urihttps://hdl.handle.net/20.500.14551/21493
dc.identifier.volume62en_US
dc.identifier.wosWOS:000631823700012en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Taiwanen_US
dc.relation.ispartofPediatrics And Neonatologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectHealth-Care Associated Infectionen_US
dc.subjectNeonateen_US
dc.subjectPoint Prevalenceen_US
dc.subjectSurveillanceen_US
dc.subjectBlood-Stream Infectionsen_US
dc.subjectNosocomial Infectionsen_US
dc.subjectAcquired Infectionsen_US
dc.subjectRisk-Factorsen_US
dc.subjectSurveillanceen_US
dc.subjectPreventionen_US
dc.subjectStrategiesen_US
dc.titleThe prevalence and diagnostic criteria of health-care associated infections in neonatal intensive care units in Turkey: A multicenter point- prevalence studyen_US
dc.typeArticleen_US

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