Dataset Information

Device-associated infections in neonatal care units in a middle-income country, 2016-2018.

ABSTRACT:

Objective

Describe the device-associated infections in the NICUs in Cali - Colombia, a middle-income country, between August 2016 to December 2018.

Methods

Observational cross-sectional study evaluating reports of device-associated infections in 10 NICUs in Cali, Colombia, between August 2016 and December 2018. Socio-demographic and microbiological data were obtained from the National Public Health surveillance system, through a specialized notification sheet. The relationship of device-associated infections with several outcomes including birth weight, microorganisms, and mortality was evaluated using OR CI95%, using the logistic regression model. Data processing was performed using the statistical program STATA 16.

Results

226 device-associated infections were reported. The rate of infection with central line-associated bloodstream infections was 2.62 per 1000 days of device use and 2.32 per 1000 days for ventilator-associated pneumonia. This was higher in neonates under 1000 g; 4.59 and 4.10, respectively. 43.4% of the infections were due to gram-negative bacteria and 42.3% were due to gram-positive bacteria. Time from hospitalization to diagnosis of all device-associated infections had a median of 14 days. When compared by weight, infants with a weight lower than 1000 g had a greater chance of death (OR 3.61; 95% CI 1.53-8.49, p = 0.03). Infection by gram-negative bacteria was associated with a greater chance of dying (OR 3.06 CI 95 1.33-7.06, p = 0.008).

Conclusions

These results highlight the need to maintain epidemiological surveillance processes in neonatal intensive care units, especially when medical devices are used.

SUBMITTER: Torres-Munoz J

PROVIDER: S-EPMC10492145 | biostudies-literature | 2023 Sep-Oct

REPOSITORIES: biostudies-literature

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Publications

Device-associated infections in neonatal care units in a middle-income country, 2016-2018.

Torres-Muñoz Javier J Hoyos Ingrith Viviana IV Murillo Jennifer J Holguin Jorge J Dávalos Diana D López Eduardo E Torres-Figueroa Sofia S

Jornal de pediatria 20230503 5

<h4>Objective</h4>Describe the device-associated infections in the NICUs in Cali - Colombia, a middle-income country, between August 2016 to December 2018.<h4>Methods</h4>Observational cross-sectional study evaluating reports of device-associated infections in 10 NICUs in Cali, Colombia, between August 2016 and December 2018. Socio-demographic and microbiological data were obtained from the National Public Health surveillance system, through a specialized notification sheet. The relationship of ...[more]

PMID: 37148912

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Dataset Information

Device-associated infections in neonatal care units in a middle-income country, 2016-2018.

Objective

Methods

Results

Conclusions

Publications

Device-associated infections in neonatal care units in a middle-income country, 2016-2018.

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