지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.12
- 수록면
- 133 - 143 (11page)
- DOI
- 10.14776/piv.2021.28.e18
이용수
초록· 키워드
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Purpose: This study aimed to determine the incidence of central line-associated bloodstream infection (CLABSI) in the neonatal intensive care unit (NICU), evaluate the patients' clinical characteristics, and identify the etiologic agents for guidance in prevention and treatment.
Methods: A retrospective chart review study of infants classified as having CLABSI was conducted at the NICU of Seoul National University Bundang Hospital from January 2016 to December 2020.
Results: Of the 45 infants, 53 had CLABSIs within a follow-up period of 18,622 catheter days. The incidence of CLABSIs was 2.85 per 1,000 catheter days. The most common catheter type was a peripherally inserted central catheter (n=47, 81%). A total of 57 pathogens were isolated, of which 57.9% (n=33) were Gram-positive bacteria, 36.8% (n=21) were Gram-negative bacteria, and 5.3% (n=3) were Candida spp. The most common pathogens were Staphylococcus aureus (n=12, 21%) and coagulase-negative staphylococci (n=12, 21%), followed by Klebsiella aerogenes (n=8, 14%). The median duration of bacteremia was 2 days, and 19 episodes showed bacteremia for 3 days or more. The mortality rate of infants within 14 days of CLABSI was 13.3% (n=6).
Conclusions: This study analyzed the incidence of CLABSI and the distribution of pathogens in the NICU. Continuous monitoring of CLABSI based on active surveillance serves as guidance for empiric antibiotic use and also serves as a tool to assess the necessity for implementation of prevention strategies and their impact.
목차
등록된 정보가 없습니다.
참고문헌 (29)
참고문헌 신청
Menon G / 2003 / Neonatal long lines / Arch Dis Child Fetal Neonatal Ed 88:F260~F262
Erdei C / 2015 / Is zero central line-associated bloodstream infection rate sustainable? A 5-year perspective / Pediatrics 135:e1485~e1493
Goudie A / 2014 / Attributable cost and length of stay for central line-associated bloodstream infections / Pediatrics 133:e1525~e1532
Karagiannidou S / 2019 / Attributable length of stay and cost for pediatric and neonatal central line-associated bloodstream infections in Greece / J Infect Public Health 12:372~379
Couto RC / 2007 / A 10-year prospective surveillance of nosocomial infections in neonatal intensive care units / Am J Infect Control 35:183~189
Erdei C / 2015 / Is zero central line-associated bloodstream infection rate sustainable? A 5-year perspective / Pediatrics 135:e1485~e1493
Goudie A / 2014 / Attributable cost and length of stay for central line-associated bloodstream infections / Pediatrics 133:e1525~e1532
Karagiannidou S / 2019 / Attributable length of stay and cost for pediatric and neonatal central line-associated bloodstream infections in Greece / J Infect Public Health 12:372~379
Couto RC / 2007 / A 10-year prospective surveillance of nosocomial infections in neonatal intensive care units / Am J Infect Control 35:183~189
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