Brief reportNeonatal rates and risk factors of device-associated bloodstream infection in a tertiary care center in Saudi Arabia
Section snippets
Study population
The study was conducted at a 40-bed level II/III NICU that serves neonates born to families of the Saudi National Guard employees in the central region of Saudi Arabia. During the study period, the NICU received on average 10 neonates per week of different gestational ages (37% of neonates <33 weeks), weights (32% of neonates ≤1500 g), and levels of disease severity (75% on ventilator and 11% had surgery) out of approximately 160 live births at KAMC every week.
Data collection
Numerator data were collected from
Results
Out of 838 patients included in the current analysis, 102 patients developed BSI, and 40 fulfilled the criteria for device-associated BSI. The incidence per 1000 device-days was 8.2 for CLA-BSI and 10.5 for umbilical catheter-associated BSI (Table 1). For most of birth weight groups, the incidence rates of umbilical catheter-associated BSI and CLA-BSI were above the 75th or 90th percentile of NHSN hospitals. UC utilizations were generally higher, whereas CL utilizations were generally lower,
Discussion
We studied device-associated BSI rates and device utilization ratios at KAMC NICU over a 2-year period. Device-associated BSI in the current study was an important NICU problem associated with higher mortality. KAMC device-associated BSI rates were considerably above NHSN mean rates,4 especially at the start of the study. However, concurrent with the implementation of more strict infection control practices (starting March 2006), the rate of device-associated BSI, especially CLA-BSI, gradually
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Cited by (0)
Conflicts of interest: None to report.