Endo-tracheal tube associated bacterial infection, prevalence and their drug susceptibility pattern in NICU.

ABSTRACT

Aim of this article is to provide an overview of modifiable and nonmodifiable factor in the development of Nosocomial Infections (NIs) in the Neonatal Intensive Care Units (NICUs).Endotracheal tube intubation/Mechanical ventilation is a lifesaving invasive procedure which is associated with their own potential complications, like ventilator associated pneumonia (VAP), sepsis, Ventilator associated-tracheo-bronchitis(VAT), acute respiratory distress syndrome, pulmonary embolism, Barotrauma and pulmonary edema, which can occur among the patients receiving mechanical ventilation. Among the above listed complication, Neonatal sepsis is the most common and VAP is the second most common encountered Nosocomial infection, which account for the most of the morbidity and mortality in the NICUs and ventilated patients. PubMed, Embase and google scholar have been searched for the articles meeting our criteria,total fourteen articles have been used. Neither any alterations or modifications nor any Software’s were used in this article. In some recent research article and literature, some strategy have been mentioned, which are resulting in better control of Nosocomial infection due to ventilator or endotracheal tube intubation. Gram-negative bacteria are most prevalent in the developing countries and Gram-positive in the developed countries, Klebsiella pneumonia, E. coli and staphylococcus aureus are the most common reason for NIs. Increasing number of NIs and multidrug resistance bacteria are matter of concern for Neonatologist around the world.