RESUMO
A cohort study measured the occurrence and risk factors of nosocomial infections in the neonatal intensive care unit of Abha general hospital, Saudi Arabia. Of 401 neonates who stayed at least 48 hours in the unit, 77 developed infections, a period prevalence of 19.2% and an incidence of 13.7 infections per 1000 patient-days. The most frequent infections were: pneumonia (50.0%), primary bloodstream (40.9%) and skin and soft tissues (6.5%). In logistic regression analysis, mechanical ventilation (OR = 2.69, 95% CI: 1.39-5.19) and total parenteral nutrition (OR = 5.62, 95% CI: 2.78-11.35) were identified as significant risk factors. Neonates suffering from nosocomial infections had more than 3 times the risk of dying compared to neonates free of infection.
Assuntos
Infecções Bacterianas/epidemiologia , Infecção Hospitalar/epidemiologia , Unidades de Terapia Intensiva Neonatal , Infecções Bacterianas/microbiologia , Estudos de Coortes , Infecção Hospitalar/microbiologia , Parto Obstétrico/métodos , Parto Obstétrico/estatística & dados numéricos , Feminino , Idade Gestacional , Hospitais Gerais , Humanos , Recém-Nascido , Controle de Infecções , Unidades de Terapia Intensiva Neonatal/estatística & dados numéricos , Terapia Intensiva Neonatal , Modelos Logísticos , Masculino , Nutrição Parenteral Total/efeitos adversos , Respiração Artificial/efeitos adversos , Fatores de Risco , Arábia Saudita/epidemiologiaRESUMO
A cohort study measured the occurrence and risk factors of nosocomial infections in the neonatal intensive care unit of Abha general hospital, Saudi Arabia. Of 401 neonates who stayed at least 48 hours in the unit, 77 developed infections, a period prevalence of 19.2% and an incidence of 13.7 infections per 1000 patient-days. The most frequent infections were: pneumonia [50.0%], primary bloodstream [40.9%] and skin and soft tissues [6.5%]. In logistic regression analysis, mechanical ventilation [OR = 2.69, 95% CI: 1.39-5.19] and total parenteral nutrition [OR = 5.62, 95% CI: 2.78-11.35] were identified as significant risk factors. Neonates suffering from nosocomial infections had more than 3 times the risk of dying compared to neonates free of infection
Assuntos
Unidades de Terapia Intensiva Neonatal , Estudos de Coortes , Fatores de Risco , Prevalência , Incidência , Infecção HospitalarRESUMO
Preferences of women living in remote areas regarding delivery place and attendant were surveyed, opinions of primary health care (PHC) doctors about traditional birth attendants' (TBA) maternal care were assessed and training needs for TBAs were identified using questionnaires and a focus group discussion. Home deliveries and TBAs were preferred by approximately 24% and 38% of the women respectively. The fact that they were women and psychological comfort were the main reasons for preferring TBAs. TBAs disclosed many harmful practices. No PHC centre help was sought by 75% of TBAs. Lack of cooperation between PHC centres and TBAs was a concern of most of the doctors. Training and links to PHC services for TBAs are needed.
