Background: Very-low-birthweight (VLBW) neonates (< 1500 g) comprise approximately 1% of liveborn infants in Poland. Patent ductus arteriosus (PDA) is a common complication of prematurity. This study aimed to determine how many VLBW neonates treated in the participating units needed surgical correction of PDA, and to evaluate the incidence of various types of postoperative infections and their microbiology. Methods: Observational study in five neonatology departments by the Polish Neonatology Surveillance Network, involving 2039 VLBW newborns of whom 103 (5.1%) required surgical PDA ligation. Continuous infection surveillance was conducted between 2009 and 2013; infections were defined based on Gastmeier's criteria. Results: PDA surgery was required significantly more frequently in infants from multiple pregnancies, and where labour was complicated by amnionitis. Surgical PDA correction was performed, on average, at 19 days of life. The incidence of infection was 48.5% (N = 50), and the most common infections were bloodstream infection (26.2%) and pneumonia (22.3%). A correlation was observed between the day on which the procedure was performed and the time of infection: the earlier the neonate underwent PDA surgery, the earlier the infection manifested (P = 0.032). A high CRIB score and chorioamnionitis contributed significantly to the presence of infection. Conclusion: The later the PDA surgery was performed, the later the infection occurred. The incidence of infection after correction of PDA among VLBW neonates was comparable with the incidence of infection among all hospitalized VLBW neonates. (C) 2017 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.
机构:
Tokyo Womens Med Univ, Maternal & Perinatal Ctr, Neonatal Div, Shinjuku Ku, Tokyo 1628666, Japan
Gifu Prefectural Gifu Hosp, Dept Neonatol, Gifu, JapanTokyo Womens Med Univ, Maternal & Perinatal Ctr, Neonatal Div, Shinjuku Ku, Tokyo 1628666, Japan
Uchiyama, Atsushi
Nagasawa, Hiroyuki
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Gifu Prefectural Gifu Hosp, Dept Neonatol, Gifu, JapanTokyo Womens Med Univ, Maternal & Perinatal Ctr, Neonatal Div, Shinjuku Ku, Tokyo 1628666, Japan
Nagasawa, Hiroyuki
Yamamoto, Yutaka
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Gifu Prefectural Gifu Hosp, Dept Neonatol, Gifu, JapanTokyo Womens Med Univ, Maternal & Perinatal Ctr, Neonatal Div, Shinjuku Ku, Tokyo 1628666, Japan
Yamamoto, Yutaka
Tatebayashi, Koji
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Gifu Prefectural Gifu Hosp, Dept Neonatol, Gifu, JapanTokyo Womens Med Univ, Maternal & Perinatal Ctr, Neonatal Div, Shinjuku Ku, Tokyo 1628666, Japan
Tatebayashi, Koji
Suzuki, Hiroko
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Gifu Prefectural Gifu Hosp, Dept Neonatol, Gifu, JapanTokyo Womens Med Univ, Maternal & Perinatal Ctr, Neonatal Div, Shinjuku Ku, Tokyo 1628666, Japan
Suzuki, Hiroko
Yamada, Keitaro
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Gifu Prefectural Gifu Hosp, Dept Neonatol, Gifu, JapanTokyo Womens Med Univ, Maternal & Perinatal Ctr, Neonatal Div, Shinjuku Ku, Tokyo 1628666, Japan
Yamada, Keitaro
Arai, Mayuki
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Gifu Prefectural Gifu Hosp, Dept Neonatol, Gifu, JapanTokyo Womens Med Univ, Maternal & Perinatal Ctr, Neonatal Div, Shinjuku Ku, Tokyo 1628666, Japan
Arai, Mayuki
Kohno, Yoshinori
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Gifu Prefectural Gifu Hosp, Dept Neonatol, Gifu, JapanTokyo Womens Med Univ, Maternal & Perinatal Ctr, Neonatal Div, Shinjuku Ku, Tokyo 1628666, Japan
机构:
Univ Calif Los Angeles, Sch Med, Div Pediat Surg, Los Angeles, CA 90095 USAUniv Calif Los Angeles, Sch Med, Div Pediat Surg, Los Angeles, CA 90095 USA
Perez, CA
Bustorff-Silva, JM
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Univ Calif Los Angeles, Sch Med, Div Pediat Surg, Los Angeles, CA 90095 USAUniv Calif Los Angeles, Sch Med, Div Pediat Surg, Los Angeles, CA 90095 USA
Bustorff-Silva, JM
Villasenor, E
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Univ Calif Los Angeles, Sch Med, Div Pediat Surg, Los Angeles, CA 90095 USAUniv Calif Los Angeles, Sch Med, Div Pediat Surg, Los Angeles, CA 90095 USA
Villasenor, E
Fonkalsrud, EW
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Univ Calif Los Angeles, Sch Med, Div Pediat Surg, Los Angeles, CA 90095 USAUniv Calif Los Angeles, Sch Med, Div Pediat Surg, Los Angeles, CA 90095 USA
Fonkalsrud, EW
Atkinson, JB
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Univ Calif Los Angeles, Sch Med, Div Pediat Surg, Los Angeles, CA 90095 USAUniv Calif Los Angeles, Sch Med, Div Pediat Surg, Los Angeles, CA 90095 USA
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Dokuz Eylul Univ, Tip Fak, Dept Paediat, Div Neonatol, TR-35340 Izmir, TurkeyDokuz Eylul Univ, Tip Fak, Dept Paediat, Div Neonatol, TR-35340 Izmir, Turkey
Tatli, MM
Kumral, A
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Dokuz Eylul Univ, Tip Fak, Dept Paediat, Div Neonatol, TR-35340 Izmir, TurkeyDokuz Eylul Univ, Tip Fak, Dept Paediat, Div Neonatol, TR-35340 Izmir, Turkey
Kumral, A
Duman, N
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Dokuz Eylul Univ, Tip Fak, Dept Paediat, Div Neonatol, TR-35340 Izmir, TurkeyDokuz Eylul Univ, Tip Fak, Dept Paediat, Div Neonatol, TR-35340 Izmir, Turkey
Duman, N
Demir, K
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Dokuz Eylul Univ, Tip Fak, Dept Paediat, Div Neonatol, TR-35340 Izmir, TurkeyDokuz Eylul Univ, Tip Fak, Dept Paediat, Div Neonatol, TR-35340 Izmir, Turkey
Demir, K
Gurcu, O
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Dokuz Eylul Univ, Tip Fak, Dept Paediat, Div Neonatol, TR-35340 Izmir, TurkeyDokuz Eylul Univ, Tip Fak, Dept Paediat, Div Neonatol, TR-35340 Izmir, Turkey
Gurcu, O
Ozkan, H
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Dokuz Eylul Univ, Tip Fak, Dept Paediat, Div Neonatol, TR-35340 Izmir, TurkeyDokuz Eylul Univ, Tip Fak, Dept Paediat, Div Neonatol, TR-35340 Izmir, Turkey
机构:
Kaohsiung Vet Gen Hosp, Dept Pediat, Div Neonatol, Kaohsiung 81362, TaiwanKaohsiung Vet Gen Hosp, Dept Pediat, Div Neonatol, Kaohsiung 81362, Taiwan
Chen, Ying-Yao
Wang, Hsiao-Ping
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Kaohsiung Vet Gen Hosp, Dept Pediat, Div Neonatol, Kaohsiung 81362, TaiwanKaohsiung Vet Gen Hosp, Dept Pediat, Div Neonatol, Kaohsiung 81362, Taiwan
Wang, Hsiao-Ping
Chang, Jenn-Tzong
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Kaohsiung Vet Gen Hosp, Dept Pediat, Div Neonatol, Kaohsiung 81362, TaiwanKaohsiung Vet Gen Hosp, Dept Pediat, Div Neonatol, Kaohsiung 81362, Taiwan
Chang, Jenn-Tzong
Chiou, Yee-Hsuan
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Kaohsiung Vet Gen Hosp, Dept Pediat, Div Neonatol, Kaohsiung 81362, TaiwanKaohsiung Vet Gen Hosp, Dept Pediat, Div Neonatol, Kaohsiung 81362, Taiwan
Chiou, Yee-Hsuan
Huang, Yung-Feng
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Kaohsiung Vet Gen Hosp, Dept Pediat, Div Neonatol, Kaohsiung 81362, TaiwanKaohsiung Vet Gen Hosp, Dept Pediat, Div Neonatol, Kaohsiung 81362, Taiwan
Huang, Yung-Feng
Hsieh, Kai-Sheng
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Kaohsiung Vet Gen Hosp, Dept Pediat, Div Neonatol, Kaohsiung 81362, TaiwanKaohsiung Vet Gen Hosp, Dept Pediat, Div Neonatol, Kaohsiung 81362, Taiwan