Infections following surgical patent ductus arteriosus ligation in very-low-birthweight neonates

被引:0
|
作者
Kopec-Godlewska, K. [1 ]
Wojkowska-Mach, J. [2 ]
机构
[1] Jagiellonian Univ, Med Coll, Fac Hlth Sci, Krakow, Poland
[2] Jagiellonian Univ, Med Coll, Fac Med, Microbiol Dept, 18 Czysta St, PL-31121 Krakow, Poland
关键词
Patent ductus arteriosus; Polish neonatology surveillance network; Very low birthweight; Infections; INTENSIVE-CARE UNITS; PREMATURE-INFANTS; NECROTIZING ENTEROCOLITIS; PRETERM INFANTS; CHORIOAMNIONITIS; MANAGEMENT; OUTCOMES; RISK; DIAGNOSIS; MORTALITY;
D O I
10.1016/j.jhin.2017.07.029
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
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.
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收藏
页码:62 / 67
页数:6
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