SURVEY OF PATHOGENIC BACTERIA IN NEONATAL INTENSIVE-CARE UNIT OF TRIPOLI MEDICAL CENTER 2013
DOI:
https://doi.org/10.36602/mmsj/2017.n06.08Keywords:
: Pathogenic, Bacteria, Neonates, Antibiotic Resistance, Intensive Care Unit.Abstract
the neonatal intensive care unit is an ideal environment for transmission of many pathogens, which lead to high
morbidity and mortality in those age group. also these microorganisms causing nosocomial infection because of
their high resistance to many antibiotics which lead to economic burdens, in addition to social and psychological
factors affecting the families due to long duration in hospitals. prevention of infection requires the identification of
contaminated equipment, education regarding infection control method including hand washing and judicious of
antimicrobial agents. Three months (may, June, and July 2013) period fellow up for all neonates who admitted to
intensive care unit (244 neonate from NICU and 235 neonates from SCBUat Tripoli medical center and have pathogenic organisms where isolated and identified according to the stander microbiological method , microbial susceptibility and antimicrobial resistant pattern where determined against various antibiotics. From one hand the most
frequent organisms recovered are klepsilla pneumonia (32.67% and 30.76%) and acinetobacter bumani (39.60% and
47.69%) for NICU and SCBU, respectively. on the other hand, the less frequent organisms are staph haemolyticus
(8.91% nicu) (4.62% scbu), staph hominis (6.93% NICU) (3.07% SCBU), E.coli (4.95% NICU) (9.23% SCBU).
Enterococcus spp (6.93% NICU),( 4.62% SCBU)the main source of infection ,blood (10.5% NICU) (11.76%
SCBU), ETT (52.5% NICU) (58.33% SCBU),vein catheter (28.57% NICU) umbilical swab (7.33% NICU)
(17.67%SCBU) , nasal swab (3.53%NICU)(12%SCBU) eye swab (30%NICU) (46.76%SCBU) skin swab, (30%
NICU) (26.76% SCBU) rectal swab (3.75% NICU) (10.77% SCBU), CSF (33.35% NICU ) (3.85% SCBU) urine
catheter (30.33 NICU) (26.76% SCBU). Data indicate significant infection problem in Tripoli Medical Center Hospital, and inefficient infection control programs, The gram negative bacteria especially acinetobacter bumanii and
klebsilla pneumonia were the predominant cause of neonatal infection.
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