Indian journal of pediatrics · 2008
Predicting neonatal sepsis in ventilated neonates.
СтатьяНазвание и аннотация: Перевод в очереди
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Bozaykut Abdulkadir, Ipek Ilke Ozahi, Kilic Beltinge Demircioglu
Аннотация
OBJECTIVE: To show the value of serial endotracheal aspirate culture in predicting organisms causing sepsis in ventilated neonates.
METHODS: We studied 100 newborns in Zeynep Kamil Maternity and Children's Training and Research Hospital Neonatal Intensive Care Unit. Endotracheal aspirate and blood cultures were taken first on the third day and then once a week till extubation.
RESULTS: Blood and endotracheal cultures showed the same organism only in 17.6% of the patients. There was no relationship among 86.4% of the patients. The rate of culture positivity increased as the birth weight decreased, gestation week got smaller and the duration of intubation prolonged.
CONCLUSION: The antibiotherapy arranged according to the endotracheal aspirate cultures is not suitable for a possible sepsis agent. Moreover, resistant organisms may occur in hospitals if the antibiotics used unnecessarily.
METHODS: We studied 100 newborns in Zeynep Kamil Maternity and Children's Training and Research Hospital Neonatal Intensive Care Unit. Endotracheal aspirate and blood cultures were taken first on the third day and then once a week till extubation.
RESULTS: Blood and endotracheal cultures showed the same organism only in 17.6% of the patients. There was no relationship among 86.4% of the patients. The rate of culture positivity increased as the birth weight decreased, gestation week got smaller and the duration of intubation prolonged.
CONCLUSION: The antibiotherapy arranged according to the endotracheal aspirate cultures is not suitable for a possible sepsis agent. Moreover, resistant organisms may occur in hospitals if the antibiotics used unnecessarily.
Предметные рубрики MeSH
Bronchoalveolar Lavage FluidCross InfectionFemaleGram-Negative Bacterial InfectionsGram-Positive Bacterial InfectionsHumansIncidenceIndiaInfant, NewbornInfant, PrematureInfant, Premature, DiseasesIntensive Care Units, NeonatalIntubation, IntratrachealMaleRespiration, ArtificialRisk AssessmentRisk FactorsSepsis