Abstract
Bloodstream infection (BS1) is one of the main causes of sepsis and death in newborns. The relative importance of nosocomial and non-nosocomial agents in developing countries is not clear. We conducted a prospective study of newborns hospitalized with a first episode of BS1 in order to classify it as early, late or nosocomial, describe the clinical and microbiological charateristics, and explore risk factors between hospital-acquired vs community-acquiered BS1 (HA-BS1 vs CA-BS1). Twenty-seven newborns with a first episode of BS1 were identified. Streptococcus agalactiae and coagulase negative Staphylococcus were the main agents in CA-BS1 and HA-BS1, respectively. The only significant intrinsic risk factor between HA-BS1 and CA-BS1 was gestational age. The frequent finding of S. agalactiae warrants routine screening and prophylaxis in pregnant women. The risk factors for HA-BS1 were mostly extrinsic, and thus, susceptible of being modified.
| Translated title of the contribution | Bloodstream infection in a neonatology unit of Medellin-Colombia, 2008-2009 |
|---|---|
| Original language | Spanish |
| Pages (from-to) | 491-498 |
| Number of pages | 8 |
| Journal | Revista Chilena de Infectologia |
| Volume | 27 |
| Issue number | 6 |
| State | Published - Dec 2010 |
| Externally published | Yes |
