Nosocomial fungemia in neonates associated with intravascular pressure-monitoring devices
| Autor: | Rita M. Furman, Roger L. Anderson, William J. Martone, John W. Eley, Steven L. Solomon, Sharon Smart, Holly Alexander, Hewitt C. Goodpasture |
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| Rok vydání: | 1986 |
| Předmět: |
Microbiology (medical)
Male Resuscitation Neonatal intensive care unit Candida parapsilosis medicine.artery Transducers Pressure Medicine Humans Fungemia Candida Cross Infection biology business.industry Candidiasis Infant Newborn Umbilical artery Blood Pressure Determination medicine.disease biology.organism_classification Infectious Diseases Parenteral nutrition Blood pressure Blood Anesthesia Pediatrics Perinatology and Child Health Equipment Contamination Female business Complication |
| Zdroj: | Pediatric infectious disease. 5(6) |
| ISSN: | 0277-9730 |
| Popis: | In the period from January, 1982, to March, 1983, eight infants in the neonatal intensive care unit at one hospital had blood cultures positive for Candida parapsilosis; six cases had occurred after December, 1982. Epidemiologic investigation included a case-control study comparing the 8 cases with 29 birth weight-matched controls. Logistic regression analysis indicated that the model that best fit the observed data included the following risk factors for fungemia: duration of umbilical artery catheterization; duration of receipt of parenteral nutrition; and estimated gestational age. Parenteral nutrition therapy was often administered through the umbilical artery catheters, which were also used for monitoring arterial pressure; transducer domes thus contained parenteral nutrition fluid. Transducers were usually disinfected with alcohol. Laboratory investigation showed that the heads of 6 of 11 in-use blood pressure transducers and 1 of 4 transducers in storage after cleaning were culture-positive for C. parapsilosis. After control measures were instituted no further cases occurred. |
| Databáze: | OpenAIRE |
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