从利伯维尔大学医院新生儿科新生儿血培养、保温箱、婴儿床、呼吸机、洗脸盆及医护人员中分离出的微生物概况：重点关注感染预防与控制措施。
Profiles of microorganisms isolated from neonates' blood cultures, incubators, cradles, ventilators, washbasins, and health-workers of Libreville University Hospital Neonatal Service: focus on infection prevention and control measures.
作者信息
Kuissi Kamgaing Eliane, Ndong Jean-Charles, Kouegnigan Rerambiah Léonard, Djoba Siawaya Joel Fleury
机构信息
Pôle enfant, CHU- Mère-Enfant Fondation Jeanne EBORI, Libreville.
Department of Pediatric University of Health Sciences, Owendo.
出版信息
J Public Health Afr. 2021 Jun 18;12(1):1075. doi: 10.4081/jphia.2021.1075.
BACKGROUND
Nosocomial infection outbreaks in neonatal services are a serious healthcare concern in both developed and developing countries, but few studies have been conducted in sub-Saharan Africa.
OBJECTIVE
This study explored the etiology of septicemia in neonates and associated patterns of antimicrobial susceptibility in Gabon.
METHODS
We analyzed cultures from neonates' blood and swabs from medical personnel and equipment located in the neonatology service.
RESULTS
Sixty-eight microorganisms were isolated from the medical personnel and equipment; 46 microorganisms were isolated from neonates' blood culture. spp e was the most common bacteria found in both (30.6% and 26.9%, respectively). All spp isolates were resistant to amoxicillin with clavulanic acid, gentamycin resistance ranged from 93% to 100%, and cephalosporin resistance ranged from 33.3% to 47%.
CONCLUSIONS
Awareness of the etiology, prevalence, and outcome of nosocomial infection is the first and most important step to appropriate interventions.
背景
新生儿病房的医院感染暴发在发达国家和发展中国家都是严重的医疗问题，但在撒哈拉以南非洲地区开展的研究较少。
目的
本研究探讨加蓬新生儿败血症的病因及相关抗菌药物敏感性模式。
方法
我们分析了新生儿血液培养物以及新生儿科医护人员和设备的拭子样本。
结果
从医护人员和设备中分离出68种微生物；从新生儿血培养中分离出46种微生物。表皮葡萄球菌是两者中最常见的细菌（分别为30.6%和26.9%）。所有表皮葡萄球菌分离株对阿莫西林克拉维酸耐药，庆大霉素耐药率为93%至100%，头孢菌素耐药率为33.3%至47%。
结论
了解医院感染的病因、患病率和结局是采取适当干预措施的首要也是最重要的一步。
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