Herruzo-Cabrera R, De-Lope C, Fernández-Arjona M, Rey-Calero J
Preventive Medicine Department, Autonoma University, Madrid, Spain.
Eur J Epidemiol. 1995 Jun;11(3):291-5. doi: 10.1007/BF01719433.
In this study we determined the risk factors for infection and colonization by Candida spp. in our Neonatal Intensive Care Unit (NICU). We designed a cohort study in the NICU of the La Paz University Hospital. Over a one year period, 153 neonates admitted to the NICU were studied. In the bivariable analysis, hospitalization period, central catheterization, parenteral feeding, parenteral lipid feeding, respiratory support and premature rupture of the membranes (PRM) were statistically associated with infection and colonization; age was only associated with infection. Logistic regression was used to control the confusing factors. The hospitalization period was a risk factor for infection and colonization. PRMs were also colonization risk factors. We developed a statistical equation that predicts the probability of infection or colonization by Candida spp. that are related to a neonate's specific characteristics. The equation helps us to develop preventive procedures.
在本研究中,我们确定了我院新生儿重症监护病房(NICU)念珠菌属感染和定植的风险因素。我们在拉巴斯大学医院的新生儿重症监护病房设计了一项队列研究。在一年的时间里,对153名入住新生儿重症监护病房的新生儿进行了研究。在双变量分析中,住院时间、中心静脉置管、肠外营养、肠外脂肪乳剂营养、呼吸支持和胎膜早破(PRM)与感染和定植在统计学上相关;年龄仅与感染相关。采用逻辑回归控制混杂因素。住院时间是感染和定植的风险因素。胎膜早破也是定植的风险因素。我们建立了一个统计方程,用于预测与新生儿特定特征相关的念珠菌属感染或定植的概率。该方程有助于我们制定预防措施。