Title

Epidemiology of infections and antimicrobial use in Greek Neonatal Units.

Year of Publication

2018

Date Published

2018 Jun 28

ISSN Number

1468-2052

Abstract

<p><strong>OBJECTIVE: </strong>To describe the epidemiology of neonatal infections and of antimicrobial use in Greek Neonatal Units (NNUs) in order to develop national, evidence-based guidelines on empiric antimicrobial use for neonatal sepsis in Greece.</p>

<p><strong>DESIGN: </strong>Retrospective analysis of prospectively collected infection surveillance data from 2012 to 2015, together with a Point Prevalence Survey (PPS) on antimicrobial use and the collection of data on local empiric antimicrobial policies.</p>

<p><strong>SETTING: </strong>16 NNUs in Greece participating in the neonIN infection surveillance network PATIENTS: Newborns in participating NNUs who had a positive blood, cerebrospinal fluid or urine culture and were treated with at least 5 days of antibiotics.</p>

<p><strong>RESULTS: </strong>459 episodes were recorded in 418 infants. The overall incidence of infection was 50/1000 NNU-admissions. The majority of episodes were late-onset sepsis (LOS) (413, 90%). (80%) were the most common Gram-positive organisms causing LOS and spp (39%) the most common Gram-negative. Nearly half (45%) of the spp were resistant to at least one aminoglycoside. The PPS revealed that 196 of 484 (40%) neonates were on antimicrobials. The survey revealed wide variation in empiric antimicrobial policies for LOS.</p>

<p><strong>CONCLUSIONS: </strong>This is the largest collection of data on the epidemiology of neonatal infections in Greece and on neonatal antimicrobial use. It provides the background for the development of national evidence-based guidelines. Continuous surveillance, the introduction of antimicrobial stewardship interventions and evidence-based guidelines are urgently required.</p>

DOI

10.1136/archdischild-2018-315024

Alternate Title

Arch. Dis. Child. Fetal Neonatal Ed.

PMID

29954881

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