TY - JOUR T1 - Device-associated infections in neonatal care units in a middle-income country, 2016–2018 JO - Jornal de Pediatria (English Edition) T2 - AU - Torres-Muñoz,Javier AU - Hoyos,Ingrith Viviana AU - Murillo,Jennifer AU - Holguin,Jorge AU - Dávalos,Diana AU - López,Eduardo AU - Torres-Figueroa,Sofia SN - 00217557 M3 - 10.1016/j.jped.2023.03.004 DO - 10.1016/j.jped.2023.03.004 UR - https://jped.elsevier.es/en-device-associated-infections-in-neonatal-care-articulo-S0021755723000487 AB - ObjectiveDescribe the device-associated infections in the NICUs in Cali – Colombia, a middle-income country, between August 2016 to December 2018. MethodsObservational cross-sectional study evaluating reports of device-associated infections in 10 NICUs in Cali, Colombia, between August 2016 and December 2018. Socio-demographic and microbiological data were obtained from the National Public Health surveillance system, through a specialized notification sheet. The relationship of device-associated infections with several outcomes including birth weight, microorganisms, and mortality was evaluated using OR CI95%, using the logistic regression model. Data processing was performed using the statistical program STATA 16. Results226 device-associated infections were reported. The rate of infection with central line-associated bloodstream infections was 2.62 per 1000 days of device use and 2.32 per 1000 days for ventilator-associated pneumonia. This was higher in neonates under 1000 g; 4.59 and 4.10, respectively. 43.4% of the infections were due to gram-negative bacteria and 42.3% were due to gram-positive bacteria. Time from hospitalization to diagnosis of all device-associated infections had a median of 14 days. When compared by weight, infants with a weight lower than 1000 g had a greater chance of death (OR 3.61; 95% CI 1.53–8.49, p = 0.03). Infection by gram-negative bacteria was associated with a greater chance of dying (OR 3.06 CI 95 1.33–7.06, p = 0.008). ConclusionsThese results highlight the need to maintain epidemiological surveillance processes in neonatal intensive care units, especially when medical devices are used. ER -