Causative agents of neonatal nosocomial infections and their resistance to antibiotics
Introduction. The aim of the present study was to determine the most frequent microorganisms in a neonatal intensive care unit (NICU). Material and methods. A 6-month prospective study was conducted in a NICU. All neonatal hospital infections were registered, and microorganisms were isolated by standard methods. Their susceptibility to antibiotics was tested using the disk diffusion method. Results. One hundred and fifty-four neonatal nosocomial infections were detected. 87% of all infections were supported by a microbiological diagnosis, and 144 pathogens were isolated. Gram-negative bacteria were dominant (80%). The most commonly isolated microorganisms were Acinetobacter spp. (47.9%), Pseudomonas spp, (23.6%), Klebsiella/Enterobacter spp. (8.3%). Coagulase-negative staphylococci (8.3%) and Staphylococcus aureus (6.3%) were the most frequent reported gram-positive bacteria. All microorganisms showed resistance to most of commonly used antibiotics. Conclusion. Environmental control around neonatal patients and strict antibiotic policy are important in prevention of nosocomial transmission of resistant bacteria in the NICUs. .