Open AccessSTANDARD EPIDEMIOLOGICAL CASE DEFINITION AND RISK FACTORS OF NOSOCOMIAL PNEUMONIA TERM AND PRETERM INFANTS
Author(s) -
В. И. Сергевнин,
P. S Gusmanova,
R. V Khokhryakov,
N I Markovich,
O. G Tokmakova,
O. L Artemova
Publication year - 2012
Publication title -
èpidemiologiâ i infekcionnye bolezni
Language(s) - English
Resource type - Journals
eISSN - 2411-3026
pISSN - 1560-9529
DOI - 10.17816/eid40620
Subject(s) - medicine , pneumonia , respiratory distress , asphyxia , epidemiology , chest radiograph , pediatrics , risk factor , meconium aspiration syndrome , intensive care medicine , pregnancy , lung , surgery , meconium , fetus , biology , genetics
Based on the results of studying the frequency of clinical and laboratory symptoms single standard epidemiological estimate of pneumonia is designed to be possible to be used with respect to full term and preterm infants. Such estimate should include the presence of inflammatory reaction in the lung on chest radiograph and at least one of the symptoms such as apnea, wheezing, sputum. For term infants the leading risk factor for nosocomial pneumonia associated with neonatal departments at Children ’s Hospital, was established to be a long-term (over 5 days) mechanical ventilation. For preterm newborns the risk factor for pneumonia, in addition, may be a history of respiratory distress syndrome, pneumopathy, intrauterine growth retardation, amniotic fluid aspiration and asphyxia at birth.