Hubungan Berat Badan Lahir Bayi dan Infeksi Nosokomial di ruang Perinatologi

Abstract

Nosocomial infection is still a health problem on the world because of its increasing morbidity and mortality rates. Nosocomial infection is mostly occured among infant and the highest infection is in the neonatus intensive care unit. The objective of the study is to examine the relationship between birth weight and nosocomial infection of neonates (pneumonia, bacteremia, and septicemia) in level III, Perinatal Ward, Rumah Sakit Anak Bersalin Harapan Kita (RSAB Harapan Kita) in the period of 2002-2004. The data used was the medical record of infants under care in level III, Perinatal Ward, RSAB Harapan Kita. Major sites of infection were septicemia (52,91%), bacteremia (35,48%), and pneumonia (11,61%). The most commonly found pathogens were Gram-negative bacteria: Serratia sp. (range 2,3%-38,10%), Klebsiella pneumonia (range 3,2%-6,8%), and Candida sp. (1%-4,2%). Neonates with birth weight <2500 gram using long line intravenous catheter and/or umbilical catheter faced high risk of nosocomial infection. Neonates with birth weight <2500 gram having intravenous catheter showed no case of nosocomial infection. Key words: Birth weight, nosocomial infection, perinatal ward