Turkish Archives of Pediatrics
Original Article

Trends in Causative Organisms and Antimicrobial Resistance in Late-onset Neonatal Sepsis

1.

Department of Pediatrics, Medeniyet University Faculty of Medicine, İstanbul, Türkiye

2.

Division of Neonatology, Department of Pediatrics, Medeniyet University Faculty of Medicine, İstanbul, Türkiye

3.

Department of Medical Microbiology, Medeniyet University Faculty of Medicine, İstanbul, Türkiye

4.

Department of Ophthalmology, University of Health Sciences Haydarpasa Education and Research Hospital, İstanbul, Türkiye

Turk Arch Pediatr 2024; 59: 375-382
DOI: 10.5152/TurkArchPediatr.2024.24006
Read: 133 Downloads: 53 Published: 17 June 2024

Objective: The aim of this study was to evaluate the antibiotic resistance of microorganisms isolated in cases of culture-positive nosocomial late-onset neonatal sepsis in the neonatal intensive care unit.

Materials and Methods: Infants admitted to our neonatal intensive care unit between October 2015 and June 2022 were retrospectively screened. A total of 458 different cultures from 386 sepsis incidents in 250 infants were analyzed.

Results: Over an 8-year period, 407 cases of culture-positive nosocomial late-onset neonatal sepsis were reviewed in a total of 4244 infants. Twenty-one cases were excluded due to insufficient data. The incidence of culture-positive nosocomial sepsis was 6.3%. Coagulase-negative Staphylococcus and Staphylococcus aureus were the most common gram-positive bacteria found in cultures. Resistance to ampicillin and cephalosporin treatments was high, while resistance to vancomycin, teicoplanin, and linezolid was low. Klebsiella spp. were the most frequent gram-negative bacteria isolated in cultures and showed high resistance to non-carbapenembased regimens. The only fungal microorganisms isolated in cultures were Candida spp., which had a high mortality rate despite their low resistance profile. The mortality rate due to nosocomial sepsis was 19.6%.

Conclusion: Our study demonstrated that microorganisms and their antibiotic resistance profiles changed over time in the newborn intensive care unit. Gram-negative pathogens exhibited high antibiotic resistance, while fungi had high mortality rates. It is essential to adjust empirical antibiotic regimens for nosocomial sepsis based on thorough surveillance.

Cite this article as: Özkavaklı A, Yalın İmamoğlu E, Önder N, İmamoğlu S, Ovalı HF. Trends in causative organisms and antimicrobial resistance in late-onset neonatal sepsis. Turk Arch Pediatr. 2024;59(4):375-382.

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