Nosocomial Infection In Neonatal Intensive Care Unit In Z.U.H

Sepsis is the most common cause of neonatal mortality in developingcountries according for 30-50% of total neonatal deaths each year. Prolonged orrepeated courses.Nosocomial infection patients were defined as all patients who wereneither infected no were in incubation period at the admission time and hadpositive culture after third day of admission. VAP means persistent orappearance of new radiological findings in chest X-rays 48 h. after put thepatient on mechanical ventilator. In this study, we collect 33 neonates “patients”suffered from clinical picture of sepsis such as [poor neonatal reflexes,respiratory distress, cyanosis, jaundice, seizure, sclerema and G.I.T problems]and by done of prospective study on patients after done of routine laboratoryinvestigations and conventional blood culture and antibiotic sensitivity topatients and nasal swabs to doctors and nurses and swabs from instruments showklebsiella pneumonia is the most common organism in neonatal intensive careunit in Zagazig University Hospital (27.3) followed by E.coli (24.2) and patientscan be diagnosed and suspect type of organism before doing of blood culture byclinical finding such as klebsiella pnecumonia show respiratory distress andcyanosis as (100%), (87.5) respectively.Also, show klebsiella was more sensitive to imipenem and meropenem as(77.8) and (66.7) respectively and CONS was more sensitive to vancamycin(80%).So, by this study show, the ability to diagnose the type of organism of thenosocomial infection