1086. Nosocomial infections on NICUs in Germany: Current data from the German National Surveillance System for very low birthweight infants (NEO-KISS)
Session: Poster Abstract Session: Surveillance of HAIs: Implementation and National Perspectives
Friday, October 4, 2013
Room: The Moscone Center: Poster Hall C
Background: Very low birthweight infants (< 1 500 g, VLBW) are at increased risk for nosocomial infections (NI). In the year 2000 we implemented “NEO-KISS”, a surveillance system for VLBW infants in Germany. A few years later, in 2005 joint committee of healthcare providers and insu­rance companies obliged German neonatology departments to participate in the system. As a result, NEO-KISS is today a nationwide surveillance system that covers all existing neonatal intensive care units (NICU) in Germany.

Patients and Methods: We present NEO-KISS data collected between 2007 and 2011 by 228 neonatology departments. Analyzed were rates of sepsis, pneumonia and necrotizing enterocolitis (NEC). A new indicator, the Standardized Infection Rate (SIR) was introduced in order to evaluate the department-specific infection rate. The SIR considers the department-specific patient distribution (based on the patients' birthweight) and describes the ratio of observed and expected infections (calculated from the reference data for this individual patient distribution). The data presented comprise 33,048 VLBW infants.

Results: The incidence density of CVC-associated sepsis 8.6 per 1,000 CVC-days. The incidence of pneumonia among mechanically ventilated patients was 2.7/1,000 ventilator days. The incidence of NEC was 0.8.

Conclusion: The SIR showed strong variation among the participating departments. SIR is an excellent tool for identifying outliers in nosocomial infection rates and for stimulating activities to decrease the risk of nosocomial infections.

Rasmus Leistner, MD1,2, Brar Piening, MD2,3, Petra Gastmeier, MD, PhD2,4, Christine Geffers, MD1,2 and Frank Schwab, PhD2,5, (1)Institute of Hygiene and Environmental Medicine, Berlin, Germany, (2)German National Reference Center for the Surveillance of Nosocomial Infections, Berlin, Germany, (3)Institute of Hygiene and Environmental Medicine, Charité – University Medicine Berlin, Berlin, Germany, (4)University of Medicine, Hannover, Germany, (5)Institute of Hygiene, National Reference Centre for Surveillance of Nosocomial Infections, Berlin, Germany

Disclosures:

R. Leistner, None

B. Piening, None

P. Gastmeier, None

C. Geffers, None

F. Schwab, None

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