Hospital-acquired neonatal infections in developing countries

Zaidi, Anita KM; Huskins, W Charles; Thaver, Durrane; Bhutta, Zulfiqar A; Abbas, Zohair; Goldmann, Donald A

doi:10.1016/s0140-6736(05)71881-x

Cited by 830Neonatal and Maternal InfectionsInfection Control in HealthcareMaternal and Neonatal Healthcare

Hospital-acquired neonatal infections in developing countries

Zaidi, Anita KM, Huskins, W Charles, Thaver, Durrane, Bhutta, Zulfiqar A, Abbas, Zohair, Goldmann, Donald A·2005·The Lancet

DOI 10.1016/s0140-6736(05)71881-x

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Abstract

Hospital-born babies in developing countries are at increased risk of neonatal infections because of poor intrapartum and postnatal infection-control practices. We reviewed data from developing countries on rates of neonatal infections among hospital-born babies, range of pathogens, antimicrobial resistance, and infection-control interventions. Reported rates of neonatal infections were 3-20 times higher than those reported for hospital-born babies in industrialised countries. Klebsiella pneumoniae, other gram-negative rods (Escherichia coli, Pseudomonas spp, Acinetobacter spp), and Staphylococcus aureus were the major pathogens among 11,471 bloodstream isolates reported. These infections can often present soon after birth. About 70% would not be covered by an empiric regimen of ampicillin and gentamicin, and many might be untreatable in resource-constrained environments. The associated morbidity, mortality, costs, and adverse effect on future health-seeking behaviour by communities pose barriers to improvement of neonatal outcomes in developing countries. Low-cost, "bundled" interventions using systems quality improvement approaches for improved infection control are possible, but should be supported by evidence in developing country settings.

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Hospital-born babies in developing countries have a 3 to 20 times greater risk of neonatal infections because of poor infection-control practices.
“However, even hospital-born babies in developing countries have a three times greater to 20 times greater risk of neonatal infections because of poor infection-control practices.56, 57, 58, 59”
From Global burden of childhood pneumonia and diarrhoea (2013) · cites this paper as [56]

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Authors: Zaidi, A. K., Huskins, W. C., Thaver, D., Bhutta, Z. A., Abbas, Z., & Goldmann, D. A.
Affiliations: Aga Khan University (PK)
Mayo Clinic (US)
Boston Children's Hospital (US)
Corresponding author: Zaidi, Anita KM
ORCID: Huskins, W Charles
Bhutta, Zulfiqar A
Abbas, Zohair
Venue: The Lancet
Publisher: Elsevier BV
Published: 2005-03
Volume: 365
Issue: 9465
Pages: 1175-1188
ISSN: 0099-5355 (ISSN-L)
0140-6736
DOI: 10.1016/s0140-6736(05)71881-x
OpenAlex: W2168581177
Cited by: 830
References: 181
Citations by year: 2026: 34 · 2025: 53 · 2024: 39 · 2023: 39 · 2022: 52 · 2021: 70 · 2020: 65 · 2019: 51 · 2018: 43 · 2017: 36 · 2016: 55 · 2015: 50 · 2014: 34 · 2013: 40 · 2012: 33
FWCI: 17.41
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: The Lancet (publishedVersion)
PubMed (publishedVersion)
eCommons - AKU (Aga Khan University) (submittedVersion)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Neonatal and Maternal Infections
Health Sciences › Medicine › Infectious Diseases › Infection Control in Healthcare
Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
Keywords: neonatal infection, nosocomial infections, neonatal sepsis, Klebsiella pneumoniae, Gram-negative bacteria, Staphylococcus aureus, antimicrobial resistance, infection control, developing countries, empirical antibiotic therapy, quality improvement intervention, neonatal mortality
MeSH terms: Cross Infection, Developing Countries, Humans, Infant Care, Infant, Newborn, Klebsiella Infections, Risk Factors, Incidence, Infection Control, Sepsis, Drug Resistance, Bacterial

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Hospital-acquired neonatal infections in developing countries

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