الفهرس 
Multidrug resistant organisms : Prevalence, and predisposing factors, in the Surgical Neonatal Intensive Care Unit (SNICU) of Cairo University Specialized Pediatric Hospital
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Abstract
Background: The incidence of neonatal sepsis increased during the recent years, it may be due to the frequent use of invasive procedures and the development of resistant organisms. Bacterial resistance to commonly used antibiotics has emerged and complicated the management of neonatal sepsis. Objective: Our study aimed at determining the prevalence and risk factors of multidrug resistant organisms(MDRO) in the surgical neonatal intensive care unit (SNICU) of Cairo University Specialized pediatric Hospital postoperatively, from April 2015 to September 2015. Materials and Methods: A prospective, observational study was carried out in the tertiary-care level surgical neonatal intensive care unit(SNICU) of Cairo University Specialized pediatric Hospital.58 neonates whose blood culture were negative on admission and were having any surgical pathology were studied. Baseline data collected included; demographic data, evidence of sepsis, complete clinical examination and investigations such as quantitative C-reactive protein (QCRP), WBC counts and, blood culture. Treatment were also recorded in details. After 48 hours postoperatively, another blood culture was done to look for multidrug resistant organisms. Wound swab culture, CVP tip culture and tracheal aspirate culture were also done where applicable. Hand hygiene was assessed among the health care workers using the WHO 2My Five Moments for Hand Hygiene