SURVEY OF PATHOGENIC BACTERIA IN NEONATAL INTENSIVE-CARE UNIT OF TRIPOLI MEDICAL CENTER 2013

the neonatal intensive care unit is an ideal environment for transmission of many pathogens, which lead to highmorbidity and mortality in those age group. also these microorganisms causing nosocomial infection because oftheir high resistance to many antibiotics which lead to economic burdens, in addition to social and psychologicalfactors affecting the families due to long duration in hospitals. prevention of infection requires the identification ofcontaminated equipment, education regarding infection control method including hand washing and judicious ofantimicrobial agents. Three months (may, June, and July 2013) period fellow up for all neonates who admitted tointensive care unit (244 neonate from NICU and 235 neonates from SCBUat Tripoli medical center and have pathogenic organisms where isolated and identified according to the stander microbiological method , microbial susceptibility and antimicrobial resistant pattern where determined against various antibiotics. From one hand the mostfrequent organisms recovered are klepsilla pneumonia (32.67% and 30.76%) and acinetobacter bumani (39.60% and47.69%) for NICU and SCBU, respectively. on the other hand, the less frequent organisms are staph haemolyticus(8.91% nicu) (4.62% scbu), staph hominis (6.93% NICU) (3.07% SCBU), E.coli (4.95% NICU) (9.23% SCBU).Enterococcus spp (6.93% NICU),( 4.62% SCBU)the main source of infection ,blood (10.5% NICU) (11.76%SCBU), ETT (52.5% NICU) (58.33% SCBU),vein catheter (28.57% NICU) umbilical swab (7.33% NICU)(17.67%SCBU) , nasal swab (3.53%NICU)(12%SCBU) eye swab (30%NICU) (46.76%SCBU) skin swab, (30%NICU) (26.76% SCBU) rectal swab (3.75% NICU) (10.77% SCBU), CSF (33.35% NICU ) (3.85% SCBU) urinecatheter (30.33 NICU) (26.76% SCBU). Data indicate significant infection problem in Tripoli Medical Center Hospital, and inefficient infection control programs, The gram negative bacteria especially acinetobacter bumanii andklebsilla pneumonia were the predominant cause of neonatal infection.