{
  "abstract": "BackgroundDevice-associated healthcare-associated infections (DA-HAIs) remain an important concern in neonatal intensive care units (NICUs). This study describes six-year surveillance data on the epidemiology, device utilization, pathogen distribution, and antimicrobial resistance of DA-HAIs.MethodsWe conducted a retrospective descriptive surveillance study from 2020 to 2025. Ventilator-associated pneumonia (VAP), central line-associated bloodstream infection (CLABSI), and catheter-associated urinary tract infection (CAUTI) were classified using a standardized CDC/NHSN surveillance framework. Annual infection rates per 1,000 device-days, exact 95% confidence intervals (CIs), device utilization ratios, and isolate-level microbiological data were summarized.ResultsTwenty-four CLABSI episodes occurred during 17,033 central-line days (1.41 per 1,000 line-days; 95% CI, 0.90–2.10), and 46 VAP episodes occurred during 21,628 ventilator-days (2.13 per 1,000 ventilator-days; 95% CI, 1.56–2.84). No CAUTI episodes occurred during 2,294 urinary catheter-days (95% CI, 0.00–1.61 per 1,000 catheter-days). Coagulase-negative staphylococci predominated among CLABSI isolates. Gram-negative organisms accounted for 25 of 42 recorded VAP isolates, while Staphylococcus haemolyticus was the single most common VAP isolate. MDR classifications varied by organism.ConclusionThese surveillance data characterize local DA-HAI patterns and support continued attention to device stewardship, microbiological surveillance, and antimicrobial stewardship.",
  "abstract_shown": true,
  "affiliations": [],
  "article_type": "Original Research",
  "arxiv": null,
  "author_total": 5,
  "authors": [
    {
      "name": "Haiqiao Zhang"
    },
    {
      "name": "Mingyan Zou"
    },
    {
      "name": "Xiaoming Guo"
    },
    {
      "name": "Jiayu Cai"
    },
    {
      "name": "Zidong Liang"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/3npcd1rvcrkwv.bib",
  "cited_by": 0,
  "doi": "10.3389/fpubh.2026.1979471",
  "fulltext_url": null,
  "id": "3npcd1rvcrkwv",
  "issns": [
    "2296-2565"
  ],
  "landing_url": "https://www.frontiersin.org/articles/10.3389/fpubh.2026.1979471",
  "language": null,
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "feed-journal",
      "medicine/epidemiology-public-health"
    ]
  ],
  "openalex": null,
  "pdf_url": null,
  "pmcid": null,
  "pmid": null,
  "published": "2026-10-30",
  "publisher": "Frontiers Media SA",
  "ris": "https://research.draconitic.com/paper/3npcd1rvcrkwv.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:17:23Z",
      "native_id": "10.3389/fpubh.2026.1979471",
      "source": "feed-frontiers",
      "url": "https://www.frontiersin.org/articles/10.3389/fpubh.2026.1979471"
    },
    {
      "first_seen": "2026-10-30T12:20:24Z",
      "native_id": "10.3389/fpubh.2026.1979471",
      "source": "crossref",
      "url": "https://www.frontiersin.org/articles/10.3389/fpubh.2026.1979471/full"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "feed-journal:medicine/epidemiology-public-health",
      "subfield": "epidemiology-public-health"
    }
  ],
  "title": "Epidemiology, microbiological characteristics, and antimicrobial resistance of device-associated healthcare-associated infections in a neonatal intensive care unit: a six-year surveillance study",
  "title_text": "Epidemiology, microbiological characteristics, and antimicrobial resistance of device-associated healthcare-associated infections in a neonatal intensive care unit: a six-year surveillance study",
  "type": "peer-reviewed",
  "updated_at": "2026-11-01T00:21:06Z",
  "url": "https://research.draconitic.com/paper/3npcd1rvcrkwv",
  "venue": "Frontiers in Public Health",
  "versions": []
}