Bacterial Nosocomial Infection: Experience of the Neonatal Intensive Care Unit at the University Hospital of Marrakech

Asma Helyaich1, 2, *, Nadia El Idrissi Slitine1, 2, Fatiha Bennaoui1, 2, abdelmounaim Aboussad1, 2, Nabila Soraa3, F.M.R Maoulainine1, 2
1 Department of Neonatal Intensive Care, Mohammed VI University Hospital, Marrakech, Morocco
2 Team for Childhood, Health and Development, Marrakech School of Medicine, Cadi Ayyad University, Marrakech, Morocco
3 Department of Microbiology, University Hospital Mohamed VI. Marrakech, Morocco

© 2019 Helyaich et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Department of Neonatal Intensive Care , Mohammed VI University Hospital, Marrakech, Morocco; Tel: 00212676498716; Email:


Background and Aim

Nosocomial infections are one of the major causes of morbidity in the Neonatal Intensive Care Unit (NICU). Known risk factors include birth weight, gestational age, severity of illness and its related length of stay, and instrumentation.


The purpose of this article is to determine the occurrence of Nosocomial Infections (NIs), including infection rates, main infection sites, and common microorganisms.


A retrospective study was conducted between June 2015 and December 2016.


The incidence of nosocomial infection was 16%. The primary reasons for admission were intauterin growth retardation (52.5%). Klebsiella Pneumoniae was the most commonly identified agent in the blood cultures and in the hospital unit (43.6%). The mortality rate from nosocomial infection was 52.6%. The proportion of infected newborns with a lower than normal birth weight was predominant (58.13%).


Thus, prevention of bacterial infection is crucial in these settings of unique patients. In this view, improving neonatal management is a key step, and this includes promotion of breast-feeding and hygiene measures.

Keywords: Epidemiology, Hospitalization, Morocco, Neonatal, Nosocomial infection, Congenital heart disease.