Device-associated nosocomial infection surveillance in a Turkish pediatric intensive care unit Çocuk Yoǧun Bakim Birimi'nde girişimsel araç ilişkili hastane enfeksiyonlari
Turk Pediatri Arsivi, cilt.45, sa.1, ss.13-17, 2010 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 45 Sayı: 1
- Basım Tarihi: 2010
- Dergi Adı: Turk Pediatri Arsivi
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.13-17
- Anahtar Kelimeler: Central catheter, Invasive device, Urinary catheter, Ventilator-associated pneumonia
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Aim: The aim of the study was to investigate invasive device-related nosocomial infection rate in a Turkish pediatric intensive care unit (PICU). Material and Method: Two hundred forty patient included in the prospective active surveillance study that was conducted in Bakirköy Dr. Sadi Konuk Research and Training Hospital PICU department between January 2008 and July 2009. Center of Disease Control methodology has been used for data collecting and calculating rates. Results: Eleven invasive device related nosocomial infection were detected in 240 patients and 2909 patient days for overall rate of 4.58% and 3.78 infections per 1000 days. Ventilator utilisation rate was found to be 53% and ventilator-associated pneumonia per 1000 ventilator day was 4.53. Urinary catheter utilization rate was 14%, urinary catheter related urinary system infection rate was 4.75/1000 urinary catheter days. Central catheter utilization rate was 22%, central catheter related bloodstream infection rate was 3.16/1000 catheter days. Coagulase-negative stafilococcus (%26.09), Pseudomonas aeruginosa (%13.04), Escherichia coli (%13.04), Staphylococcus aureus (%8.70), Candida spp (%8.70), Acinetobacter baumannii (%4.35), Enterobacter aerogenes (%4.35), enterococcus faecium (%4.35), Proteus mirabilis (%4.35) were the most common microorganisms isolated. Ceftriaxon, cefaperazon-sulbactam and piperacilllin-tazobactam were the most effective antibiotics against gram-negative bacteria. The overall methicillin resistance rate was 100% among gram positive bacteria and all of them were sensitive to vancomycine. Conclusions: To best of our knowledge, this is the first study in Turkey to document that the invasive device related nosocomial infection in PICU. Invasive device related infection rates of our PICU were similar to those reported in many developed countries.