Assessment of healthcare-associated infections in the pediatric intensive care unit Çocuk yoğun bakım ünitesindeki hastane enfeksiyonlarının değerlendirilmesi
Cocuk Enfeksiyon Dergisi, cilt.11, sa.3, 2017 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 11 Sayı: 3
- Basım Tarihi: 2017
- Doi Numarası: 10.5578/ced.201733
- Dergi Adı: Cocuk Enfeksiyon Dergisi
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Anahtar Kelimeler: Antibiotic, pediatric critical care, health care-associated infections
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: In this study, we aimed to retrospectively investigate the frequency of healthcare-associated infections, infection sites, culture proven microorganisms and antibiotic resistance properties registered in the surveillance system, in our Pediatric Intensive Care Unit over the past five years. Material and Methods: The data of healthcare-associated infections detected in patients in our 12-bed pediatric intensive care unit, which are all third-level, were collected from January 1, 2012 to December 31, 2016 retrospectively. Infection rate and density were made. Culture proven microorganisms and antibiotic resistance properties were recorded. Results: The data of 2545 patients who were followed in the pediatric intensive care unit during the study period were collected. Mortality rate was 9%. The total number of in patient days was 20.696. The median age of the patients was 3 years (min: 2 months, max: 18 years). The total number of patients with health care-associated infection was 60, the infection rate was 2.36 and infection density was 2.89. Laboratory-proven bloodstream infection was detected in 15 patients and the rate of infection was 0.59 and the density was 0.72. In seven patients, central venous catheter-related bloodstream infection was observed and the rate of infection was 0.27 and the density was 0.33. In nine patients, catheter-related urinary tract infection was detected and the rate of infection was 0.35 and the density was 0.43. Ventilator-associated pneumonia was observed in 30 patients and the rate of infection was 1.18 and the density was 1.44. Isolated microorganisms were as follows: Pseudomonas aeruginosa in 17 cases, Acinetobacter baumannii in 14 cases, Klebsiella pneumoniae in 9 cases, Serratia marcescens in 5 cases, Escherichia coli in 4 cases, Candida albicans in 4 cases, coagulase negative staphylococcus in 2 cases, Candida parapsilosis in 2 cases, Enterococcus faecalis in 1 case, Proteus mirabilis in 1 case and Stenotrophomonas maltophilia in 1 case. Conclusion: Intensive care units have the highest rates of antibiotic use in our country and around the world. Antibiotic usage is increasing day by day in pediatric intensive care units. Regional and multicenter studies regarding child intensive care units should be conducted to raise awareness about healthcare-associated infections.