Determining the Independent Risk Factors and Mortality Rate of Nosocomial Infections in Pediatric Patients

Aktar, Fesih; Tekin, Recep; Güneş, Ali; Ülgen, Cevat; Tan, İlhan; Ertuğrul, Sabahattin; Köşker, Muhammet; Balık, Hasan; Karabel, Duran; Yolbaş, İlyas

doi:10.1155/2016/7240864

“…In developed countries, there are numerous studies concerning healthcare-associated infections in pediatric intensive care units, however, such studies in Turkey are relatively limited. In previous years, Staphylococcus aureus was the most frequent; however, today, the most frequently encountered agents of healthcare-associated infections in both children and in adult patients are Pseudomonas, Klebsiella and Acinetobacter species as well as the CNS strains (10,19,20). In the present study, gram-negative agents appeared to be more frequent than the Staphylococcus strains and were compatible with the literature (Figure 1).…”

Section: Discussionmentioning

confidence: 99%

Assessment of Healthcare-Associated Infections in the Pediatric Intensive Care Unit

Celıloğlu¹,

Tolunay²,

Çelik³

et al. 2017

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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. Ventilatorassociated 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 Özet Giriş: Bu çalışmada Çocuk Yoğun Bakım ünitemizde son beş yılda sürveyans sisteminde kayıtlı hastane enfeksiyonlarının sıklığı, enfeksiyon alanları, kültürlerde üretilen mikroorganizmalar ve antibiyotik direnç özelliklerinin geriye dönük olarak incelenmesi amaçlandı. Gereç ve Yöntemler: Tamamı üçüncü basamak olan 12 yataklı çocuk yoğun bakım ünitemizde 1 Ocak 2012-31 Aralık 2016 döneminde yatan hastalarda tespit edilen hastane enfeksiyonlarının verileri geriye dönük olarak toplandı. Enfeksiyon hızı ve dansite hesaplamaları yapıldı. Kültürlerde üretilen mikroorganizmalar ve antibiyotik direnç özellikleri kaydedildi. Bulgular: Çalışma periyodu boyunca çocuk yoğun bakıma yatırılarak tedavi edilmiş olan 2545 hastanın verileri toplandı. Mortalite oranı %9 idi. Yatan hasta gün sayısı 20.696 idi. Hastaların yaşları ortanca 3 yaş (min: 2 ay, maks: 18 yaş) idi. Toplam hastane enfeksiyonu olan hasta sayısı 60, enfeksiyon hızı 2.36 ve enfeksiyon dansitesi 2.89 idi. Laboratuvar ile kanıtlanmış kan dolaşımı enfeksiyonu 15 hastada saptandı ve enfeksiyon hızı 0.59, dansitesi 0.72 olarak hesaplandı. Yedi hastada santral venöz kateter ilişkili kan akımı enfeksiyonu gözlenmişti ve enfeksiyon hızı 0.27, dansitesi 0.33 bulunmuştu. Dokuz hastada kateter ilişkili üriner sistem enfeksiyonu saptanmıştı ve enfeksi...

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“…Pediatri kliniklerinde sık karşılaşılan tıbbi hataların, hastaların doğru kimliklendirilmemesi (9,22,23), etkin iletişimin sağlanamaması ve hasta teslimlerinden kaynaklanan hatalar (23)(24)(25)(26)(27) ilaç güvenliği ile ilgili hatalar (28)(29)(30), düşmeler (31)(32)(33)(34), güvenli cerrahi basamaklarına uyulmaması (11,16,35,36), sağlık hizmeti ile ilişkili enfeksiyonlar (37,38), hasta transferinde hatalar (39), tıbbi cihazların uygunsuz ve yanlış kullanımından kaynaklanan hatalar ile ilgili olduğu saptanmıştır (39,40).…”

Section: Pediatri Kliniklerinde çAlışan Hemşirelerin Hasta Güvenliği unclassified

Pediatri Kliniklerinde Çalışan Hemşirelerin Hasta Güvenliği İle İlgili Sık Karşılaştıkları Sorunlar

Pazarcıkcı

¹

,

Efe²

2018

Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi

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Health institutions are different places for the paediatric patients and they provide an environment which restrains them from their everyday lives and roles for a certain time. The researchers report that the children need a care and treatment different than adults. Children are not miniature adults. In comparison to adults, they face more serious consequences when they are exposed to a medical faults or damage due to their physical, cognitive, emotional and anatomical incapability. In this regard, paediatric clinics must put more efforts regarding the safety of the patients. Reducing or preventing the medical faults and being aware of the reasons of faults will improve the labour force, quality of life and will decrease the number of losses. This compiled article has been written to increase the knowledge and awareness on commonly encountered problems about patient safety for nurses who working at the paediatric clinics.

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“…Gelişmiş ülkelerde çocuk yoğun bakımlardaki HE'lerine dair çok sayıda çalışma mevcut olup ülkemizde konuya dair çalışmalar görece kısıtlıdır. Hastane enfeksiyonu ajanları sıklık sıralamasında önceki yıllarda S. aureus ön sırada iken günümüzde hem erişkin hem de çocuk hastalarda KNS suşları yanı sıra Pseudomonas, Klebsiella ve Acinetobacter türleri başta gelen etkenler arasındadır (10,19,20). Çalışmamızda gram-negatif etkenler Staphylococcus suşlarının önüne geçmiş görünmekteydi ve literatürle uyumluydu (Şekil 1).…”

Section: İstatistiksel Analizunclassified

Çocuk Yoğun Bakım Ünitesindeki Hastane Enfeksiyonlarının Değerlendirilmesi

Celıloğlu¹,

Tolunay²,

Çelik³

et al. 2017

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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. Laboratoryproven 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 ©Telif Hakkı 2017 Çocuk Enfeksiyon Hastalıkları Derneği-Makale metnine www.cocukenfeksiyon.org web sayfasından ulaşılabilir.

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Determining the Independent Risk Factors and Mortality Rate of Nosocomial Infections in Pediatric Patients

Cited by 27 publications

References 14 publications

Assessment of Healthcare-Associated Infections in the Pediatric Intensive Care Unit

Assessment of Healthcare-Associated Infections in the Pediatric Intensive Care Unit

Pediatri Kliniklerinde Çalışan Hemşirelerin Hasta Güvenliği İle İlgili Sık Karşılaştıkları Sorunlar

Çocuk Yoğun Bakım Ünitesindeki Hastane Enfeksiyonlarının Değerlendirilmesi

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