Evaluation report of pediatric intensive care units in Turkey

Bayrakçı, Benan; Kesici, Selman; Kendirli, Tanıl; Kalkan, Gökhan; Sari, Alper; Tokmak, Necvan; Yilmaz, Gökmen; Baloğlu, Orkun; Şencan, İrfan

doi:10.3906/sag-1307-102

Cited by 10 publications

(15 citation statements)

References 22 publications

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“…In addition, according to our survey data, needles were the leading medical instrument causing injuries (77.55%, n=38), which corroborates the results of other similar studies. The habit of needle recapping, patient density due to high birth rates in our region, difficulties with staff recruitment [16,17] , sudden reflex movements and agitation of patients during suturing, and inappropriate waste management can be cited as occupational factors leading to needle-stick injuries.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Injuries Involving Exposure to Blood and Body Fluids Among Hospital Healthcare Workers

Alay¹,

Şahiner²,

Çelik³

et al. 2018

mjima

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Section: Discussionmentioning

confidence: 99%

Evaluation of Injuries Involving Exposure to Blood and Body Fluids Among Hospital Healthcare Workers

Alay¹,

Şahiner²,

Çelik³

et al. 2018

mjima

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“…In our country, there is also an important problem in that, 42% of pediatric intensive care unit beds are occupied by patients requiring chronic medical care, while 24% of these patients are medically stable who can receive supportive treatment at home (9). HMV is a way of discharging these patients from intensive care units.…”

Section: Discussionmentioning

confidence: 99%

Clinical Evaluation of Invasive Home Mechanical Ventilation Dependent Pediatric Patients

et al. 2017

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Objectives: With the advancements in neonatal and pediatric intensive care services and technology, the number of children requiring long term mechanical ventilation support is increasing. Home mechanical ventilators enable discharge of patients with chronic respiratory failure from hospital and allows children to grow in natural environment. The objective of this study was to define clinical characteristics and follow up results of pediatric patients who are dependent on invasive home mechanical ventilation support. Methods:This retrospective study included a total of 61 patients discharged from pediatric intensive care unit while on mechanical ventilation (HMV). Results:The median age of patients was 8.5 (2 -196) months with 60% of them being younger than 12 months. The decision for HMV was made after median 38 ± 37.2 days of mechanical ventilation in hospital. The most common reason of dependency on invasive HMV was found as central nervous system and neuromuscular diseases by 94%. The median duration of follow up was 11 months (4 days-7.5 years). HMV was no longer necessary in 12% of patients ventilated for neurological reasons and 50% for chronic pulmonary diseases. Anthropometric measures were observed to be improved in 69% of the patients. Mortality rate attributed to complications of tracheostomy was 15% and overall mortality was found as 46.7%. Conclusions:HMV enables ventilator dependent patients to be discharged and allows patients to develop and grow in their natural environment which helps them to catch up their growth potentials. The survival and quality of life (QoL) of these patients can be improved by family education and with the support by nutrition and care rehabilitation programs.

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“…Globally, the frequency of MDR Acinetobacter reports have increased steadily over the years and the antimicrobial resistance in the hospitals have become an increasing problem in the last two decades and Turkey has seen this issue in particular with Acinetobacter infections in ICUs. According to official reports of Turkish Ministry of Health, the number of ICU beds has remarkable increased in Turkey between 2001 and 2012 [28]. Therefore, infection control precautions and prevention of MDR microorganisms' transmission in ICUs are more crucial in order to prevent infections.…”

Section: Discussionmentioning

confidence: 99%

Use of carbapenems and glycopepdides is significant risk for multidrug resistant Acinetobacter baumannii infections

Hoşoğlu

Arslan²,

Aslan

et al. 2018

J Infect Dev Ctries

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Introduction: Multi-drug resistant Acinetobacter baumannii (MDR-Ab) infections are an important healthcare problem globally. The aim of this study was to evaluate risk factors associated with MDR-Ab infections in hospitalized patients in Turkey. Methodology: A case-control study was performed in a tertiary care 1,303-bed university hospital, among case patients with MDR-Ab infections. The hospital records of case and control patients were retrospectively evaluated over a year. Patients who were hospitalized in the same department and in the same time interval as the case patients, without MDR-Ab infection or colonization, were chosen for control group. Demographic characteristics, Acute Physiology And Chronic Health Evaluation II (APACHE II) scores, comorbid diseases, use of invasive tools and duration of usage, and duration of use of antibiotics were recorded for all patients. Comparisons between case and control groups for possible risk factors were performed. Results: In total, 95 cases and 95 controls were included in the study. Univariate analysis highlighted several variables as risk factors for MDR-Ab infections. Multivariate analysis showed that only antibiotic usage over seven days (OR = 2.38, CI = 1.18-4.83, p = 0.016) was found to be a significant risk factor. When antibiotic treatment patterns in both groups were compared, the use of carbapenems (p = 0.001) and glycopeptide antibiotics (p=0.001) in patient treatment were found significantly higher in the MDR-Ab case group. Conclusion: This study showed us that previous antibiotic use is a significant risk factor for MDR-Ab infections. The use of carbapenems and glycopeptides should be considered as primary risk factors for developing MDR-Ab infection.

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Evaluation report of pediatric intensive care units in Turkey

Cited by 10 publications

References 22 publications

Evaluation of Injuries Involving Exposure to Blood and Body Fluids Among Hospital Healthcare Workers

Evaluation of Injuries Involving Exposure to Blood and Body Fluids Among Hospital Healthcare Workers

Clinical Evaluation of Invasive Home Mechanical Ventilation Dependent Pediatric Patients

Use of carbapenems and glycopepdides is significant risk for multidrug resistant Acinetobacter baumannii infections

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