Tracheostomy tube infection in children: a systematic review of the literature

Lugo-Machado, Juan Antonio; Enríquez, Luis Manuel Justo; Hernández, Dalia Yocupicio; Pimiento, Diana Camila Navarro; Pérez, Martha Lucía Gutiérrez

doi:10.2478/rjr-2021-0027

Cited by 2 publications

(1 citation statement)

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“…Children with tracheostomy are at high risk of respiratory bacterial infections, requiring recurrent hospitalizations and antibiotic therapy. In a recent review, it was stated that 59.86% of 11,222 children with tracheostomy had a tracheostomy‐related infection (Lugo‐Machado et al, 2021). Problems such as the use of non‐sterile aspiration techniques at home, the inability to obtain the appropriate number of aspiration catheters or sterile gloves, and the need to reuse materials may also cause frequent infections in children with tracheostomy.…”

Section: Discussionmentioning

confidence: 99%

The associations between the clinical course of children with tracheostomy and their mothers' depression, burnout, burden, and self‐esteem

Gürsoy

Eyüboğlu

Aslan

et al. 2022

Journal of Clinical Nursing

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Aims and Objectives:The aim of this study was to evaluate the clinical features of children with tracheostomy and the predictors of psychological status of their primary caregivers in order to determine the associations between the children's clinical course with their caregivers' psychological status. Background:The caregivers of children with tracheostomy are responsible for providing basic tracheostomy care at home. All these responsibilities may be associated with significant changes in family members' lifestyles, daily routines and family dynamics.Design: This study is a cross sectional study.Methods: Data of the family's socioeconomic status and clinical status of children with tracheostomy were noted in four paediatric pulmonology centers. The Beck Depression Inventory, Maslach Burnout Inventory, Zarit Caregiver Burden Scale, and Rosenberg Self-esteem Scale were used for psychological measurements of the caregivers. The STROBE checklist was used for this study.Results: Eighty-five children and their primary caregivers were enrolled in the study. The children's median age was 4.1 years. Thirty-eight of them were dependent on home ventilators. Twenty-one had bacterial colonisation. All children's primary caregivers were their mothers. Beck Depression Inventory scores of mothers of children with colonisation were higher. Number of hospitalizations in previous 6 months was related to mothers' emotional exhaustion and depersonalization scores. Duration of children's hospitalizations in previous 6 months was positively correlated to mothers' emotional exhaustion, depersonalization, and Beck Depression Inventory scores.Conclusions: Mothers of children with tracheostomy may experience psychological conditions, such as high levels of depression, burnout, burden and low levels of selfesteem. Frequent and long-term hospitalizations of children correlated with mother's depression and burnout. Therefore, primary caregivers should be evaluated and supported psychologically.

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Section: Discussionmentioning

confidence: 99%