scholarly journals Healthcare-associated infections in the pediatric intensive care unit: A 6-year evaluation

2019 ◽  
Author(s):  
Zeliha Haytoglu
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Pediatric Intensive Care ◽  
Healthcare Associated Infections ◽  
Healthcare Associated

scholarly journals Healthcare-associated infections in a newly opened pediatric intensive care unit in Turkey: Results of four-year surveillance

2016 ◽  
Vol 10 (03) ◽  
pp. 254-259 ◽  
Author(s):  
Serkan Atici ◽  
Ahmet Soysal ◽  
Eda Kepenekli Kadayifci ◽  
Ayşe Karaaslan ◽  
Gülşen Akkoç ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Infection Control ◽  
Pediatric Intensive Care Unit ◽  
Methicillin Resistance ◽  
Pediatric Intensive Care ◽  
Incidence Density ◽  
Healthcare Associated Infections ◽  
Healthcare Associated ◽  
Klebsiella Spp

Introduction: Healthcare-associated infections (HAIs) are important causes of morbidity and mortality, especially in critically ill patients in intensive care units. The aim of this study was to assess the rate and distribution of HAIs, pathogens, and antimicrobial susceptibility patterns in a newly opened pediatric intensive care unit (PICU). Methodology: The infection control team detected and recorded HAI cases according to the Centers for Disease Control and Prevention’s criteria in the PICU of Marmara University Pendik Training and Research Hospital over a four-year period following its opening. Laboratory-based HAIs surveillance was performed prospectively from 1 January 2011 to 30 November 2014. Results: During the study period, 1,007 patients hospitalized in the PICU and 224 HAIs were identified. The overall HAI rate was 22.24%, and the incidence density was 20.71 per 1,000 patient-days. The most commonly observed HAIs were bloodstream infection (35.7%), pneumonia (21.4%), and urinary tract infection (20.5%), and the three most common HAI pathogens were Klebsiella spp. (19.4%), Pseudomonas aeruginosa (13.8%), and Acinetobacter baumanii (12%). Methicillin resistance was detected in 78% of coagulase-negative Staphylococcus. Presence of extended-spectrum beta-lactamases was determined in 45% and 54% of Klebsiella spp. strains and Escherichia coli isolates, respectively. Conclusions: Our rate of HAIs is higher than the mean rates reported in PICU studies from developed countries. Active surveillance studies of HAIs is an essential component of infection control, which may contribute to improving preventive strategies in developing countries.

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

2017 ◽  
Vol 11 (3) ◽  
pp. 113-118
Author(s):  
Can Celiloğlu ◽  
Orkun Tolunay ◽  
Tamer Çelik ◽  
Asena Sucu ◽  
Eray Yurtçu ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Pediatric Intensive Care ◽  
Healthcare Associated Infections ◽  
Healthcare Associated

scholarly journals An Evaluation of Pediatric Intensive Care Unit Infection Rates and Various Risk Factors

2020 ◽  
Author(s):  
Ayşe Ulus ◽  
Soner Sertan Kara
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Hand Hygiene ◽  
Pediatric Intensive Care Unit ◽  
Pediatric Intensive Care ◽  
Bloodstream Infections ◽  
Healthcare Associated Infections ◽  
The Mean ◽  
Healthcare Associated ◽  
Resistance Rates

INTRODUCTION: The pediatric intensive care unit (PICU) is a unit in which the general condition and vital signs of patients aged one month to 18 years are continuously monitored, and support treatments after advanced pediatric and surgical procedures are provided. Healthcare-associated infections (HAIs) can develop during some interventions and treatments. The purpose of this study was to investigate infection and handwashing rates for the previous five years in a hospital PICU providing tertiary intensive care and to examine HAI agent microorganisms and their resistance rates. METHODS: Data for patients followed-up at the Aydın Adnan Menderes University Hospital PICU between 1 January 2015, and 30 October 2020, were examined retrospectively. The study data were obtained from the hospital microbiology laboratory culture specimen results, radiology data, clinical visits, and information recorded on the National Healthcare-Associated Infections Surveillance System. HAIs rates, density, infectious agents and resistance rates, and hand hygiene compliance rates were calculated from these data. RESULTS: Two hundred and thirty-three patients were included in the study. The mean annual number of patient days was 1742±322. The mean annual total number of infections was 9.0±3.9, the mean infection rate was 4.2±2.8, and the mean infection density was 5.0±1.5. Bloodstream infections constituted the most common infections, followed by ventilator-associated pneumonia (VAP). Carbapenem resistance at a rate of 50% was determined for both Acinetobacter spp. and Pseudomonas aeruginosa. A strong correlation was determined between VAP and patient days (p=0.05, r=0.80). Hand hygiene observations revealed compliance rates of 48.1±14.3 in nurses, 33.9±28.2 in patient carers, 31.8±12.5 in physicians, and 30.9±26.2 in cleaning personnel DISCUSSION AND CONCLUSION: Mean annual infection numbers in this study were similar to those of previous studies from other centers. The most common infection was bloodstream infections. Nurses had the highest handwashing rates, with physicians in the third place. Higher VAP was correlated with increased patient days.

Risk factors for healthcare-associated infection in a pediatric intensive care unit*

2010 ◽  
Vol 11 (2) ◽  
pp. 246-252 ◽  
Author(s):  
Maria Júlia Gonçalves de Mello ◽  
Maria de Fátima Pessoa Militão de Albuquerque ◽  
Heloísa Ramos Lacerda ◽  
Maria Tereza Serrano Barbosa ◽  
Ricardo Arraes de Alencar Ximenes
Keyword(s):  
Risk Factors ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Pediatric Intensive Care Unit ◽  
Pediatric Intensive Care ◽  
Healthcare Associated Infection ◽  
Healthcare Associated
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