Healthcare-Associated Infections in Pediatric Intensive Care Units in Turkey: a National Point-Prevalence Survey

Kepenekli, Eda; Soysal, Ahmet; Öztürk, Nilüfer Yalındağ; Özgür, Özlem; Özcan, İsmail Türkay; Devrim, İlker; Akar, Selahattin; Bakır, Mustafa

doi:10.7883/yoken.jjid.2014.385

“…In the present study, it was believed that the low level rates detected in urinary tract infections was the result of the practice that urine cannula placing times are kept short, taking them of as soon as the urinary catheterization requirement finishes. In studies conducted in pediatric intensive care units, ventilator-associated pneumonia rate varied between 5-13.1%, whereas in our study the number of patients with ventilator-associated pneumonia was 30 (1.18%) (21).…”

Section: Discussioncontrasting

confidence: 72%

“…Bloodstream infections are one of the main subtypes of healthcare-associated infections both worldwide and in Turkey (7,16). In a multi-centered point prevalence study conducted in Turkey, in 322 cases, laboratory proven bloodstream infection was detected in 24 (7.3%) (21).…”

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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“…The carbapenem resistance rates have been reported to be between 29 and 37% in those studies. [1][2][3] Another study conducted in our hospital between 2011 and 2013 had revealed a higher rate of resistance to meropenem by Pseudomonas spp. which was 54%.…”

Section: Discussionmentioning

confidence: 88%

“…They prolong hospital stay, increase antibiotic usage and the development of resistance to antibiotics, and cause increased health care expenses. [1][2][3] NIs are more common in intensive care units (ICUs) than other units and patients hospitalized in ICUs experience multidrugresistant infections much more than others due to longer hospitalization, frequent exposure to invasive procedures, and manipulations. 3 The pathogens causing NIs in ICUs are mostly opportunistic bacteria.…”

Section: Introductionmentioning

confidence: 99%

Determining the Infectious Pathogens and Their Resistance to Antibiotics in a Pediatric Intensive Care Unit

Akın

¹

,

Yazar

²

,

Doğan

³

2017

J Pediatr Infect Dis

1

0

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Introduction Nosocomial infections are one of the main causes of morbidity and mortality. It is important to know the common infectious pathogens and their resistance profiles in intensive care units (ICUs) to determine appropriate treatment protocols. The aim of this study was to determine the epidemiological profile of microorganisms isolated in a pediatric ICU (PICU) and to determine antibiotic resistance in isolated strains. Materials and Methods This retrospective study was performed at the Meram Medical Faculty Hospital, Necmettin Erbakan University, Konya, Turkey. A total of 1,502 bacteria that were isolated from various specimens from children who were hospitalized in PICUs between January 2014 and December 2015 were included in this study to determine the isolated bacteria diversity and susceptibility to various antibiotics. Results Staphylococcus spp. was the most frequently isolated microorganism followed by Escherichia coli and Klebsiella spp., respectively. The sites where pathogens were isolated were as follows: 616 blood, (41%), 445 urine (29.6%), 60 sputum (4%), 44 cerebrospinal fluid (2.9%), 25 wound swab (1.6%), 20 tracheal aspirate (1.3%), and 26 others (1.7%). The carbapenem resistance rate was 40.8% among Pseudomonas aeruginosa isolates. Among 60 Acinetobacter baumannii isolates tested, 62% were resistant to carbapenems. Sensitivity rates of A. baumannii isolates to tigecycline and colistin were as high as 98 and 96%, respectively. Meropenem and colistin resistance rates to Klebsiella spp. were 16.2 and 15%, respectively. Conclusion In conclusion, it is essential to identify the infectious pathogens and their resistance to antibiotics especially in ICUs where infections with multidrug-resistant bacteria are frequent. Studies on this issue should be performed at appropriate time intervals.

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“…Kan akımı enfeksiyonları hem ülkemiz hem de dünyada HE'lerin başlıca alt tiplerinden biridir (7,16). Ülkemizde yapılan çok merkezli bir nokta prevalans çalışmasında laboratuvar ile kanıtlanmış kan akımı enfeksiyonu 322 olgunun 24 (%7.3)'ünde saptanmıştı (21). Avrupa menşeili çok uluslu bir çalışmada yoğun bakım ünitelerine 6 ayda yatırılan 710 olgudan 13 (%1.9)'ünde santral kateter ilişkisiz, 21 (%2.9)'inde kateter ilişkili kan akımı enfeksiyonu saptandığı bildirilmiştir.…”

Section: Bulgularunclassified

Çocuk Yoğun Bakım Ünitesindeki Hastane Enfeksiyonlarının Değerlendirilmesi

Celıloğlu¹,

Tolunay²,

Çelik³

et al. 2017

View full text Add to dashboard Cite

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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Healthcare-Associated Infections in Pediatric Intensive Care Units in Turkey: a National Point-Prevalence Survey

Cited by 22 publications

References 24 publications

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

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

Determining the Infectious Pathogens and Their Resistance to Antibiotics in a Pediatric Intensive Care Unit

Çocuk Yoğun Bakım Ünitesindeki Hastane Enfeksiyonlarının Değerlendirilmesi

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