Pediatric nosocomial infections; incidence, risk factors [Hastane enfeksiyonlar?; s?kl?g? ve risk faktörleri]
Küçük Resim Yok
Tarih
2009
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Aim: This study aimed to determine the prevalence and type of nosocomial infections, etiologic distrubition of organism in hospitalized children at Ege University School of Medicine, Department of Pediatrics for a 12 month period. It also investigated the duration of hospitalization. Material and Method: Patients diagnosed with nosocomial infection between January 2002-December 2002 at the inpatient unit of pedidtrics were included in the study. Neonatal cases were excluded from the analysis. Diagnosis of nosocomoial infection was made based on CDC criteria. Statistical analysis was made by using SPSS 10.1 for Windows packet and p<0.05 was accepted as significant. Results: During the study period, 1811 patients were investigated and 96 nosocomial infection determined (5.3%). The majority were female at 52% (n=50). The most common infections in our study were bacteriemia and urinary tract infections, 50% and 40% respectively. Although bacteriemia was the commonest infection type in the intensive care unit, urinary tract infections were the most common infections in inpatient services. Enterobacteriaceae was the most common cause with 37.5% (n=36), coagulase negative staphylococci found in 16.4% (n=16), and yeast infection was isolated in 12.5% (n=12). The majority of patients (59.3% n=57) had one or more invasive procedures which make the patients susceptible to contracting nosocomial infections. Children who are hospitalized more than 7 days are more likely to have nosocomial infections (P<0.0001). Another predisposing factor for developing nosocomial infections was increased patient numbers receiving medical care by each nurse. Conclusion: Nosocomial infections have been increasing in pediatric patients. Long hospital stays and increased patient numbers needing medical care by each nurse were associated with nosocomial infections. They are estimated to more than double the mortality and morbidity risks of any admitted patient.
Açıklama
Anahtar Kelimeler
Children, Epidemiology, Nosocomial infections, Risk factors
Kaynak
Cocuk Enfeksiyon Dergisi
WoS Q Değeri
Scopus Q Değeri
Q4
Cilt
3
Sayı
2
