Evaluation of Device-associated Nosocomial Infections in a Paediatric Intensive Care Unit

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dc.contributor.authorCevik, S.
dc.contributor.authorTekin, R.
dc.contributor.authorGundeslioglu, O. O.
dc.contributor.authorAktar, F.
dc.contributor.authorYilmaz, S. M.
dc.contributor.authorAy, M.
dc.date.accessioned2024-04-24T17:28:24Z
dc.date.available2024-04-24T17:28:24Z
dc.date.issued2016
dc.departmentDicle Üniversitesien_US
dc.description.abstractObjectives: The aim of this study was to evaluate the rate of device-associated healthcare-associated infections (DA-HAI) in a paediatric intensive care unit (PICU). In addition, the identities of the responsible micro-organisms and of their antibiotic sensitivities were determined. Subjects and Methods: Patients who had been treated and followed-up in a PICU for more than 48 hours between January 2008 and December 2013 were included in the study. Device-associated nosocomial infections were defined by the Centers for Disease Control (CDC) criteria. Results: Nosocomial infections were detected in 244 of the 7376 patients over the six-year period. A diagnosis of DA-HAI was made in 75 (30.7%) of these infections. The rates of device utilization were 26% for mechanical ventilators, 6% for central venous catheters and 0.9% for urethral catheters. The rate of device-associated infections was 30.7%, and their frequency was 1.9/1000 patient-days. The device-associated nosocomial infection rates for mechanic ventilators, central and urethral catheters were 5.6, 1.62 and 3.77 per 1000 patient-days, respectively. Of these infections, Pseudomonas aeruginosa was the most frequent pathogen. Patients who developed hospital infections had longer durations of ICU hospitalizations and more often had to use mechanical ventilators and central and urinary catheters. Conclusions: The duration of hospitalization and the use of mechanical ventilators and central and urinary catheters were related to the increases in nosocomial infections. Therefore, target-oriented active surveillance should be regularly performed, and the superfluous employment of invasive devices should be avoided.en_US
dc.identifier.doi10.7727/wimj.2014.231
dc.identifier.endpage299en_US
dc.identifier.issn0043-3144
dc.identifier.issue2en_US
dc.identifier.pmid26901604
dc.identifier.scopus2-s2.0-85030438392
dc.identifier.scopusqualityQ4
dc.identifier.startpage295en_US
dc.identifier.urihttps://doi.org/10.7727/wimj.2014.231
dc.identifier.urihttps://hdl.handle.net/11468/20424
dc.identifier.volume65en_US
dc.identifier.wosWOS:000397203600011
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherUniv West Indies Faculty Medical Sciencesen_US
dc.relation.ispartofWest Indian Medical Journal
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectIntensive Care Uniten_US
dc.subjectInvasive Device Utilizationen_US
dc.subjectSurveillanceen_US
dc.titleEvaluation of Device-associated Nosocomial Infections in a Paediatric Intensive Care Uniten_US
dc.titleEvaluation of Device-associated Nosocomial Infections in a Paediatric Intensive Care Unit
dc.typeArticleen_US

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