The epidemiology and control of nosocomial infections in pediatric surgery

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dc.contributor.authorÖnen A.
dc.contributor.authorÇi?dem M.K.
dc.contributor.authorGeyik M.F.
dc.contributor.authorOtçu S.
dc.contributor.authorÖztürk H.
dc.contributor.authorDokucu A.I.
dc.date.accessioned2024-04-24T17:58:44Z
dc.date.available2024-04-24T17:58:44Z
dc.date.issued2002
dc.departmentDicle Üniversitesien_US
dc.description.abstractPurpose: To investigale the epidemiology and control methods of nosocomial infection (NCI) in pediatric surgery. Method: We retrospectively reviewed 2844 hospitalized children in the pediatric surgical clinic between January 1997 and December 2000. The diagnosis of NCI was made based on criteria proposed by "Centers for Disease Control and Prevention (CDC)". The incidence of NCIs, type of microorganisms and infections, age, sex and risk factors were determined. The mortality rate and hospitalization period of patients with NCI were compared with 78 control patients whose age, sex and primary disease were identical and free of NCI. Results: There were 78 children with NCI; the overall incidence was 2.74% (4.99% in 1997, 3.89% in 1998, 1.33% in 1999, 1.44% in 2000). The meanage was 28 months the most frequent infections were surgical wound and urinary tract infection, in the NCI and 26 months in the control group. The most frequent risk factors were urethral catheter (10.26%), trauma (9.25%), and parenteral nutrition (8.70%). The mean hospitalization period was 16 days (range 4-28 days) in patients with NCI, while it was 9 days (range 2-22 days) in control group. There was a significant difference in mortality rate and hospitalization period (p<0.05, p<0.001, respectively) between the patients with NCI and those of controls. Conclusion: Surgical wound infection was the most common NCI in Pediatric Surgery. Urethral catheterization, trauma and parenteral nutrition were the most frequent risk factors. NCIs caused high mortality, prolonged hospitalization period and increased cost. Close relationship between the pediatric surgical team and the infection disease team; the education of medical staff; handwashing and disinfetion; limited antibiotics; close follow-up for risk factors; minimized invasive interventions and catheterizations; isolation; and early enteral nutrition resulted in significant decrease in the incidence of NCIs in our clinic in the last two years.en_US
dc.identifier.endpage32en_US
dc.identifier.issn1016-5142
dc.identifier.issue1en_US
dc.identifier.scopus2-s2.0-0036032502
dc.identifier.scopusqualityN/A
dc.identifier.startpage27en_US
dc.identifier.urihttps://hdl.handle.net/11468/24075
dc.identifier.volume16en_US
dc.indekslendigikaynakScopus
dc.language.isotren_US
dc.relation.ispartofPediatrik Cerrahi Dergisi
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectNosocomial İnfectionen_US
dc.subjectPediatric Surgeryen_US
dc.titleThe epidemiology and control of nosocomial infections in pediatric surgeryen_US
dc.titleThe epidemiology and control of nosocomial infections in pediatric surgery
dc.title.alternativeÇocuk cerrahisinde nozokomiyal infeksiyonlarin epidemiyolojisi ve kontrolüen_US
dc.title.alternativeÇocuk cerrahisinde nozokomiyal infeksiyonlarin epidemiyolojisi ve kontrolü
dc.typeArticleen_US

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