Healthcare-associated Infections in Pediatric Cardiovascular Surgery Intensive Care Unit between 2016-2020
1University Of Health Sciences, Koşuyolu High Specialization Training And Research Hospital, Department Of Infectious Diseases, İstanbul, Turkey
2University Of Health Sciences, Koşuyolu High Specialization Training And Research Hospital, Department Of Pediatric Cardiovascular Surgery, İstanbul, Turkey
3University Of Health Sciences, Koşuyolu High Specialization Training And Research Hospital, Department Of Anesthesiology And Reanimation, İstanbul, Turkey
Keywords: healthcare-associated infections, pediatrics, cardiovascular surgery, intensive care unit
Objectives: Healthcare-associated infections are the most common problem in intensive care unit worldwide. Children with congenital heart diseases have many complications such as developmental problems, respiratory tract infections, endocarditis,pneumonia and after long-term hospital and intensive care stays and surgeries patients become vulnerable to healthcare-associated infections.
Patients and Methods: The study presents the frequency of infection, microorganisms in patients hospitalized at SBÜ Koşuyolu High Spesialization Research and Training Hospital pediatric cardiovascular surgery intensive care unit between 2016-2020.
Results: One hundred-eight HAI episodes were seen in 83 of 1920 patients hospitalized in pediatric cardiovascular surgery intensive care unit between 2016-2020.HAI rates varied between 4.8% and 7.77%. In the 5-year period,a total of 118 different microorganisms were detected.Among all microorganisms, Candida species (n: 43, 36.4%) ranked first. central line-associated bloodstream infections (CLABSI) 53 (49%), ventilator-associated pneumonia (VAP)40 (37%), surgical site infection (SSI) 8 (6.5%), catheter -associated urinary tract infection (CAUTI) 7 (6%)
Conclusion: Healthcare-associated infections are require special attention in pediatric cardiovascular intensive care units. In order to prevent, innovations such as bundle applications should be implemented as well as personnel training.