Mehmet Emirhan Işık1, Ergin Arslanoğlu2, Ömer Faruk Şavluk3, Hakan Ceyran2

1Department of Infectious Diseases, Kartal Koşuyolu High Specialization Training and Research Hospital, Istanbul, Turkey
2Department of Pediatric Cardiovascular Surgery, Kartal Koşuyolu High Specialization Training and Research Hospital, Istanbul, Turkey
3Department of Anesthesiology and Reanimation, Kartal Koşuyolu High Specialization Training and Research Hospital, Istanbul, Turkey

Keywords: Cardiovascular surgery; healthcare-associated infections; intensive care unit, pediatrics

Abstract

Introduction: Healthcare-associated infections are the most common problem in intensive care unit world- wide. 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 hospital- ized at Kartal Koşuyolu High Specialization Training and Research Hospital Pediatric Cardiovascular Surgery Intensive Care Unit between 2016-2020.

Results: One hundred-eight healthcare-associated infections episodes were seen in 83 of 1920 patients hos- pitalized in Pediatric Cardiovascular Surgery Intensive Care Unit between 2016-2020. Healthcare-associated infections rates varied between 4.8% and 7.77% over the years. In the 5-year period, a total of 118 micro- organisms were detected. Among all microorganisms, Candida species (n= 43, 36.4%) ranked first. Central line-associated bloodstream infections 53 (49%), ventilator-associated pneumonia 40 (37%), surgical site in- fection 8 (6.5%), catheter-associated urinary tract infection 7 (6%).

Conclusion: Healthcare-associated infections requires 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.