Nosocomial infections due to Acinetobacter baumannii in a pediatric intensive care unit in Turkey

Ozdemir H., Kendirli T., Ergun H., Ciftci E., Tapisiz A., Guriz H., ...Daha Fazla

TURKISH JOURNAL OF PEDIATRICS, cilt.53, sa.3, ss.255-260, 2011 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 53 Sayı: 3
  • Basım Tarihi: 2011
  • Dergi Adı: TURKISH JOURNAL OF PEDIATRICS
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.255-260
  • Anahtar Kelimeler: Acinetobacter baumannii, nosocomial infection, pediatric intensive care unit, EPIDEMIOLOGY, PNEUMONIA, OUTBREAK
  • Gazi Üniversitesi Adresli: Evet

Özet

The aim of this study is to document the clinical characteristics and outcomes of Acinetobacter baumannii infections in pediatric patients in a pediatric intensive care unit (PICU) in Turkey. The ages ranged from 1 month to 16 years with a mean age of 55.5 months, and the male-to-female ratio was 1:1.5. Ventilator-associated pneumonia (10 patients) was the leading diagnosis, followed by catheter-related blood stream infection (4 patients), and bacteremia and ventilator-associated pneumonia associated with meningitis (1 patient) due to A. baumannii. Mechanical ventilation (93.3%), central venous catheter (73.3%), urinary catheter (93.3%), and broad spectrum antibiotic usage (80%) were the frequently seen risk factors. Neuromuscular (40%) and malignant (26.7%) disorders were the most common underlying diseases. Nosocomial A. baumannii is commonly multidrug-resistant, prolongs the length of stay in the PICU and increases the mortality rates in pediatric critical care.