Three-year study of health care-associated infections in a Turkish pediatric ward
Introduction: Health care-associated infections (HCAIs) can cause an increase in morbidity, mortality and costs, especially in developing countries. As information on the epidemiology of HCAIs in pediatric patientsinTurkey is limited, we decided to study the annual incidence and antibiotic resistanc...
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| Format: | Article |
| Language: | English |
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The Journal of Infection in Developing Countries
2014-11-01
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| Series: | Journal of Infection in Developing Countries |
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| Online Access: | https://jidc.org/index.php/journal/article/view/3931 |
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| author | Canan Kuzdan Ahmet Soysal Gulcan Çulha Gulsen Altinkanat Guner Soyletir Mustafa Bakir |
| author_facet | Canan Kuzdan Ahmet Soysal Gulcan Çulha Gulsen Altinkanat Guner Soyletir Mustafa Bakir |
| author_sort | Canan Kuzdan |
| collection | DOAJ |
| description | Introduction: Health care-associated infections (HCAIs) can cause an increase in morbidity, mortality and costs, especially in developing countries. As information on the epidemiology of HCAIs in pediatric patientsinTurkey is limited, we decided to study the annual incidence and antibiotic resistance patterns in our pediatric ward at Marmara University Hospital.
Methodology: All hospitalized patients in the pediatric ward were assessed with regard to HCAIs betweenJanuary 1, 2008 and December 31, 2010. Data was prospectively collected according to standard protocols of the National Nosocomial Infections Surveillance System (NosoLINE).
Results: A total of 16.5% of all hospitalized patients developed HCAIs in the three years studied. The most frequent HCAIs were urinary tract infections (UTI) (29.3%), bloodstream infections (27%) and pneumonias (21%). While the most frequent agent isolatedfrom UTI was Escherichia coli (26%), the most common agent in blood stream infections was Staphylococcus epidermidis (30.4%). Vancomycin resistance was found in 73.3% of all Enterococcus faecium strains. Extended-spectrum β-lactamase was detected in 58.3% of Klebsiella pneumoniae and E. coli isolates.
Conclusions: Continual HCAI surveillance is important to determineits rate. Knowledge of the HCAI incidence can influence people’s use of broad-spectrum antibiotics and encourage antibiotic rotation. Moreover, the knowledge of HCAI incidence may support the infection control programmes, including education and isolation methods which ultimately may help to reducethe rate of the HCAIs.
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| format | Article |
| id | doaj-art-786a08b8b01f461099c0f319ebdf390b |
| institution | DOAJ |
| issn | 1972-2680 |
| language | English |
| publishDate | 2014-11-01 |
| publisher | The Journal of Infection in Developing Countries |
| record_format | Article |
| series | Journal of Infection in Developing Countries |
| spelling | doaj-art-786a08b8b01f461099c0f319ebdf390b2025-08-20T02:57:21ZengThe Journal of Infection in Developing CountriesJournal of Infection in Developing Countries1972-26802014-11-0181110.3855/jidc.3931Three-year study of health care-associated infections in a Turkish pediatric wardCanan Kuzdan0Ahmet Soysal1Gulcan Çulha2Gulsen Altinkanat3Guner Soyletir4Mustafa Bakir5Marmara University Medical School, Istanbul, TurkeyMarmara University Medical School, Istanbul, TurkeyMarmara University Medical School, Istanbul, TurkeyMarmara University Medical School, Istanbul, TurkeyMarmara University Medical School, Istanbul, TurkeyMarmara University Medical School, Istanbul, TurkeyIntroduction: Health care-associated infections (HCAIs) can cause an increase in morbidity, mortality and costs, especially in developing countries. As information on the epidemiology of HCAIs in pediatric patientsinTurkey is limited, we decided to study the annual incidence and antibiotic resistance patterns in our pediatric ward at Marmara University Hospital. Methodology: All hospitalized patients in the pediatric ward were assessed with regard to HCAIs betweenJanuary 1, 2008 and December 31, 2010. Data was prospectively collected according to standard protocols of the National Nosocomial Infections Surveillance System (NosoLINE). Results: A total of 16.5% of all hospitalized patients developed HCAIs in the three years studied. The most frequent HCAIs were urinary tract infections (UTI) (29.3%), bloodstream infections (27%) and pneumonias (21%). While the most frequent agent isolatedfrom UTI was Escherichia coli (26%), the most common agent in blood stream infections was Staphylococcus epidermidis (30.4%). Vancomycin resistance was found in 73.3% of all Enterococcus faecium strains. Extended-spectrum β-lactamase was detected in 58.3% of Klebsiella pneumoniae and E. coli isolates. Conclusions: Continual HCAI surveillance is important to determineits rate. Knowledge of the HCAI incidence can influence people’s use of broad-spectrum antibiotics and encourage antibiotic rotation. Moreover, the knowledge of HCAI incidence may support the infection control programmes, including education and isolation methods which ultimately may help to reducethe rate of the HCAIs. https://jidc.org/index.php/journal/article/view/3931health care–associated infectionspediatric unitsurveillancenosocomial infectionschildren |
| spellingShingle | Canan Kuzdan Ahmet Soysal Gulcan Çulha Gulsen Altinkanat Guner Soyletir Mustafa Bakir Three-year study of health care-associated infections in a Turkish pediatric ward Journal of Infection in Developing Countries health care–associated infections pediatric unit surveillance nosocomial infections children |
| title | Three-year study of health care-associated infections in a Turkish pediatric ward |
| title_full | Three-year study of health care-associated infections in a Turkish pediatric ward |
| title_fullStr | Three-year study of health care-associated infections in a Turkish pediatric ward |
| title_full_unstemmed | Three-year study of health care-associated infections in a Turkish pediatric ward |
| title_short | Three-year study of health care-associated infections in a Turkish pediatric ward |
| title_sort | three year study of health care associated infections in a turkish pediatric ward |
| topic | health care–associated infections pediatric unit surveillance nosocomial infections children |
| url | https://jidc.org/index.php/journal/article/view/3931 |
| work_keys_str_mv | AT canankuzdan threeyearstudyofhealthcareassociatedinfectionsinaturkishpediatricward AT ahmetsoysal threeyearstudyofhealthcareassociatedinfectionsinaturkishpediatricward AT gulcanculha threeyearstudyofhealthcareassociatedinfectionsinaturkishpediatricward AT gulsenaltinkanat threeyearstudyofhealthcareassociatedinfectionsinaturkishpediatricward AT gunersoyletir threeyearstudyofhealthcareassociatedinfectionsinaturkishpediatricward AT mustafabakir threeyearstudyofhealthcareassociatedinfectionsinaturkishpediatricward |