Microbiological profile of Nosocomial infections in the pediatric patients admitted to intensive care unit
Journal Title: Pediatric Review: International Journal of Pediatric Research - Year 2016, Vol 3, Issue 2
Abstract
Aim: Nosocomial infections are major public health concern in intensive care unit which is associated with increase in the morbidity and the mortality. Our aim is to study the incidence of nosocomial infection, site of infection, pathogens involved and their susceptibility. Methods: Children those who were admitted to intensive care unit for more than 48 hours were included. Clinical samples like blood, urine, sputum, wound/pus swab, intravenous catheter tips, endotracheal aspirates, urinary catheter, central venous catheter, inter costal drainage catheter tip were collected and sent for culture and sensitivity. Result: Out of 350 patients, 70 patients had nosocomial infection. The overall nosocomial infection rate was 20%. Most common infections were bloodstream infections followed by pneumonia and urinary tract infections. Nosocomial infection related mortality was most commonly due to pneumonia. Staphylococcus aureus were the most common blood stream isolates. Pseudomonas aeruginosa and Acinetobacter baumanii were the most common species found in pneumonia. Conclusion: The presence of nosocomial infection was associated with prolonged period of hospitalization and use of invasive devices which is associated with increased mortality and morbidity and increased cost of health care.
Authors and Affiliations
Jasashree Choudhury, Debaprasad Mohanty, Sidharth Sraban Routray
Keywords
Related Articles
- EP ID EP223330
- DOI 10.17511
- Views 185
- Downloads 0
Prevalence of hypomagnesemia in neonatal seizures in a tertiary care hospital in South India
Introduction: Metabolic causes of neonatal seizures with good prognosis are hypoglycemia, hypocalcemia, hypomagnesemia. Some of hypocalcmic seizures are accompanied by hypomagnesemia, but magnesium levels are rarely inve...
Problems with exclusive breast feeding– A study in state referral hospital at Falkawn, Mizoram, India
Background: Exclusive breastfeeding is the best way to feed children below the age of 6 months. However, there are problems that hinder exclusive breastfeeding. The aim of this study is to identify problems hindering exc...
Antibiotic susceptibility of bacterial agents in children with SAM: A single-centre cross-sectional study
Purpose: To evaluate bacterial and fungal infections, and antibiotic sensitivity in children with severe acute malnutrition. Methods: Design: Cross-sectional study. Setting: Severe Malnutrition Treatment Unit of Pediatri...
Application of WHO MUAC for age -Z score chart in diagnosis of SAM in Indian children: a comparative study with IAP classification
Background: Mid upper arm circumference (MUAC) is a quick and easy method to determine malnutrition. Though considered age independent earlier, recently World Health Organization (WHO) has prepared MUAC Z score chart for...
Clinical profile and outcome of septic shock in children admitted to a tertiary care referral hospital
Background: There is dearth of studies on detailed clinical profile and outcome of pediatric septic shock in India. Objective: To describe clinical profile and outcome of septic shock in children. Methods: This retrospec...