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

ÖZDEMİR H., KENDİRLİ T., Ergun H., ÇİFTCİ E., Tapisiz A., Guriz H., ...More

TURKISH JOURNAL OF PEDIATRICS, vol.53, no.3, pp.255-260, 2011 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 53 Issue: 3
  • Publication Date: 2011
  • Journal Name: TURKISH JOURNAL OF PEDIATRICS
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.255-260
  • Keywords: Acinetobacter baumannii, nosocomial infection, pediatric intensive care unit, EPIDEMIOLOGY, PNEUMONIA, OUTBREAK
  • Ankara University Affiliated: Yes

Abstract

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.