Infections in Critically Ill Children

Abstract Health care–associated infections (HAI) directly influence the survival of children in pediatric intensive care units (PICU), the most common being central line–associated bloodstream infection (CLABSI) 25–30%, followed by ventilator-associated pneumonia (VAP) 20–25%, and others such as catheter-associated urinary tract infection (CAUTI) 15%, surgical site infection (SSI) 11%. HAIs complicate the course of the disease, especially the critical one, thereby increasing the mortality, morbidity, length of hospital stay, and cost. The incidence of HAI in Western countries is 6.1–15.1% and in India, it is 10.5 to 19.5%. The advances in healthcare practices have reduced the incidence of HAIs in the recent years which is possible due to strict asepsis, hand hygiene practices, surveillance of infections, antibiotic stewardship, and adherence to bundled care. The burden of drug resistance and emerging infections are increasing with limited antibiotics in hand, is still a dreadful threat. The most common manifestation of HAIs is fever in PICU, hence the appropriate targeted search to identify the cause of fever should be done. Proper isolation practices, judicious handling of devices, regular microbiologic audit, local spectrum of organisms, identification of barriers in compliance of hand hygiene practices, appropriate education and training, all put together in an efficient and sustained system improves patient outcome..

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:90

Enthalten in:

Indian journal of pediatrics - 90(2022), 3 vom: 20. Dez., Seite 289-297

Sprache:

Englisch

Beteiligte Personen:

Kannan, Abinaya [VerfasserIn]
Pratyusha, Kambagiri [VerfasserIn]
Thakur, Ruchy [VerfasserIn]
Sahoo, Manas Ranjan [VerfasserIn]
Jindal, Atul [VerfasserIn]

Links:

Volltext [lizenzpflichtig]

Themen:

Antibiotic stewardship
Central line–associated bloodstream infections
Hospital-acquired infections
Resistant organisms
Ventilator-associated pneumonia

Anmerkungen:

© The Author(s), under exclusive licence to Dr. K C Chaudhuri Foundation 2022. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

doi:

10.1007/s12098-022-04420-9

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

OLC2134077263

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