Assessment of Healthcare-Associated Infections in Pediatric Intensive Care Unit

Objective: In this study, it was aimed to determine the incidence and rate of healthcare-associated infections, and to determine the susceptible microorganisms and antibiotic susceptibilities by examining the patients hospitalized in our Pediatric Intensive Care Unit retrospectively. Material and Methods: Patients who were hospitalized for more than 48 hours between January 2014 and June 2019 at Trakya University Hospital Pediatric Intensive Care Unit were examined retrospectively and criteria and formulas for Centers for Disease Control and Prevention were used in calculations. Results: A total of 49 healthcare-associated infections were detected in 6825 patient days in a total of 725 patients. Healthcare-associated infection rate was found to be 6.76%. 29 invasive device related infections were detected. Ventilator usage rate was 38%, ventilator associated pneumonia rate was found to be 11.19 per 1000 interventional device days, central venous catheter usage rate was 40%, central venous catheter related hospital infection rate was found to be 0.73 per 1000 interventional device days and urinary catheter usage rate was 26%, catheter related urinary tract infection rate was found to be 0.56 per 1000 interventional device days. The most common agents were Acinetobacter baumannii (37%), Pseudomonas aeruginosa (16.6%), Klebsiella pneumoniae (16.6%), Escherichia coli (9.2%), respectively. Conclusion: The healthcare-associated infection rates of our Pediatric Intensive Care Unit were found at the level of developed countries when compared to other countries. However, our rate of ventilator-associated pneumonia was high. The common problem of pediatric intensive care units is multi-antibiotic resistant microorganisms.