NOSOCOMIAL
CATHETER INFECTIONS AMONG 0-14 YEARS OLD CHILDREN
Cetin B D1, Hasman H1 ,
Gunduz A1 , Hatipoglu S2 , Seber E1
1Department of Clinical Microbiology and Infectious Diseases
2Department of Pediatrics
Sisli Etfal Training and Research Hospital,
Istanbul, Turkey
Objective: Catheter
infections are an important problem especially in the Intensive Care Unit
(ICU) and other hospital units. Our aim was to evaluate the infections
according to the different types of the catheters used, the isolated causative
agents and their antimicrobial resistance patterns.
Methods: In our
study 0-14 years old, hospitalized children with catheter infections were
evaluated according to the different types of catheters used and the
isolated causative agents. The antimicrobial resistance patterns were
investigated by using Kirby-Bauer disc diffusion test.
Results: The
most frequently isolated
microoorganisms in the ICU were as follows: Klebsiella spp.(21%),
Acinetobacter spp.(14%), Pseudomonas spp.(14%), MRSA(12%), Coagulase-negative
staphylococci(12%), E.coli(12%). The catheter infections were mostly due to
endotracheal tubes (57%), and urethral catheters (38%). Imipenem,
ciprofloxacin, cefepime, amikacin were the most effective antimicrobials
compared to the other ones.
Conclusion: As ICU itself may be an important risk
factor for catheter infections, the antimicrobials should be selected
according to the resistance patterns of the microorganism and invasive
procedures such as endotracheal entubation, urethral catheterization should
be performed strictly according to the rules of antisepsis.