Catheter Related Infections in Pediatric Patients

  • Herry Garna Department of Child Health, Universitas Padjadjaran Medical School/Dr. Hasan Sadikin Hospital, Bandung, West Java
DOI: https://doi.org/10.14238/pi33.5-6.1993.108-14
Keywords: catheter related infections; skin and soft tissue; gastrointestinal; skin infection bacteremia; urinary tract infection

Abstract

During a 9-month prospective study, from August, 1988 to April, 1989, a total number of 4328 hospitalized pediatric patients at the Department of Child Health, Padjadjaran University, Hasan Sadikin General Hospital Bandung, were observed to identify skin and soft tissue nosocomial infections (not included postoperative), especially catheter related injections.

The gastroentestinal tract was the most frequent site of nosocomial infections (44.3%), then subsequently followed by skin infection (22.6%), bacteremia (16.3%) and urinary tract infection (14.1%). The most frequent cause of nosocomial skin infections like phlebitis was IVFD occurring in 82 out of 93 patients (88.2%). The overall phlebitis attact rate was 4.2% . When the duration of infusion is devided into 3 groups of 0-36 hours, 37-72 hours and ≥ 73 hours, then it becomes clear that the longer the duration of infusion, the higher the attack rate (x2=8.07, p<0.05).

Klebsiella pneumonia seemed to be the pathogen most frequently associated with nosocomial skin infections (26. 7%), followed by Enterobacter aerogenes (20.0%), and then E. coli, Ps. aeruginosa and S. aureus 13.3% each. It could be concluded that the risk of contracting phlebitis from JVFD with a duration  of ≥ 73 hours was. 1.9 times higher than that of less than 72 hours.

References

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Published
2019-01-21
How to Cite
1.
Garna H. Catheter Related Infections in Pediatric Patients. PI [Internet]. 21Jan.2019 [cited 29Nov.2024];33(5-6):108-4. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/2085
Issue
Vol 33 No 5-6 (1993): May - June 1993
Section
Infection & Tropical Pediatrics

Copyright (c) 2019 Herry Garna

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Received 2019-01-21
Published 2019-01-21