Occurrence of hospital infections in a department of pediatric heart surgery
Mantero, E.; Panizzon, G.; Tacchella, A.; Rovida, S.; Fabbri, A.; Calza, G.; Bertolini, A.; Jannuzzi, C.
La Pediatria medica e chirurgica Medical and surgical pediatrics 8(5): 715-720
1986
ISSN/ISBN: 0391-5387 PMID: 3601701 Document Number: 283884
The incidence of nosocomial infections (NI) and the related risk factors in a Department of Pediatric Cardiovascular Surgery were studied, during a 6 months period. 155 successive admissions were considered. Nosocomial infections were 17 (11%), nosocomial colonizations 18 (11.6%). The most important risk factors for nosocomial infections were: age, cyanosis, duration of hospitalization, hospitalization in Intensive Care Unit and central venous catheter only as a risk factor for sepsis. The most important risk factors for nosocomial colonizations were: tracheal intubation and central venous catheter. In 4 cases the NI was related to nosocomial colonization (2 sepsis, 1 pneumonia, 1 wound infection). The most frequently isolated microorganisms were Pseudomonas aeruginosa and Staphylococcus spp. The Authors found that a longer than 5 days period of antibiotic prophylaxis did not reduce the incidence of nosocomial infections.