The evaluation of nosocomial infections in pediatric patients with extracorporeal membrane oxygenation support
Rev. bras. cir. cardiovasc
;
32(6): 468-474, Nov.-Dec. 2017. tab, graf
Article
in English
| LILACS
| ID: biblio-897962
ABSTRACT
Abstract Introduction:
Extracorporeal membrane oxygenation (ECMO) has become a standard technique over the past few decades in intensive care unit (ICU).Objective:
A review of pediatric patients who received ECMO support in the pediatric cardiac ICU was conducted to determine the incidence, risk factors and causal organisms related to acquired infections and assess the survival rates of ECMO patients with nosocomial infections.Methods:
Sixty-six patients who received ECMO support in the pediatric cardiac ICU between January 2011 and June 2014 were included in the study. Demographic, echocardiographic, hemodynamic features and surgical procedures were reviewed.Results:
Sixty-six patients received a total of 292.5 days of venoarterial ECMO support. Sixty were postoperative patients. Forty-five patients were weaned from ECMO support with an ECMO survival rate of 68.2%. The rate of infection was 116.2/1000 ECMO days. Prolonged ICU stay, duration of ventilation and ECMO were found associated with development of nosocomial infection and only the duration of ECMO was an independent risk factor for nosocomial infections in ECMO patients.Conclusion:
The correction of the underlying process leading to ECMO support and shortening the length of ECMO duration together with stricter application of ECMO indications would improve the infection incidence and hospital surveillance of the patient group.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Extracorporeal Membrane Oxygenation
/
Cross Infection
Type of study:
Risk factors
Limits:
Child, preschool
/
Female
/
Humans
/
Infant
/
Male
Language:
English
Journal:
Rev. bras. cir. cardiovasc
Journal subject:
Cardiology
/
General Surgery
Year:
2017
Type:
Article
Affiliation country:
Turkey
Institution/Affiliation country:
Istanbul Saglik Bilimleri University/TR
Similar
MEDLINE
...
LILACS
LIS