The Evaluation of Nosocomial Infections in Pediatric Patients with Extracorporeal Membrane Oxygenation Support
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...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Cirurgia Cardiovascular
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| Series: | Brazilian Journal of Cardiovascular Surgery |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382017000600468&lng=en&tlng=en |
| _version_ | 1817991618499706880 |
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| author | Pelin Ayyıldız Taner Kasar Erkut Ozturk Okan Yildiz Serpil Ozturk Yakup Ergul Sertac Haydin Alper Guzeltas |
| author_facet | Pelin Ayyıldız Taner Kasar Erkut Ozturk Okan Yildiz Serpil Ozturk Yakup Ergul Sertac Haydin Alper Guzeltas |
| author_sort | Pelin Ayyıldız |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-14T01:15:37Z |
| format | Article |
| id | doaj.art-1eb576851bad47868f503227c06e848b |
| institution | Directory Open Access Journal |
| issn | 1678-9741 |
| language | English |
| last_indexed | 2024-04-14T01:15:37Z |
| publisher | Sociedade Brasileira de Cirurgia Cardiovascular |
| record_format | Article |
| series | Brazilian Journal of Cardiovascular Surgery |
| spelling | doaj.art-1eb576851bad47868f503227c06e848b2022-12-22T02:20:52ZengSociedade Brasileira de Cirurgia CardiovascularBrazilian Journal of Cardiovascular Surgery1678-974132646847410.21470/1678-9741-2017-0072S0102-76382017000600468The Evaluation of Nosocomial Infections in Pediatric Patients with Extracorporeal Membrane Oxygenation SupportPelin AyyıldızTaner KasarErkut OzturkOkan YildizSerpil OzturkYakup ErgulSertac HaydinAlper GuzeltasAbstract 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382017000600468&lng=en&tlng=enExtracorporeal Membrane OxygenationCross InfectionChild |
| spellingShingle | Pelin Ayyıldız Taner Kasar Erkut Ozturk Okan Yildiz Serpil Ozturk Yakup Ergul Sertac Haydin Alper Guzeltas The Evaluation of Nosocomial Infections in Pediatric Patients with Extracorporeal Membrane Oxygenation Support Brazilian Journal of Cardiovascular Surgery Extracorporeal Membrane Oxygenation Cross Infection Child |
| title | The Evaluation of Nosocomial Infections in Pediatric Patients with Extracorporeal Membrane Oxygenation Support |
| title_full | The Evaluation of Nosocomial Infections in Pediatric Patients with Extracorporeal Membrane Oxygenation Support |
| title_fullStr | The Evaluation of Nosocomial Infections in Pediatric Patients with Extracorporeal Membrane Oxygenation Support |
| title_full_unstemmed | The Evaluation of Nosocomial Infections in Pediatric Patients with Extracorporeal Membrane Oxygenation Support |
| title_short | The Evaluation of Nosocomial Infections in Pediatric Patients with Extracorporeal Membrane Oxygenation Support |
| title_sort | evaluation of nosocomial infections in pediatric patients with extracorporeal membrane oxygenation support |
| topic | Extracorporeal Membrane Oxygenation Cross Infection Child |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382017000600468&lng=en&tlng=en |
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