Çocuk Hastalarda Kateter İlişkili Enfeksiyon Sıklığı; Bir Yıllık Deneyim

Abstract

Objective: Intravascular catheters are used with increased frequency in intensive care units in the management of children. However, in parallel with the increase in the use of catheters there is also an increase in the frequency of catheter related bloodstream infections. The aim of this study is to evaluate the rate and risk of infections associated with intravascular catheterization. Material and Methods: Between the years 2014-2015 Septembers, in Medical Faculty of Cerrahpasa, University of Istanbul, Pediatric Intensive Care Unit, 105 patients and placed 171 intravascular catheters analyzed retrospectively by the patients' medical records. Results: 78 of the patients (45.6%) were female, 93 (54.4%) were male. Average age of catheter insertion was 4.45 ± 5.48 years, ranging between 3 days-228 months. One hundred and fifteen catheters (67.3%) were used 7 days or more, the average length of usage was 20.33 ± 38.80. One hundred sixty four of 171 catheters (95.9%) were central venous catheters, seven of them (4%) were arterial catheters. Fifty one of central venous catheters (31%) were hemodialysis catheters, three of them were (1.8%) tunnelled catheters, 110 (67.0%) of them were central venous pressure catheters. Catheter sepsis were reported in 3.5%, local sepsis were in 2.4%, colonisation were in 1.8% of central venous catheters. As location had no risk for catheter related infections (p> 0.05), increased time length for the usage of catheters and total parenteral nutrition treatment via catheter showed a significant increase in infection incidence (p< 0.05). Conclusion: The insertion and care of catheters by skilled persons, providing sterile conditions during catheterisation and taking care will reduce the complication rates.