ArticleIndian journal of pediatrics2008
Nosocomial bloodstream infection in a pediatric intensive care unit.
Article in Indian journal of pediatrics, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Article
- Probiotic Bacterial Application in Pediatric Critical Illness as Coadjuvants of Therapy.Medicina (Kaunas, Lithuania) · 2021Review
- Microbial Distribution and Antibiotic Susceptibility of Bloodstream Infections in Different Intensive Care Units.Frontiers in microbiology · 2021Article
- Pediatric Blood Cultures and Antibiotic Resistance: An Overview.Indian journal of pediatrics · 2020Review
- What's new in PICU in resource limited settings?Intensive care medicine · 2018Article
- Healthcare associated infections in Paediatric Intensive Care Unit of a tertiary care hospital in India: Hospital stay & extra costs.The Indian journal of medical research · 2016Article
- Prospective study estimating healthcare associated infections in a paediatric hemato-oncology unit of a tertiary care hospital in North India.The Indian journal of medical research · 2013Article
- Infections in Pediatric Intensive Care Units (PICU).Indian journal of pediatrics · 2012Article
- Incidence of bacteremia at the time of ICU admission and its impact on outcome.Indian journal of anaesthesia · 2011Article
- Nosocomial infections and multidrug-resistant bacterial organisms in the pediatric intensive care unit.Indian journal of pediatrics · 2011Review
- Staphylococcus aureus bacteraemia in a tropical setting: patient outcome and impact of antibiotic resistance.PloS one · 2009Article
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Authors and funding
5 authors.
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Abstract
objectiveTo study the incidence of nosocomial blood stream infections (BSI) in a pediatric intensive care unit (PICU) of a tertiary care teaching hospital, identify the organisms responsible and the pattern of antibiotic resistance over one decade.
methodsData was retrieved from the records of PICU and Medical Microbiology laboratory of patients with a positive blood culture after 48 hours of admission to PICU over three time periods viz. 1994-1996, 1999-2001 and 2002-2003. Antibiotic sensitivity pattern was also analyzed.
results861 episodes (1994-1996: 282, 1999-2001: 362 and 2002-2003: 217) of nosocomial bloodstream infection were documented in 841 patients, corresponding to 3.63, 5.94 and 4.99 episodes per 100 patient-days, respectively. Gram negative organisms were the predominant isolates; common being Klebsiella pneumoniae (20.1%), Enterobacter species (16.6%) and Acinetobacter species (8.6%). Staphylococcus aureus (16.4%) and yeast species (15.9%) were the major Gram positive isolates. Isolation of Staphylococcus aureus , Klebsiella and Acinetobacter species showed a rising trend while yeast (36.9%, 6.6% and 4.1%) showed a decline over the three time periods studied. An increasing trend of resistance to third generation cephalosporins, aminoglycosides, ciprofloxacin and newer antibiotics including combination of beta-lactam with beta-lactamase inhibitor was noted.
conclusionThe predominant organisms responsible for nosocomial infection in the PICU were Klebsiella pneumoniae , Staphylococcus aureus and Enterobacter species . At present, carbapenems plus vancomycin appear to be the best choice for empiric antibiotic therapy in the PICU in Chandigarh.
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