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Acquired infections in paediatric patients after cardiac surgery

Introduction: Hospital acquired infections (HAIs) are an important cause of morbidity and mortality following paediatric cardiac surgery. Aim: To determine the incidence, risk factors for and outcome of postoperative HAIs in the Paediatric Intensive Care Unit (PICU) of the Red Cross War Memorial...

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Main Author: Appel, Ilse Nadine
Other Authors: Argent, Andrew
Format: Thesis
Language:English
Published: Department of Paediatrics and Child Health 2016
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access_status_str Open Access
author Appel, Ilse Nadine
author2 Argent, Andrew
author_browse Appel, Ilse Nadine
Argent, Andrew
author_facet Argent, Andrew
Appel, Ilse Nadine
author_sort Appel, Ilse Nadine
collection Thesis
description Introduction: Hospital acquired infections (HAIs) are an important cause of morbidity and mortality following paediatric cardiac surgery. Aim: To determine the incidence, risk factors for and outcome of postoperative HAIs in the Paediatric Intensive Care Unit (PICU) of the Red Cross War Memorial Children's Hospital (RCWMCH) in Cape Town. Methods: A prospective observational study of all postoperative cardiac patients admitted to PICU from September 2011 to March 2012. The definitions of laboratory confirmed blood stream infections (BSI), urinary tract infections (UTI), and surgical site infections were based on the Centres of Disease Control criteria. Ventilator associated pneumonia (VAP) was diagnosed using a modification of the Clinical Pulmonary Infection Score (CPIS). Results: 110 patients (median age 19 months; 43% male) undergoing 126 surgical procedures were enrolled. Sixty HAIs occurred in 43 (39%) patients (68.3% pulmonary; 13.3% blood; 11.7% wound; 3.3% urine; 3.3% tissue). Nine (8.2%) patients died and their deaths were not related to HAIs.
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language eng
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license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2016
publishDateRange 2016
publishDateSort 2016
publisher Department of Paediatrics and Child Health
publisherStr Department of Paediatrics and Child Health
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spelling oai:open.uct.ac.za:11427/19899 Acquired infections in paediatric patients after cardiac surgery Appel, Ilse Nadine Argent, Andrew Morrow, Brenda Critical Care Paediatrics Introduction: Hospital acquired infections (HAIs) are an important cause of morbidity and mortality following paediatric cardiac surgery. Aim: To determine the incidence, risk factors for and outcome of postoperative HAIs in the Paediatric Intensive Care Unit (PICU) of the Red Cross War Memorial Children's Hospital (RCWMCH) in Cape Town. Methods: A prospective observational study of all postoperative cardiac patients admitted to PICU from September 2011 to March 2012. The definitions of laboratory confirmed blood stream infections (BSI), urinary tract infections (UTI), and surgical site infections were based on the Centres of Disease Control criteria. Ventilator associated pneumonia (VAP) was diagnosed using a modification of the Clinical Pulmonary Infection Score (CPIS). Results: 110 patients (median age 19 months; 43% male) undergoing 126 surgical procedures were enrolled. Sixty HAIs occurred in 43 (39%) patients (68.3% pulmonary; 13.3% blood; 11.7% wound; 3.3% urine; 3.3% tissue). Nine (8.2%) patients died and their deaths were not related to HAIs. 2016-06-02T08:47:58Z 2016-06-02T08:47:58Z 2015 Master Thesis Masters MPhil http://hdl.handle.net/11427/19899 eng application/pdf Department of Paediatrics and Child Health Faculty of Health Sciences University of Cape Town
spellingShingle Critical Care Paediatrics
Appel, Ilse Nadine
Acquired infections in paediatric patients after cardiac surgery
thesis_degree_str Master's
title Acquired infections in paediatric patients after cardiac surgery
title_full Acquired infections in paediatric patients after cardiac surgery
title_fullStr Acquired infections in paediatric patients after cardiac surgery
title_full_unstemmed Acquired infections in paediatric patients after cardiac surgery
title_short Acquired infections in paediatric patients after cardiac surgery
title_sort acquired infections in paediatric patients after cardiac surgery
topic Critical Care Paediatrics
url http://hdl.handle.net/11427/19899
work_keys_str_mv AT appelilsenadine acquiredinfectionsinpaediatricpatientsaftercardiacsurgery