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August 2020 -
Volume 18, Issue 8

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From the Editor

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Original Contribution

Pattern and Frequency of Hospital Acquired Infections in Pediatric Intensive Care Unit at Abha Maternity and Children Hospital, Saudi Arabia
[Abstract]
[pdf]
Mohamad M. Almasadi, Saleh M. Al-Qahtani, Ibrahim Alhelali, Njood Alwadei, Asmahan Aasiri, Maryam Alnabhan, Fatmah Alassiri, Kholoud Alomar
DOI: 10.5742MEWFM.2020.93839

Emergency Physician Practice of laboratory tests requesting at King Faisal Hospital Taif, KSA, 2020
[Abstract]
[pdf]
Abdulsalam Alshehri , Maryam A. Alzaylaee, Afnan S. ALgethami, Amjad W. Alotaibi, Hessa A. Alshahrani, Shumukh K, Aburukbah
DOI: 10.5742MEWFM.2020.93840

The most desired values of high and low density lipoproteins and triglycerides in the plasma
[Abstract]
[pdf]
Mehmet Rami Helvaci, Mustafa Yaprak, Necmetin Tasci, Abdulrazak Abyad, Lesley Pocock
DOI: 10.5742MEWFM.2020.93842

Quality of life of older patients attending a general hospital in Baghdad/Iraq

[Abstract]
[pdf]
Maha Sulaiman Younis
DOI: 10.5742MEWFM.2020.93841

Physical activity profile among Saudi adults in Abha City, Saudi Arabia
[Abstract]
[pdf]
Yousef Hussain Al Zahib, Hammam Baarimah
DOI: 10.5742MEWFM.2020.93843

Coronavirus Environment vs Socio-Economic and Demographic Problems Followed: A Sociological Appraisal
[Abstract]
[pdf]
Mohammad Taghi Sheykhi
DOI: 10.5742MEWFM.2020.93844

Flexible intramedullary nails for treatment of femoral shaft fracture in children, Aden, Yemen
[Abstract]
[pdf]
Abdulsalam Abdullah Hadi Mohsen
DOI: 10.5742MEWFM.2020.93845

Sodium-Glucose Cotransporter 2 Inhibitors and its Renal benefits in type 2 diabetes. A Systematic Review
[Abstract]
[pdf]
Saad Ur Rehman, Faiqa Rahman
DOI: 10.5742MEWFM.2020.93846

Parkinson's Disease: An update on Pathophysiology, Epidemiology, Diagnosis and Management. Part 4 : Differential Diagnosis and Patient Assessment
[Abstract]
[pdf]
Abdulrazak Abyad
DOI: 10.5742MEWFM.2020.93847

Bloodstream infection with Kocuria rhizophila: A case report and review of literature
[Abstract]
[pdf]
Njood M. Alwadei, Ibrahim Alhelali, Moustafa S Mohame
DOI: 10.5742MEWFM.2020.93848

Knowledge, attitudes and awareness of women about the long and short-term effects of a caesarean section for mothers and children in Taif, KSA, 2020

[Abstract]
[pdf]
Ashwaq K. Al-Harthi, Shumukh K. Aburukbah , Afnan S. Algethami , Faten A. Kaabi ,
Abdullah M. Altalhi, Maryam A. Alzaylaee
DOI: 10.5742MEWFM.2020.93849



Middle East Quality Improvement Program
(MEQUIP QI&CPD)

Chief Editor -
Abdulrazak Abyad MD, MPH, MBA, AGSF, AFCHSE

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medi+WORLD International
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August 2020 - Volume 18, Issue 8

Pattern and Frequency of Hospital Acquired Infections in Pediatric Intensive Care Unit at Abha Maternity and Children Hospital, Saudi Arabia

Corresponding author:
Dr. Alhelali Ibrahim
Abha Maternity and Children Hospital,
Abha, Saudi Arabia
Tel: +966501354870
Email: Ibrahim919@hotmail.com

Received: June 2020; Accepted: July 2020; Published: August 1, 2020. Citation: Mohamad M. Almasadi et al.. Pattern and Frequency of Hospital Acquired Infections in Pediatric Intensive Care Unit at Abha Maternity and Children Hospital, Saudi Arabia. World Family Medicine. 2020; 18(8): 5-12 DOI: 10.5742MEWFM.2020.93839

Abstract


Objectives:
To determine the pattern and frequency of hospital acquired infection (HAI) in pediatric intensive care unit (PICU) at Abha maternity and children hospital.

Subjects and methods: Retrospective analytical cohort study was carried out from 1 March 2017 to 28 February 2018 at Abha Maternity and Children hospital, Abha city, Kingdom of Saudi Arabia (KSA). All pediatric patients from 1 month to 12 years who had HAI in PICU were included. Information was collected regarding age, gender, length of hospital stay, underlying diseases, invasive procedures, types of HAI, causative organisms, and mortality rate. IBM SPSS software, version 25 was utilized for data entry and analysis.

Results: Out of 585 pediatric patients admitted to PICU, Abha Maternity and Children hospital throughout the study period (1 March 2017 - 28 February 2018), there were 42 acquired infections with 79 episodes, giving a rate of 7.2%, based on number of cases and 13.5% based on number of episodes. The age of 40.5% of them ranged between one and less than 6 months. More than half of them (53.7%) stayed more than 30 days at the hospital. The number of HAI episodes was three or above, among 54.8% of cases. Concerning the type of infection, the commonest reported types were central-line associated bloodstream infection and ventilator-associated infection (52.4%), followed by bloodstream infection (42.9%), catheter-associated urinary tract infection (CA-UTI) and urinary tract infection (UTI) (21.4%). Regarding the causative organisms, Klebsiella pneumonia was the most frequent (34.3%), followed by Pseudomonas (11.4%), Candida tropicalis (7.6%) and Candida famata (6.3%). The commonest causative organism for CA-UTI was Enterococcus faecium (25%) whereas that of UTI was Klebsiella pneumoniae (55.5%). For bloodstream infection and central line associated blood stream infection, the commonest causative organism was Klebsiella pneumoniae (33.3% and 36.4%), respectively.

Conclusion: Hospital acquired infection is not very rare in PICU units. Also, mortality rate is relatively high and is related to number of hospital acquired infections.

Key words: PICU, hospital acquired infection, Frequency, causative organism

 







 


 

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