The Turkish Journal of Pediatrics 2011 , Vol 53 , Num 3
Nosocomial Infections Due to Acinetobacter Baumannii in A Pediatric Intensive Care Unit in Turkey
Departments of 1Pediatric Infectious Diseases, 2Pediatric Intensive Care, and 3Pediatrics, and 4Microbiology Laboratory, Ankara University Faculty of Medicine, Ankara, Turkey Özdemir H, Kendirli T, Ergün H, Çiftçi E, Tapısız A, Güriz H, Aysev D, İnce E, Doğru Ü. Nosocomial infections due to Acinetobacter baumannii in a pediatric intensive care unit in Turkey. Turk J Pediatr 2011; 53: 255-260.

The aim of this study is to document the clinical characteristics and outcomes of Acinetobacter baumannii infections in pediatric patients in a pediatric intensive care unit (PICU) in Turkey. The ages ranged from 1 month to 16 years with a mean age of 55.5 months, and the male-to-female ratio was 1:1.5. Ventilator-associated pneumonia (10 patients) was the leading diagnosis, followed by catheter-related blood stream infection (4 patients), and bacteremia and ventilator-associated pneumonia associated with meningitis (1 patient) due to A. baumannii. Mechanical ventilation (93.3%), central venous catheter (73.3%), urinary catheter (93.3%), and broad spectrum antibiotic usage (80%) were the frequently seen risk factors. Neuromuscular (40%) and malignant (26.7%) disorders were the most common underlying diseases. Nosocomial A. baumannii is commonly multidrug-resistant, prolongs the length of stay in the PICU and increases the mortality rates in pediatric critical care. Keywords : Acinetobacter baumannii, nosocomial infection, pediatric intensive care unit.

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