title: Nosocomial infections due to Acinetobacter baumannii in a pediatric intensive care unit in Turkey.
abstract: 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.
authors: Department of Pediatric Infectious Diseases, Ankara University Faculty of Medicine, Ankara, Turkey.
authors: Halil
authors: H
authors: Ozdemir
authors: Tanil
authors: T
authors: Kendirli
authors: Hüseyin
authors: H
authors: Ergün
authors: Ergin
authors: E
authors: Ciftçi
authors: Anil
authors: A
authors: Tapisiz
authors: Haluk
authors: H
authors: Güriz
authors: Derya
authors: D
authors: Aysev
authors: Erdal
authors: E
authors: Ince
authors: Ulker
authors: U
authors: Doğru
mesh_terms: D000151:Acinetobacter Infections / Q000175:diagnosis* / Q000188:drug therapy; D040981:Acinetobacter baumannii; D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003428:Cross Infection / Q000175:diagnosis* / Q000188:drug therapy; D005260:Female; D006801:Humans; D007223:Infant; D015278:Intensive Care Units, Pediatric; D008297:Male; D012307:Risk Factors; D014421:Turkey