Infection profile of patients with extracorporeal membrane oxygenation in paediatric cardiac surgery ICU

Autor: Mehmet Emirhan Işık, Ergin Arslanoğlu, Şirin Menekşe, Yeşim Uygun-Kızmaz, Ömer Faruk Şavluk, Kenan Abdurrahman Kara, Aysu Türkmen-Karaağaç, Hakan Ceyran
Rok vydání: 2022
Předmět:
Zdroj: Cardiology in the Young. 32:1833-1838
ISSN: 1467-1107
1047-9511
DOI: 10.1017/s1047951122001263
Popis: Aim:We investigated the risk of increased nosocomial infections and the associated pathogens in patients who underwent paediatric cardiovascular surgery and were put on extracorporeal membrane oxygenation support. We studied the duration of extracorporeal membrane oxygenation use and other variables that may be associated with increased nosocomial infection risk.Methods:Patients who were treated with an extracorporeal membrane oxygenation in paediatric cardiovascular surgery ICU between 2010 and 2020 were included in this retrospective study. We analysed the site of infection and microbiological profile of infections occurring in these patients according to CDC and National Healthcare Safety Network criteria.Results:The onset of infection development in patients after extracorporeal membrane oxygenation was found to be median 8 (3–15, 25–75 IQR) days in the whole group, and median 11 (3–16, 25–75 IQR) days in those who developed infection without being put on extracorporeal membrane oxygenation. When patients were divided into those with and without infection, duration of ICU was found to be 19 (16–28, IQR 25–75) days in patients with infection vs. 8 (2–16, IQR 25–75; p: Conclusion:We propose that prolonged extracorporeal membrane oxygenation support is associated with an increased risk of infection. Although extracorporeal membrane oxygenation is a life-saving treatment method, prolonged extracorporeal membrane oxygenation may increase the development of infectious complications and the associated mortality and morbidity of the patient.
Databáze: OpenAIRE
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