Evaluation of Childhood Fever Management


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ÇELİK T., Ötiken Arıkan K., Sami Arısoy E., Bursal B., Hafize Erdeniz E., HACIMUSTAFAOĞLU M. K., ...More

Cocuk Enfeksiyon Dergisi, vol.18, 2024 (ESCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 18
  • Publication Date: 2024
  • Doi Number: 10.5578/ced.20240102
  • Journal Name: Cocuk Enfeksiyon Dergisi
  • Journal Indexes: Emerging Sources Citation Index (ESCI), Scopus, CAB Abstracts, CINAHL, EMBASE, TR DİZİN (ULAKBİM)
  • Kocaeli University Affiliated: Yes

Abstract

Objective: There are significant risk factors that predispose patients with congenital heart disease (CHD) to bloodstream infections (BSI) following surgery while staying in the pediatric cardiac intensive care unit (PCICU). It's worth noting that there are relatively few studies that have specifically examined gram -positive BSIs in these patients. Therefore, we aimed to evaluate patients with gram -positive BSI who had undergone cardiac surgery and were hospitalized in PCICU. Material and Methods: We performed a retrospective study of children undergoing cardiac surgery from March 1, 2022, to 31 March 2023 who were admitted to PCIUC postoperatively. The study was conducted at Gaziantep Cengiz G & ouml;k & ccedil;ek Pediatrics Hospital. Results: During the study period, gram -positive BSI was observed in 19 (15%) of 126 patients, who were diagnosed with CHD and underwent surgery. Patients with gram -positive BSI were younger than patients with no growth [median (IQR)= 3 months (63)]. Seven patients (15.9%) were diagnosed with cyanotic CHD. Those with gram -positive BSI had longer hospital stays [median (IQR)= 3 months (63)]. Conclusion: The presence of gram -positive BSI in children with CHD, who were hospitalized in PICU after cardiac surgery adversely affects the length of stay in the hospital, the length of stay in the ICU, and the duration of intubation.