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Guidelines for Elective Pediatric Fiberoptic Intubation
Published on: January 17, 2011
[Prevention of nosocomial infections in the pediatric ward - own experiences]
Teresa Jackowska1, Katarzyna Pawlik1
1Klinika Pediatrii, Centrum Medyczne Kształcenia Podyplomowego, Warszawa. Kliniczny Oddział Pediatryczny, Szpital Bielański, Warszawa.
Insights
Effective prevention strategies significantly reduced nosocomial infections, including rotavirus and catheter-related bloodstream infections, in pediatric wards. Promoting influenza vaccinations among healthcare workers remains crucial for comprehensive infection control.
Area of Science:
- Infectious Diseases
- Hospital Epidemiology
- Pediatric Healthcare
Context:
- Pediatric wards are high-risk environments for nosocomial infections.
- Implementing advanced infection prevention principles is essential for patient safety.
Purpose:
- To determine the prevalence, etiology, and clinical features of nosocomial infections in hospitalized children.
- To evaluate the efficacy of preventive measures against rotavirus and catheter-related bloodstream infections.
- To analyze influenza incidence in healthcare staff and promote vaccinations.
Summary:
- Nosocomial infections affected 2.2% of pediatric patients, primarily acute gastroenteritis (96%) caused by rotavirus (78%).
- Prophylactic measures led to a significant reduction in rotavirus infections (7.1% to 1.5%) and eliminated catheter-related bloodstream infections.
- Influenza affected 5-7% of staff; only 42% were vaccinated, with significant disparities among roles.
Impact:
- Demonstrates the success of targeted interventions in reducing specific hospital-acquired infections.
- Highlights the need for improved influenza vaccination uptake among healthcare personnel to enhance patient and staff safety.
- Provides evidence for the effectiveness of proactive infection control protocols in pediatric settings.
Introduction:
Patients pediatric wards are particularly at risk of nosocomial infections. Therefore, the newest principles of prevention of infections should be implemented and monitored.
Aim:
1) to determine the prevalence, etiology and clinical manifestations of nosocomial infections in hospitalized patients; 2) to evaluate the effectiveness of procedures that aim at preventing hospital rotavirus infections and catheter-related bloodstream infections; 3) to analyse the incidence of flu among staff in two consecutive seasons of the epidemic influenza H1N1 (2009/2010 and 2010/2011); 4) to promote vaccinations of the medical staff.
Material And Methods:
The study involved 4432 children hospitalized from October 2007 to December 2009 and 57 medical staff (doctors, nurses, orderlies). The effectiveness was assessed of prevention procedures for nosocomial infections and morbidity, and of vaccination against influenza among the sta$, as dened by the Act on the prevention and suppression of infection and infectious diseases human and the criteria developed by the Centers for Disease Control and Prevention.
Results:
Nosocomial infections were diagnosed in 2.2% of hospitalized children, where 96% were of acute gastroenteritis; 3% were bloodstream infections associated with peripheral vascular catheter. The 1% had respiratory infections (influenza). Hospital gastrointestinal infections were caused by the rotavirus (78%), norovirus (13%) and adenovirus (0.9%). In 1.1% of cases the etiology had not been determined. As a result of implementing prophylactic activities, a statistically significant reduction of the incidence of nosocomial infections by the rotavirus was achieved (from 7.1 to 1.5%). The occurrence catheter-related bloodstream infections was entirely eliminated. Influenza and influenza-like infections were reported in 7% of the medical staff in the season of 2009/2010 and 5% in the season of 2010/2011. 42% of the medical staff was immunized against the influenza (92% of doctors, 7% nurses, 0% orderlies).
Conclusions:
The most common cause of nosocomial infections in the pediatric ward are rotaviruses. Rotavirus infections and catheter-related bloodstream infections are possible to be effectively prevented through regular, proactive preventive measures. Vaccinations of the medical sta$ against influenza medical staff against influenza still require implementing measures of a promotional and educational character.
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