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Prevalence and Anti-Microbial Susceptibility of Hospital Acquired Infections in Two Pediatric Intensive Care Units in

Sally A F El-Sahrigy1, Mohamed G Shouman1, Hanan M Ibrahim2

  • 1Departments of Pediatrics, and Clinical Pathology, National Research Centre, Cairo, Egypt.

Open Access Macedonian Journal of Medical Sciences
|July 19, 2019
PubMed

Insights

Hospital-acquired infections in pediatric intensive care units are common, with Staphylococcus and Gram-negative bacteria being the most frequent culprits. Amikacin and imipenem showed the best antimicrobial susceptibility in this study.

Area of Science:

  • Medical Microbiology
  • Infectious Diseases
  • Pediatric Critical Care

Background:

  • Hospital-acquired infections (HAIs) pose a significant global health challenge, particularly in pediatric intensive care units (PICUs).
  • These infections are linked to increased mortality, prolonged hospital stays, and substantial healthcare costs.

Purpose of the Study:

  • To identify the types of microorganisms causing HAIs in two PICUs over a one-year period.
  • To assess the antimicrobial susceptibility patterns of these identified pathogens.

Main Methods:

  • A study involving 86 pediatric patients (1-156 months old) in PICUs at Ain Shams & Cairo Universities.
  • Collection of blood, endotracheal aspirate, urine, and skin swab samples from each patient for culture and sensitivity testing.

Main Results:

  • Staphylococcus was the most frequently isolated microorganism.
  • Gram-negative bacteria constituted the most common group, with Acinetobacter and Klebsiella predominating.
  • Amikacin and imipenem demonstrated the highest antimicrobial sensitivity.

Conclusions:

  • Staphylococcus and Gram-negative bacteria (Acinetobacter, Klebsiella) were the leading causes of infection in PICUs.
  • Respiratory tract infections were most prevalent, followed by bloodstream infections.
  • Identified risk factors did not show a significant association with mortality.
Abstract

Keywords:
Anti-microbialEgyptHospital-acquired infectionPediatric ICU

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