Acquired infections in paediatric patients after cardiac surgery

 

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dc.contributor.advisor Argent, Andrew en_ZA
dc.contributor.advisor Morrow, Brenda en_ZA
dc.contributor.author Appel, Ilse Nadine en_ZA
dc.date.accessioned 2016-06-02T08:47:58Z
dc.date.available 2016-06-02T08:47:58Z
dc.date.issued 2015 en_ZA
dc.identifier.citation Appel, I. 2015. Acquired infections in paediatric patients after cardiac surgery. University of Cape Town. en_ZA
dc.identifier.uri http://hdl.handle.net/11427/19899
dc.description.abstract Introduction: Hospital acquired infections (HAIs) are an important cause of morbidity and mortality following paediatric cardiac surgery. Aim: To determine the incidence, risk factors for and outcome of postoperative HAIs in the Paediatric Intensive Care Unit (PICU) of the Red Cross War Memorial Children's Hospital (RCWMCH) in Cape Town. Methods: A prospective observational study of all postoperative cardiac patients admitted to PICU from September 2011 to March 2012. The definitions of laboratory confirmed blood stream infections (BSI), urinary tract infections (UTI), and surgical site infections were based on the Centres of Disease Control criteria. Ventilator associated pneumonia (VAP) was diagnosed using a modification of the Clinical Pulmonary Infection Score (CPIS). Results: 110 patients (median age 19 months; 43% male) undergoing 126 surgical procedures were enrolled. Sixty HAIs occurred in 43 (39%) patients (68.3% pulmonary; 13.3% blood; 11.7% wound; 3.3% urine; 3.3% tissue). Nine (8.2%) patients died and their deaths were not related to HAIs. en_ZA
dc.language.iso eng en_ZA
dc.subject.other Critical Care Paediatrics en_ZA
dc.title Acquired infections in paediatric patients after cardiac surgery en_ZA
dc.type Masters Thesis
uct.type.publication Research en_ZA
uct.type.resource Thesis en_ZA
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Health Sciences en_ZA
dc.publisher.department Department of Paediatrics and Child Health en_ZA
dc.type.qualificationlevel Masters
dc.type.qualificationname MPhil en_ZA
uct.type.filetype Text
uct.type.filetype Image
dc.identifier.apacitation Appel, I. N. (2015). <i>Acquired infections in paediatric patients after cardiac surgery</i>. (Thesis). University of Cape Town ,Faculty of Health Sciences ,Department of Paediatrics and Child Health. Retrieved from http://hdl.handle.net/11427/19899 en_ZA
dc.identifier.chicagocitation Appel, Ilse Nadine. <i>"Acquired infections in paediatric patients after cardiac surgery."</i> Thesis., University of Cape Town ,Faculty of Health Sciences ,Department of Paediatrics and Child Health, 2015. http://hdl.handle.net/11427/19899 en_ZA
dc.identifier.vancouvercitation Appel IN. Acquired infections in paediatric patients after cardiac surgery. [Thesis]. University of Cape Town ,Faculty of Health Sciences ,Department of Paediatrics and Child Health, 2015 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/19899 en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Appel, Ilse Nadine AB - Introduction: Hospital acquired infections (HAIs) are an important cause of morbidity and mortality following paediatric cardiac surgery. Aim: To determine the incidence, risk factors for and outcome of postoperative HAIs in the Paediatric Intensive Care Unit (PICU) of the Red Cross War Memorial Children's Hospital (RCWMCH) in Cape Town. Methods: A prospective observational study of all postoperative cardiac patients admitted to PICU from September 2011 to March 2012. The definitions of laboratory confirmed blood stream infections (BSI), urinary tract infections (UTI), and surgical site infections were based on the Centres of Disease Control criteria. Ventilator associated pneumonia (VAP) was diagnosed using a modification of the Clinical Pulmonary Infection Score (CPIS). Results: 110 patients (median age 19 months; 43% male) undergoing 126 surgical procedures were enrolled. Sixty HAIs occurred in 43 (39%) patients (68.3% pulmonary; 13.3% blood; 11.7% wound; 3.3% urine; 3.3% tissue). Nine (8.2%) patients died and their deaths were not related to HAIs. DA - 2015 DB - OpenUCT DP - University of Cape Town LK - https://open.uct.ac.za PB - University of Cape Town PY - 2015 T1 - Acquired infections in paediatric patients after cardiac surgery TI - Acquired infections in paediatric patients after cardiac surgery UR - http://hdl.handle.net/11427/19899 ER - en_ZA


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