Özet:

Introduction: Blood circulatory infections (CDDs) are among the most important problems of intensive care units (CDDs) because they lead to prolongation during hospitalization, increase in treatment costs and mortality rates. This study aims to identify the frequency and risk factors of nozo-comal KDE in child intensive care, identify the most common microorganisms. Methods: Patients who were treated by sleeping for more than 48 hours in January 2011 and January 2013 were examined at the Children's University of September 9. The incidents of nozokomyal KDE were identified and compared with incidents of nozokomyal infection during the period in terms of demographic data, diagnoses of nozokomyal and underlying diseases, invasive initiatives and treatments. Microorganisms isolated in the blood culture were recorded. Results: A total of 58 KDE episodes were detected in 252 patients taken to the study. 55% of cases were male (E/K: 1.2) and the average age was 10 months. The frequency of Nozokomyal KDE was estimated at 14.7/1,000 patients' days. It was found that KDE developed 16,5 days after an intensive care rate. In the presence of underlying inherited heart disease, metabolic disease, neurological disease or genetic syndrome, and in patients with central venous catheterization and mechanical ventilation, nozoomal KDE was more frequently observed. The presence of genetic syndrome and the extension of the infestation period in intensive care was identified as an independent risk factor for the development of KDE. The most frequently isolated factors are coagulate negative Staphylococcus (48%) and Klebsiella spp. (%24), Enterobacter spp. (%9) and Candida spp. It is set to be 9%. Conclusion: Identifying the risk factors for Nozokomyal KDE, taking measures in this direction is important in terms of treatment costs and mortality reduction. As the number of days spent in intensive care increases, the risk increases, the deposit periods should be kept as short as possible.

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