Evaluation of Infection Development and Causes about Central Venous Catheter Interventions in Pediatric Cardiovascular Surgical Intensive Care Unit: Retrospective Study

İrem Habibe Taşdelen; Funda Büyükyılmaz

Article Details

Evaluation of Infection Development and Causes about Central Venous Catheter Interventions in Pediatric Cardiovascular Surgical Intensive Care Unit: Retrospective Study

Authors:

İrem Habibe Taşdelen | Funda Büyükyılmaz

Publisher:

Ordu University

Main Topics:

Hemşirelik

Journal:

Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi Vol.6 Issue 2, pp.265-272

Document Type:

Article

Publication Date:

1/2023

Document Language:

Turkish

Document ID (Org No.):

2001297915

pISSN:

2667-6052

Keywords:

Abstract:

 Objective: This study was carried out to evaluate the development and cause of infection in central venous catheter applications in pediatric cardiovascular surgery intensive care unit patients. Methods: This retrospective-cross sectional study consisted of 317 patients data who were treated and followed in a pediatric cardiovascular intensive care unit in a private hospital. The sample included data on patients who applied a central venous catheter from patients data n70. The patient record was obtained from the archive of the hospital the statistical significance level was accepted as p0.05. Results: The mean age of the patients was 2.211.14 months. Most of the patients 57.1 were operated because of cyanotic heart disease, the mean duration of treatment was 1.370.48 days and the mean dwell time of the central venous catheter was 1.540.50 days. It was determined that 37.1 of the patients had central venous catheter insertion sites and 44.3 had systemic infections. It was determined that the incidence of infection at the catheter insertion site was high in patients with a length of stay of 1-5 days in the intensive care unit. In addition, it was determined that the probability of infection in patients with 6-10 days of catheter stay was 7.15 times higher p0.05. Conclusion: It was concluded that the length of stay 1-5 days in the pediatric cardiovascular intensive care unit and the length of catheter duration 6 days or more increased the incidence and probability of infection at the catheter-site.

 Objective: This study was carried out to evaluate the development and cause of infection in central venous catheter applications in pediatric cardiovascular surgery intensive care unit patients. Methods: This retrospective-cross sectional study consisted of 317 patients data who were treated and followed in a pediatric cardiovascular intensive care unit in a private hospital. The sample included data on patients who applied a central venous catheter from patients data n70. The patient record was obtained from the archive of the hospital the statistical significance level was accepted as p0.05. Results: The mean age of the patients was 2.211.14 months. Most of the patients 57.1 were operated because of cyanotic heart disease, the mean duration of treatment was 1.370.48 days and the mean dwell time of the central venous catheter was 1.540.50 days. It was determined that 37.1 of the patients had central venous catheter insertion sites and 44.3 had systemic infections. It was determined that the incidence of infection at the catheter insertion site was high in patients with a length of stay of 1-5 days in the intensive care unit. In addition, it was determined that the probability of infection in patients with 6-10 days of catheter stay was 7.15 times higher p0.05. Conclusion: It was concluded that the length of stay 1-5 days in the pediatric cardiovascular intensive care unit and the length of catheter duration 6 days or more increased the incidence and probability of infection at the catheter-site.

 Objective: This study was carried out to evaluate the development and cause of infection in central venous catheter applications in pediatric cardiovascular surgery intensive care unit patients. Methods: This retrospective-cross sectional study consisted of 317 patients data who were treated and followed in a pediatric cardiovascular intensive care unit in a private hospital. The sample included data on patients who applied a central venous catheter from patients data n70. The patient record was obtained from the archive of the hospital the statistical significance level was accepted as p0.05. Results: The mean age of the patients was 2.211.14 months. Most of the patients 57.1 were operated because of cyanotic heart disease, the mean duration of treatment was 1.370.48 days and the mean dwell time of the central venous catheter was 1.540.50 days. It was determined that 37.1 of the patients had central venous catheter insertion sites and 44.3 had systemic infections. It was determined that the incidence of infection at the catheter insertion site was high in patients with a length of stay of 1-5 days in the intensive care unit. In addition, it was determined that the probability of infection in patients with 6-10 days of catheter stay was 7.15 times higher p0.05. Conclusion: It was concluded that the length of stay 1-5 days in the pediatric cardiovascular intensive care unit and the length of catheter duration 6 days or more increased the incidence and probability of infection at the catheter-site.

 Amaç: Bu araştırma, pediatrik kardiyovasküler cerrahi yoğun bakım ünitesinde tedavi gören hastaların santral venöz kateter SVK uygulamalarındaki enfeksiyon gelişimi durumları ve nedenlerinin değerlendirilmesi amacıyla gerçekleştirildi. Yöntem: Retrospektif-kesitsel olarak gerçekleştirilen araştırmanın evrenini, özel bir hastanede pediatrik kardiyovasküler yoğun bakım ünitesinde tedavi ve izlem amacıyla takip edilen 317 hasta verisi oluşturdu. Örneklemini ise, evren içindeki hastalardan SVK uygulanan hastaların verileri oluşturdu n70. Araştırmanın verileri, kurum arşivinden temin edilen hasta dosyaları taranarak elde edildi. Araştırmada elde edilen veriler, bilgisayarda istatistiksel olarak analiz edildi. İstatistik anlamlılık düzeyi p0.05 olarak kabul edildi. Bulgular: Araştırma kapsamındaki hastaların 2.211.14 aylık olduğu belirlendi. Hastaların çoğunluğunun 57.1 siyanotik kalp hastalığı nedeni ile ameliyat olduğu, ortalama 1.370.48 gündür yoğun bakımda tedavi gördüğü ve SVK kalış süresinin ortalama 1.540.50 gün olduğu belirlendi. Hastaların 37.1inin SVK giriş bölgesinde ve 44.3ünde genel sistemik enfeksiyon belirti-bulgusunun olduğu belirlendi. Yoğun bakımda yatış süresi 1-5 gün olan hastalarda kateter giriş yerinde enfeksiyon görülme sıklığının yüksek olduğu belirlendi. Ayrıca kateter kalış süresi 6-10 gün olan hastaların enfeksiyon olasılığının da 7.15 kat fazla olduğu belirlendi p0.05. Sonuç: Pediatrik kardiyovasküler yoğun bakımda yatış süresi 1-5 gün ve kateter kalış süresinin 6 gün ve üzeri, kateter giriş yerinde enfeksiyon görülme sıklığını ve olasılığını arttırdığı sonucuna varıldı.

Article Details

Evaluation of Infection Development and Causes about Central Venous Catheter Interventions in Pediatric Cardiovascular Surgical Intensive Care Unit: Retrospective Study

Authors:

İrem Habibe Taşdelen | Funda Büyükyılmaz

Publisher:

Ordu University

Main Topics:

Hemşirelik

Journal:

Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi Vol.6 Issue 2, pp.265-272

Document Type:

Article

Publication Date:

1/2023

Document Language:

Turkish

Document ID (Org No.):

2001297915

pISSN:

2667-6052

Central venous catheter

nursing care

infection

pediatrics

intensive careSantral venöz kateter

hemşirelik bakımı

enfeksiyon

pediatri

yoğun bakım

Issues

Article Details

Authors: İrem Habibe Taşdelen | Funda Büyükyılmaz

Publisher: Ordu University

Main Topics: Hemşirelik

Journal: Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi Vol.6 Issue 2, pp.265-272

Document Type: Article

Publication Date: 1/2023

Document Language: Turkish

Document ID (Org No.): 2001297915

pISSN: 2667-6052

Issues

Authors:

İrem Habibe Taşdelen | Funda Büyükyılmaz

Publisher:

Ordu University

Main Topics:

Hemşirelik

Journal:

Ordu Üniversitesi Hemşirelik Çalışmaları Dergisi Vol.6 Issue 2, pp.265-272

Document Type:

Article

Publication Date:

1/2023

Document Language:

Turkish

Document ID (Org No.):

2001297915

pISSN:

2667-6052