SEPSIS IN PAEDIATRICS – A SPECIAL FORM OF INFECTION ASSOCIATED TO MEDICAL ASSISTANCE

Authors: Letiţia-Doina DUCEAC, Liviu STAFIE, Ioana PĂVĂLEANU, Geta MITREA, Ginel BACIU, Elena-Ariela BANU, Laura ROMILA, Alina-Costina LUCA

Abstract:

Introduction. Nosocomial or intra-hospital infections, defined nowadays – by the Order of the Ministry of Health no.1101/2016 – as infections associated to medical assistance (IAAM) and identified in medical units all over the world, are generated by medical practice, so that they constitute an important aspect of public health by the morbidity, mortality, prolongued hospitalization periods and high costs they induce. The incidence and prevalence of IAAM are increasing all over the world, becoming an upsetting phenomenon. Among the clinico-epidemiological entities of IAAM., hematogenic infection (sepsis) occupies a main position, in both adults and children. Materials and methods. The present study involved a retrospective clinico-epidemiological investigation, performed at the ”Sf. Maria” Clinical Emergency Hospital of Iaşi between January 1- December 31, 2017, on a number of 21 patients selected from risk sections (Intensive Therapy Unit (ITU) – paedriatic oncology) who suffered, during their hospitalization, from specific septicemic infections. Results and disscusion. Septicemy associated to medical assistance represents 9.81% of the total number of intrahospital infections registered in the year 2017, most of them appearing in the 0-1 year group of age, with a diverse etiology, dominated by gramme-negative germs with external pathogeneity. Conclusions. The results of the present study – agreeing with the data recorded at both national and world level – draw the attention on the necessary intensification of the whole medical staff concerns for a high-level management of such infections.

Keywords:
  • infections associated to medical assistance
  • nosocomial infections
  • paediatrics.
  • sepsis