Marufjon Salokhiddinov, Uzbekistan
Tashkent Medical Academy Public HealthPoster Author Of 1 e-Poster
COMPREHENSIVE SURVEILLANCE OF PNEUMONIA IN CHILDREN IN INTENSIVE THERAPY SETTING
Presenter of 1 Presentation
COMPREHENSIVE SURVEILLANCE OF PNEUMONIA IN CHILDREN IN INTENSIVE THERAPY SETTING (ID 273)
Abstract
Background
Pneumonia is a fairly common childhood condition, affecting 150 to 156 million children under the age of 5 each year.
Methods
The study included disc diffusion method, according to the NCCLS recommendations, evaluated the sensitivity of nosocomial pneumonia pathogens in 120 children in Tashkent Medical Academy. Sputum and material obtained during bronchoscopy were examined.
Results
The etiology of pneumonia was associated with Klebsiella and Acinetobacter spp. (8.6%), Enterobacteriaceae (22.4%), Staphylococcus (11.9%), Streptococcus pneumoniae (12%) and the polymicrobial association of staphylococci or S. pneumoniae with various representatives of enterobacteria (30.2%). In 40 patients (33.4%) a microorganism was isolated that was different from what was determined upon admission. In an equal proportion of cases, there was a change in Staphylococcus spp., representatives of Enterobacteriaceae and Pseudomonas aeruginosa in 24 patients, Acinetobacter spp. in 4 patients. Staying in the intensive care unit for more than 8 days contributed to the colonization of highly resistant microflora in 22 patients (19%) - P. aeruginosa in 12 and Acinetobacter spp. in 15 cases
Conclusions
Thus, it is necessary to establish standards for the treatment of nosocomial pneumonia, as well as bacteriological monitoring for the timely correction of ineffective therapy
Author Of 1 Presentation
COMPREHENSIVE SURVEILLANCE OF PNEUMONIA IN CHILDREN IN INTENSIVE THERAPY SETTING (ID 273)
Abstract
Background
Pneumonia is a fairly common childhood condition, affecting 150 to 156 million children under the age of 5 each year.
Methods
The study included disc diffusion method, according to the NCCLS recommendations, evaluated the sensitivity of nosocomial pneumonia pathogens in 120 children in Tashkent Medical Academy. Sputum and material obtained during bronchoscopy were examined.
Results
The etiology of pneumonia was associated with Klebsiella and Acinetobacter spp. (8.6%), Enterobacteriaceae (22.4%), Staphylococcus (11.9%), Streptococcus pneumoniae (12%) and the polymicrobial association of staphylococci or S. pneumoniae with various representatives of enterobacteria (30.2%). In 40 patients (33.4%) a microorganism was isolated that was different from what was determined upon admission. In an equal proportion of cases, there was a change in Staphylococcus spp., representatives of Enterobacteriaceae and Pseudomonas aeruginosa in 24 patients, Acinetobacter spp. in 4 patients. Staying in the intensive care unit for more than 8 days contributed to the colonization of highly resistant microflora in 22 patients (19%) - P. aeruginosa in 12 and Acinetobacter spp. in 15 cases
Conclusions
Thus, it is necessary to establish standards for the treatment of nosocomial pneumonia, as well as bacteriological monitoring for the timely correction of ineffective therapy