CHI Crumlin (Our Lady's Children's Hospital Crumlin)
Paediatric Intensive Care
I have been working in Paediatrics & Neonatology since 2013. I graduated from Royal College of Surgeons in Ireland in 2009 with 2nd Class Honours. . I have successfully passed both MRCPCH (UK) and also MRCPI Paediatric.To date, I am have received up to date training in both clinical and academic aspects at senior registrar level. In addition to this, I am competent in various procedural skills expected at my level. I have fulfilled the opportunities to deliver oral presentations and poster presentations during local, regional, national and international conferences and meetings. I would like to be a part of a team to increase my knowledge and skills in order to be an excellent paediatrician. My interests are Paediatric Infectious disease and Immunology. I am a student of the Oxford University for Part-Time Postgraduate Diploma in Paediatric Infectious Disease and I plan to continue till MSc in the subject. At the end of the training, I would like to continue my career by pursuing Fellowship in Paediatric Infectious Disease.

Presenter Of 1 Presentation

BACTERIOLOGICAL PROFILES AND INFECTION RATES IN CHILDREN ON EXTRACORPOREAL LIFE SUPPORT (ECLS) IN REPUBLIC OF IRELAND

Session Type
Oral Presentations
Date
Wed, 23.02.2022
Session Time
11:15 AM - 12:25 PM
Room
Sala A
Session Icon
Pre-Recorded with Live Q&A
Lecture Time
11:25 AM - 11:35 AM

Abstract

Background

Background:

Infections acquired during ECLS are common and can significantly increase ECLS duration and decrease survival. A review of Extracorporeal Life Support Organization (ELSO) data from 1998-2008 found that the incidence of infection increases with longer runs.

Aims

Aim:

To look at the bacteriological profiles and infections rates in our cohort.

Methods

Methods:

We collected data from year 2014 to 2018. This study involved 68 patients. In this study we did not include any background of the patients which included the ethnicity, specific age, gender, definite diagnosis, outcome and the 30-day outcome. The period of positive cultures are divided into two durations which are 1) 7 days or less (≤7 days) and 2) More than 7 days (›7 days).

Results

Results:

The maximum number of days of ECLS was 15 days with the average of 6.2 days for the post-cardiac surgery patients, 21 days for non-post cardiac patients with the average of 6.3 days.Risk of infection increased after 7 days, with the p-value of primary bloodstream infection of 0.0383 and non-bloodstream infection of 0.008. The main microorganisms identified were Coagulase Negative Staphylococcus (CONS), Candida species and Pseudomonas aeruginosa.

Conclusions

As shown in our study, the risk of infection increases with more than 7 days on ECLS, hence, it might be more advisable to do routine cultures if the patients are on ECLS for more than 7 days or when there is clinical suspicion suggestive of infection. The main microorganisms responsible for infection was Coagulase Negative Staphylococcus (CONS). A standardized prophylaxis antibiotics protocol is required.

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