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Intensive Care Medicine
Published in: Intensive Care Medicine 10/2011

Open Access 01-10-2011 | Pediatric Original

Ventilator-associated pneumonia in children after cardiac surgery in The Netherlands

Authors: P. P. Roeleveld, D. Guijt, E. J. Kuijper, M. G. Hazekamp, R. B. P. de Wilde, E. de Jonge

Published in: Intensive Care Medicine | Issue 10/2011

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Abstract

Purpose

We conducted a retrospective cohort study in an academic tertiary care center to characterize ventilator-associated pneumonia (VAP) in pediatric patients after cardiac surgery in The Netherlands.

Methods

All patients following cardiac surgery and mechanically ventilated for ≥24 h were included. The primary outcome was development of VAP. Secondary outcomes were duration of mechanical ventilation and length of ICU stay.

Results

A total of 125 patients were enrolled. Their mean age was 16.5 months. The rate of VAP was 17.1/1,000 mechanical ventilation days. Frequently found organisms were Haemophilus influenzae, Moraxella catarrhalis, Staphylococcus aureus and Pseudomonas aeruginosa. Patients with VAP had longer duration of ventilation and longer ICU stay. Risk factors associated with the development of VAP were a PRISM III score of ≥10 and transfusion of fresh frozen plasma.

Conclusion

The mean VAP rate in this population is higher than that reported in general pediatric ICU populations. Children with VAP had a prolonged need for mechanical ventilation and a longer ICU stay.
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Metadata
Title
Ventilator-associated pneumonia in children after cardiac surgery in The Netherlands
Authors
P. P. Roeleveld
D. Guijt
E. J. Kuijper
M. G. Hazekamp
R. B. P. de Wilde
E. de Jonge
Publication date
01-10-2011
Publisher
Springer-Verlag
Published in
Intensive Care Medicine / Issue 10/2011
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-011-2349-3

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