Evaluation of nosocomial infections after congenital heart surgery in children: A comprehensive analysis including the systemic immune-inflammation index (SII) - Scorecard - MDSpire
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Evaluation of nosocomial infections after congenital heart surgery in children: A comprehensive analysis including the systemic immune-inflammation index (SII)
Clinical Scorecard: Assessment of Hospital-Acquired Infections in Pediatric Patients Post-Congenital Heart Surgery: An In-Depth Study of the Systemic Immune-Inflammation Index (SII)
At a Glance
Category
Detail
Condition
Hospital-Acquired Infections (NIs) in Pediatric Patients Post-Congenital Heart Surgery
Key Mechanisms
Independent risk factors include younger age, mechanical ventilation duration, postoperative length of stay, and presence of postoperative complications.
Target Population
Children with congenital heart disease undergoing cardiovascular surgery
Care Setting
Single-center hospital setting
Key Highlights
22.0% of patients developed nosocomial infections post-surgery.
Sepsis (69.6%) and pneumonia (30.4%) were the most frequent types of NIs.
Gram-negative bacteria were predominant in infections (58.4%).
Postoperative complications are the strongest predictor of NIs.
Postoperative SII did not retain strong independent predictive value.
Guideline-Based Recommendations
Diagnosis
NIs defined based on CDC/NHSN criteria.
Management
Stringent infection control measures are necessary.
Monitoring & Follow-up
Monitor mechanical ventilation duration and postoperative length of stay.
Risks
Younger age, prolonged mechanical ventilation, and postoperative complications significantly increase NI risk.
Patient & Prescribing Data
209 children who underwent cardiovascular surgery and remained hospitalized for >48 hours.
Postoperative complications significantly increase the risk of NIs.
Clinical Best Practices
Aggressive management of postoperative morbidity is essential.
