Pediatric Neutropenic Patients Care in Turkey
Makaleler > Tam Makale · 2019
Yazarlar: Zeynep Gökçe Gayretli Aydın, Ayşe Büyükcam, Ateş Kara, Adem Karbuz, Ahmet Soysal, Anıl Aktaş Tapısız, Aslınur Özkaya Parlakay, Ayper Somer, Ayşe Bahar Budan Çalışkan, Bilge Aldemir Kocabaş, Dicle Şener Okur, Dilek Yılmaz Çiftdoğan, Emin Sami Arısoy, Emine Kocabaş, Ergin Çiftçi, Erol Erduran, Fadıl Vardar, Gönül Tanır, S Gülnar Şensoy, Gülsüm İclal Bayhan, İlker Devrim, Melda Çelik, Metehan Özen, Muhammet Kosker, Müferret Ergüven, Nazan Dalgıç, Nevin Hatipoğlu, Fatma Nur Öz, Nurşen Belet, Özge Metin Akcan, Özgür Ceylan, Rengin Şiraneci, Şefika Elmas Bozdemir, Serdar Özkasap, Solmaz Çelebi, Ümit Çelik, Yıldız Camcıoğlu, Aybüke Akaslan Kara, Begül Küpeli, Belgin Gülhan, Eda Albayrak, Emine Hafize Erdeniz, Emine Olcay Yasa, Emine Türkkan, Hasan Tezer, Murat Sütçü, Nuri Bayram, Sami Hatipoğlu, Selim Öncel, Taylan Çelik, Yasemin Altuner Torun, Yavuz Köksal, Ümmühan Çay, Ahu Kara, Mustafa Asım Yörük, Tuğba Bedir Demirdağ
Journal of Pediatric Infection, Uluslararası, Scopus, 2019, cilt 13, ss 141-146
DOI: 10.5578/ced.68192
Özet
Objective: Infection is a common complication in children with malignancies.There is no consistent guidance for environmental infection control and isolation precautions for neutropenic patients (NP).There are differences between centers.The aim of this questionnaire study was to determine these differences in Turkey. Material and Methods:A multicenter-descriptive questionnaire was conducted on 36 centers from different geografical locations of Turkey.Bone marrow transplantation units were excluded.Each center was contacted at least three-times.Questionnaire was answered by two different doctors from each center.Results: Thirty-six centers including 20 (55.5%)University Hospitals, 12 (%33.3)Research Hospitals, three (8.3%)State Hospital and one Private University Hospital participated in this survey.94.3% of the centers had a bed capacity of 50 beds and over.Twenty-one (58.3%) centers had pediatric infection ward that followed febrile NP.All centers had an infection control committee.25% (9/36) of the centers always followed pediatric neutropenic fever patients in a single room.66.6% (24/36) of the centers had toilet in all patients' room.The door features of patients' room included mostly (94.1%, 32/34) manually opened door.Ten (27.7%) centers had hepa filter system, five of them had positive-negative pressure room.Thirteen (38.2%, 13/34) centers prefered hickmann catheter for accessing a patient's central line.Training was given for catheteter care in all centers.Sixteen (44.4%) centers had determined policies about keeping toys in patient rooms.Visitor restrictions were performed in all centers.None of the centers allowed plants or flowers in hospital rooms.There was a neutropenic diet specific for pediatric NP provided in twenty-seven centers (75%). Conclusion:The prevention and control of infection contributes to the improvement of the prognosis of patients with hematological malignancies.Physicians must be aware of the infection risks and take precautions for infectious complications through the neutropenic period and standard protocols should be established and implemented for patients with hematological malignancies. Keywords: Neutropenic patients, children, infection controlSonuç: Sonuç olarak, nötropenik hastaları enfeksiyondan korumak için hastanelerde çeşitli yaklaşımlar uygulanmaktadır.Rehberler belirlenip bu rehberler ışığında hastane koşulları düzenlenmeli ve nötropenik hasta izlemi yapılmalıdır.