Major infections following pediatric cardiac surgery in Siriraj Hospital; revisited post CLABSI bundle

Completed

• Conditions: Following CLABSI bundle intervention (APR 2019),1. Is the prevalence of major infections following pediatric cardiac surgery in Siriraj Hospital reduced?2. What are the risk factors of major infec; Major infection, Pediatric cardiac surgery, CLABSI bundle

• Registration Number: TCTR20200420003
• Lead Sponsor: Faculty of Medicine

Brief Summary

Following the implementation of the CLABSI prevention package in our pediatric CCS unit, the incidence of BSI was significantly reduced. The incidence of VAP tended to decrease, while the SSI was unchanged. Sustainability of the prevention package through nurse empowerment and compliance audits is an ongoing challenge.

Detailed Description

Not available

Study Timeline

• Study Start: 2020-04-20
• Study Completion: 2021-12-31
• Results First Posted: 2022-10-28
• Last Update Posted: 19 August 2024

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 288

Inclusion Criteria

All consecutive pediatric patients (0-18 years) who are admitted for cardiac surgery (open,closed,elective,emergency) at Siriraj Hospital between 1 May 2018 - 30 Apr 2020

Exclusion Criteria

1. Patients who had other underlying disease such as autoimmune diseases (SLE,ITP,JIA), malignancy (in currently)
2. Preterm infant (GA < 37wk)
3. Other surgery in same operation such as tracheoplasty, gastrostomy

Study & Design

• Study Type: Observational
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Rate of major infection following pediatric cardiac surgery pre and post intervention (CLABSI bundle) rate

Secondary Outcome Measures

Name	Time	Method
Risk of major infection post pedatric cardiac surgery post intervention (CLABSI bundle) risk analysis