Pediatric neutropenic patients care in Turkey

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

doi:10.5578/ced.68192

Pediatric neutropenic patients care in Turkey

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 Bayhanİlker 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

Division of Allergy & Pulmonary Medicine

Research output: Contribution to journal › Article › peer-review

Abstract

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-sev-en 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.

Original language	English
Pages (from-to)	e141-e146
Journal	Cocuk Enfeksiyon Dergisi
Volume	13
Issue number	4
DOIs	https://doi.org/10.5578/ced.68192
State	Published - Dec 2019

Keywords

Children
Infection control
Neutropenic patients

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10.5578/ced.68192

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Gayretli Aydın, Z. G., Büyükcam, A., Kara, A., Karbuz, A., Soysal, A., Aktaş Tapısız, A., Özkaya Parlakay, A., Somer, A., Budan Çalışkan, A. B., Aldemir Kocabaş, B., Şener Okur, D., Yılmaz Çiftdoğan, D., Arısoy, E. S., Kocabaş, E., Çiftçi, E., Erduran, E., Vardar, F., Tanır, G., Şensoy, S. G., ... Bedir Demirdağ, T. (2019). Pediatric neutropenic patients care in Turkey. Cocuk Enfeksiyon Dergisi, 13(4), e141-e146. https://doi.org/10.5578/ced.68192

@article{929bfc0a79b64d4789cf74f9b60855f4,

title = "Pediatric neutropenic patients care in Turkey",

abstract = "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{\textquoteright} room. The door features of patients{\textquoteright} 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{\textquoteright}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-sev-en 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 = "Children, Infection control, Neutropenic patients",

author = "{Gayretli Aydın}, {Zeynep G{\"o}k{\c c}e} and Ay{\c s}e B{\"u}y{\"u}kcam and Ate{\c s} Kara and Adem Karbuz and Ahmet Soysal and {Akta{\c s} Tapısız}, Anıl and {{\"O}zkaya Parlakay}, Aslınur and Ayper Somer and {Budan {\c C}alı{\c s}kan}, {Ay{\c s}e Bahar} and {Aldemir Kocaba{\c s}}, Bilge and {{\c S}ener Okur}, Dicle and {Yılmaz {\c C}iftdoğan}, Dilek and Arısoy, {Emin Sami} and Emine Kocaba{\c s} and Ergin {\c C}ift{\c c}i and Erol Erduran and Fadıl Vardar and G{\"o}n{\"u}l Tanır and {\c S}ensoy, {S. G{\"u}lnar} and Bayhan, {G{\"u}ls{\"u}m İclal} and İlker Devrim and Melda {\c C}elik and Metehan {\"O}zen and Muhammet Kosker and M{\"u}ferret Erg{\"u}ven and Nazan Dalgı{\c c} and Nevin Hatipoğlu and {\"O}z, {Fatma Nur} and Nur{\c s}en Belet and {Metin Akcan}, {\"O}zge and {\"O}zg{\"u}r Ceylan and Rengin {\c S}iraneci and {Elmas Bozdemir}, {\c S}efika and Serdar {\"O}zkasap and Solmaz {\c C}elebi and {\"U}mit {\c C}elik and Yıldız Camcıoğlu and {Akaslan Kara}, Ayb{\"u}ke and Beg{\"u}l K{\"u}peli and Belgin G{\"u}lhan and Eda Albayrak and Erdeniz, {Emine Hafize} and Yasa, {Emine Olcay} and Emine T{\"u}rkkan and Hasan Tezer and Murat S{\"u}t{\c c}{\"u} and Nuri Bayram and Sami Hatipoğlu and Selim {\"O}ncel and Taylan {\c C}elik and {Altuner Torun}, Yasemin and Yavuz K{\"o}ksal and {\"U}mm{\"u}han {\c C}ay and Ahu Kara and Y{\"o}r{\"u}k, {Mustafa Asım} and {Bedir Demirdağ}, Tuğba",

note = "Publisher Copyright: {\textcopyright} 2019 by Pediatric Infectious Diseases and Immunization Society.",

year = "2019",

month = dec,

doi = "10.5578/ced.68192",

language = "English",

volume = "13",

pages = "e141--e146",

journal = "Cocuk Enfeksiyon Dergisi",

issn = "1307-1068",

number = "4",

}

Gayretli Aydın, ZG, Büyükcam, A, Kara, A, Karbuz, A, Soysal, A, Aktaş Tapısız, A, Özkaya Parlakay, A, Somer, A, Budan Çalışkan, AB, Aldemir Kocabaş, B, Şener Okur, D, Yılmaz Çiftdoğan, D, Arısoy, ES, Kocabaş, E, Çiftçi, E, Erduran, E, Vardar, F, Tanır, G, Şensoy, SG, Bayhan, Gİ, Devrim, İ, Çelik, M, Özen, M, Kosker, M, Ergüven, M, Dalgıç, N, Hatipoğlu, N, Öz, FN, Belet, N, Metin Akcan, Ö, Ceylan, Ö, Şiraneci, R, Elmas Bozdemir, Ş, Özkasap, S, Çelebi, S, Çelik, Ü, Camcıoğlu, Y, Akaslan Kara, A, Küpeli, B, Gülhan, B, Albayrak, E, Erdeniz, EH, Yasa, EO, Türkkan, E, Tezer, H, Sütçü, M, Bayram, N, Hatipoğlu, S, Öncel, S, Çelik, T, Altuner Torun, Y, Köksal, Y, Çay, Ü, Kara, A, Yörük, MA & Bedir Demirdağ, T 2019, 'Pediatric neutropenic patients care in Turkey', Cocuk Enfeksiyon Dergisi, vol. 13, no. 4, pp. e141-e146. https://doi.org/10.5578/ced.68192

TY - JOUR

T1 - Pediatric neutropenic patients care in Turkey

AU - Gayretli Aydın, Zeynep Gökçe

AU - Büyükcam, Ayşe

AU - Kara, Ateş

AU - Karbuz, Adem

AU - Soysal, Ahmet

AU - Aktaş Tapısız, Anıl

AU - Özkaya Parlakay, Aslınur

AU - Somer, Ayper

AU - Budan Çalışkan, Ayşe Bahar

AU - Aldemir Kocabaş, Bilge

AU - Şener Okur, Dicle

AU - Yılmaz Çiftdoğan, Dilek

AU - Arısoy, Emin Sami

AU - Kocabaş, Emine

AU - Çiftçi, Ergin

AU - Erduran, Erol

AU - Vardar, Fadıl

AU - Tanır, Gönül

AU - Şensoy, S. Gülnar

AU - Bayhan, Gülsüm İclal

AU - Devrim, İlker

AU - Çelik, Melda

AU - Özen, Metehan

AU - Kosker, Muhammet

AU - Ergüven, Müferret

AU - Dalgıç, Nazan

AU - Hatipoğlu, Nevin

AU - Öz, Fatma Nur

AU - Belet, Nurşen

AU - Metin Akcan, Özge

AU - Ceylan, Özgür

AU - Şiraneci, Rengin

AU - Elmas Bozdemir, Şefika

AU - Özkasap, Serdar

AU - Çelebi, Solmaz

AU - Çelik, Ümit

AU - Camcıoğlu, Yıldız

AU - Akaslan Kara, Aybüke

AU - Küpeli, Begül

AU - Gülhan, Belgin

AU - Albayrak, Eda

AU - Erdeniz, Emine Hafize

AU - Yasa, Emine Olcay

AU - Türkkan, Emine

AU - Tezer, Hasan

AU - Sütçü, Murat

AU - Bayram, Nuri

AU - Hatipoğlu, Sami

AU - Öncel, Selim

AU - Çelik, Taylan

AU - Altuner Torun, Yasemin

AU - Köksal, Yavuz

AU - Çay, Ümmühan

AU - Kara, Ahu

AU - Yörük, Mustafa Asım

AU - Bedir Demirdağ, Tuğba

PY - 2019/12

Y1 - 2019/12

N2 - 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-sev-en 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.

AB - 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-sev-en 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.

KW - Children

KW - Infection control

KW - Neutropenic patients

UR - http://www.scopus.com/inward/record.url?scp=85078251658&partnerID=8YFLogxK

U2 - 10.5578/ced.68192

DO - 10.5578/ced.68192

M3 - Article

AN - SCOPUS:85078251658

SN - 1307-1068

VL - 13

SP - e141-e146

JO - Cocuk Enfeksiyon Dergisi

JF - Cocuk Enfeksiyon Dergisi

IS - 4

ER -

Pediatric neutropenic patients care in Turkey

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