[Prevention of XXXX in the pediatric ward - own experiences].

@entity1 @entity344 @entity1902 @entity281 @entity683 @entity1729 @entity580 @entity6425 @entity166 @entity8400
INTRODUCTION: @entity1 pediatric wards are particularly at risk of @entity580 . Therefore, the newest principles of prevention of @entity281 should be implemented and monitored. AIM: 1) to determine the prevalence, etiology and clinical manifestations of @entity580 in hospitalized @entity1 ; 2) to evaluate the effectiveness of procedures that aim at preventing @entity6425 and catheter-related bloodstream @entity281 ; 3) to analyse the incidence of @entity683 among staff in two consecutive seasons of the epidemic @entity683 H1N1 (2009/2010 and 2010/2011); 4) to promote vaccinations of the medical staff. MATERIAL AND METHODS: The study involved 4432 @entity1 hospitalized from October 2007 to December 2009 and 57 medical staff (doctors, nurses, orderlies). The effectiveness was assessed of prevention procedures for @entity580 and morbidity, and of vaccination against @entity683 among the @entity8400 , as de  ned by the Act on the prevention and @entity281 and @entity166 @entity1 and the criteria developed by the Centers for Disease Control and Prevention. RESULTS: @entity580 were diagnosed in 2.2% of hospitalized @entity1 , where 96% were of acute @entity1902 ; 3% were bloodstream @entity281 associated with peripheral vascular catheter. The 1% had @entity1729 ( @entity683 ). @entity344 were caused by the rotavirus (78%), norovirus (13%) and adenovirus (0.9%). In 1.1% of cases the etiology had not been determined. As a result of implementing prophylactic activities, a statistically signi  cant reduction of the incidence of @entity580 by the rotavirus was achieved (from 7.1 to 1.5%). The occurrence catheter-related bloodstream @entity281 was entirely eliminated. @entity683 were reported in 7% of the medical staff in the season of 2009/2010 and 5% in the season of 2010/2011. 42% of the medical staff was immunized against the @entity683 (92% of doctors, 7% nurses, 0% orderlies). CONCLUSIONS: The most common cause of @entity580 in the pediatric ward are rotaviruses. @entity6425 and catheter-related bloodstream @entity281 are possible to be effectively prevented through regular, proactive preventive measures. Vaccinations of the medical @entity8400  against @entity683 medical staff against @entity683 still require implementing measures of a promotional and educational character.
