PMID: 14636476Nov 26, 2003Paper

Nosocomial infection in a pediatric intensive care unit in a developing country

The Brazilian Journal of Infectious Diseases : an Official Publication of the Brazilian Society of Infectious Diseases
Marcelo L AbramczykEduardo A S Medeiros

Abstract

Determine the rate and outcome of nosocomial infection (NI) in pediatric intensive care unit patients in a developing country. Prospective cohort study using the Centers for Disease Control and Prevention definitions to diagnose nosocomial infection and NNISS (National Nosocomial Infection Surveillance System) methodology. São Paulo Hospital - Universidade Federal de São Paulo - Brazil, a 700-bed teaching hospital with an 8-bed pediatric intensive care unit. All 515 children consecutively admitted to the pediatric intensive care unit from April 1996 to October 1997. The NI incidence was 18.3% and the mean infection rate per 1,000 patient days was 46.1; the ventilator-associated pneumonia rate was 18.7 per 1,000 ventilator days; the central line-associated bloodstream infection rate was 10.2 per 1,000 central line days; and the urinary tract catheter-associated infection rate was 1.8 per 1,000 catheter days. Pneumonia was the most common NI (31.6%), followed by bloodstream infections (17.3%), and surgical site infection (17.3%). Gram-negative bacterias were the most common pathogens identified in the NIs (54.8%), followed by Gram-positive bacterias (23.8%), and yeasts. Pneumonia was the most common type of NI. A high incidence o...Continue Reading

Citations

Apr 9, 2005·Current Opinion in Pulmonary Medicine·Michael Jan Shaw
Apr 29, 2006·The Pediatric Infectious Disease Journal·Suzy Santana CavalcanteLoíse Britto Cavalcante
Oct 2, 2009·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Maria Júlia Gonçalves de MelloRicardo Arraes de Alencar Ximenes
Jun 27, 2009·American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses·Mavilde L G PedreiraMaria Angélica S Peterlini
Feb 13, 2009·Journal of Paediatrics and Child Health·Brenda M Morrow, Andrew C Argent
Jan 21, 2010·Cadernos de saúde pública·Maria Júlia Gonçalves de MelloMurilo Carlos Amorim de Britto
Apr 19, 2011·Critical Care Medicine·Roberto J A CasadoJailson B Correia
Nov 5, 2014·American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses·Denise Miyuki KusaharaMavilde da Luz Gonçalves Pedreira
Oct 19, 2016·Clinical Nurse Specialist CNS·Duygu Sönmez DüzkayaTülay Yakut
Mar 31, 2018·The Pediatric Infectious Disease Journal·Paula Andrade AlvaresMarcelo Jenné Mimica
May 12, 2011·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Andréa D N JácomoAna P C P Carlotti
Feb 2, 2011·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Brenda M MorrowAndrew C Argent
Dec 17, 2009·Pediatrics International : Official Journal of the Japan Pediatric Society·Solmaz CelebiMerih Cetinkaya
Apr 14, 2012·Nursing in Critical Care·Denise Miyuki KusaharaMavilde Luz Gonçalves Pedreira

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