Risk factors for developing nosocomial infections among pediatric patients

The Pediatric Infectious Disease Journal
Suzy Santana CavalcanteLoíse Britto Cavalcante

Abstract

Nosocomial infections (NIs) are important causes of morbidity and mortality in pediatric hospitals. Multiple factors contribute towards exposing children to the risk of infection when hospitalized, and some of them differ from those in adults. This was a prospective study in a tertiary-level teaching pediatric hospital in Salvador, Bahia, Brazil, conducted from January to July, 2003, to describe the epidemiologic characteristics of NIs. Centers for Disease Control's standard definitions were used and the data recorded included intrinsic and extrinsic risk factors. We evaluated 808 patients. There were 143 episodes of NI in 124 patients (15.4%). The overall incidence of NI cases was 9.2 per 1,000 patient-days, with higher rates among children aged less than 1 year (P < 0.001) and those with nonsurgical clinical diseases (P < 0.001). Gastrointestinal infections (39.2%) and eye, ear, nose, throat or mouth infections (29.4%) were most common. The factors most closely associated with higher incidence of NI were respiratory disease on admission (incidence density ratio [IDR], 4.0; 95% confidence interval [CI], 2.83-5.72), another disease associated with admission diagnosis (IDR, 3.5; 95% CI, 2.41-5.02), nonsurgical clinical disease (...Continue Reading

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Citations

Sep 30, 2010·The Pediatric Infectious Disease Journal·Michael Buettcher, Ulrich Heininger
Nov 30, 2012·The Pediatric Infectious Disease Journal·Jan A SidlerUlrich Heininger
Mar 25, 2008·The Journal of Hospital Infection·S E KinnulaM Uhari
May 15, 2007·Acta Paediatrica·F SavinoR Oggero
Aug 12, 2008·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Suh-Hwa MaaIvo Abraham
Oct 9, 2016·The Journal of Hospital Infection·A DramowskiM F Cotton
Oct 31, 2006·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·R CohenF de La Rocque
Jan 21, 2010·Cadernos de saúde pública·Maria Júlia Gonçalves de MelloMurilo Carlos Amorim de Britto
Jul 21, 2012·Japanese Journal of Infectious Diseases·Ismail BalabanNeşe Göl

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