An epidemiologic study of nosocomial infections in a pediatric long-term care facility

Vermaat, Julia; Rosebrugh, E.; El, Ford-Jones; Ciano, J.; Kobayashi, J; Miller, Greg

doi:10.1016/0196-6553(93)90029-4

Cited by 16 publications

(12 citation statements)

References 14 publications

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“…2,9,10 Actually it has become evident that coagulase-negative staphylococci are an important cause of NI also in paediatric patients. Given that the most frequent types of infection are bacteraemias, it is to be expected that this is the microorganism most often isolated.…”

Section: Discussionmentioning

confidence: 99%

“…14,21e23 Differences may be partially explained by the methodology used, especially in relation to the duration of the study, since in most of the published studies the minimum follow-up period is one year, and in our study the follow-up was 6 months. 9,10,19 Additionally, Spanish hospitals lack a frame of reference of the type provided to U.S. hospitals by the National Nosocomial Infections Surveillance (NNIS) system report, published periodically by the Centers for Disease Control and Prevention. 23 The NNIS system, the most important multicentric study currently being carried out in the US, shows overall rates of infection in paediatric patients of 1.47 infections per 100 patient-days.…”

Section: Discussionmentioning

confidence: 99%

“…The most frequent diagnosis on admission was hyaline membrane disease (37.2%) ( Table 1). The largest proportion of patients with an episode of NI consisted of neonates with meconium aspiration 71.4% (5 neonates), hyaline membrane disease 51.1% (23) and congenital cardiopathy 47.3% (9). The 68.4% (13) of neonates weighing less than 1000 g presented at least one episode of infection, as did 42.8% (9) of neonates weighing 1000e 1499 g, 51.7% (15) of neonates weighing 1500e 2499 g and 36.5% (19) of neonates weighing more than 2500 g. Of the neonates born at less than 28 weeks of gestation, 64.7% (11) presented an episode of NI; 36.3% (8) of those born between 29 and 32 weeks of gestation; 57.5% (19) between 33 and 36 weeks of gestation and 36.7% (18) of those born after 36 weeks of gestation.…”

Section: Nicumentioning

confidence: 99%

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Nosocomial infections in paediatric and neonatal intensive care units

Mireya

Pons-Òdena

Xavier

et al. 2007

Journal of Infection

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Nicumentioning

confidence: 99%

See 1 more Smart Citation

Nosocomial infections in paediatric and neonatal intensive care units

Mireya

Pons-Òdena

Xavier

et al. 2007

Journal of Infection

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“…3, 14 Based on our extensive literature review, only two studies 9, 10 were found citing period prevalence of infection in pediatric extended care facilities (Table 4). Vermaat and coworkers conducted a one-year study in a pediatric long-term care facility and reported similar prevalence of URI and eye infections as the current study.…”

Section: Discussionmentioning

confidence: 99%

“…However, information on nosocomial infections is limited in extended care facilities among the pediatric population. There are numerous anecdotal reports of infections within healthcare facilities themselves, but to our knowledge, only two published studies 9, 10 exist on infection rates in pediatric extended care facilities and none in pediatric residential care facilities. As a result of this brevity of information on pediatric residential care homes, focus in these institutions has been on those infections that are more prevalent in acute care settings and other long-term care facilities such as nursing homes for the elderly and long-term care hospitals.…”

Section: Introductionmentioning

confidence: 99%

Nosocomial infections in a pediatric residential care facility

Abdolahi

Fisher

Aquino³

et al. 2012

American Journal of Infection Control

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Background Nosocomial infections have rarely been characterized in pediatric residential care facilities. The purpose of this study is to assess the frequency of and risk factors for infectious diseases in pediatric residential care facilities over a 1-year period and to contrast them with other pediatric extended care facilities. Methods A retrospective chart review was performed at a pediatric residential care facility dedicated exclusively to children with severe physical and mental disabilities. Incidence rates of infection were collected on a census of 109 residents from January 1 through December 31, 2009. Infectious diseases were classified using ICD-9-CM codes. PubMed, Web of Science and CINAHL databases were searched to identify similar studies. Results In 2009, the overall incidence rate of infection was 6.21 per 1,000 resident-days of care, with the most frequent being streptococcal or staphylococcal skin infections (1.11 per 1,000 resident-days) and the least frequent being conjunctivitis (0.16 per 1,000 resident-days). Extensive literature reviews yielded two published studies that evaluated infections in pediatric extended care facilities; these studies exhibited distinct prevalences of infectious diseases when compared to the current study. Conclusions Studies examining nosocomial infections should not consider pediatric extended care facilities as one single entity given the heterogeneity among these facilities.

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Incidence, Risks, and Types of Infections in Pediatric Long-term Care Facilities

et al. 2017

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The population of infants, children, and adolescents cared for at pediatric long-term care facilities is increasing in complexity and size and thus consumes substantial health care resources. Infections are a significant cause of morbidity and mortality in this population, but few recent data describe their incidence and effects.OBJECTIVES To describe the types of infections diagnosed in residents of pediatric long-term care facilities, calculate infection rates, and identify risk factors for respiratory tract infections (RTIs). DESIGN, SETTING, AND PARTICIPANTSThis prospective cohort study, which was part of a larger trial called Keep It Clean for Kids, was conducted from September 1, 2012, to December 31, 2015, at 3 pediatric long-term care facilities in New York. Residents of the facilities who were 21 years or younger and either residents or admitted during the study period (n = 717) were enrolled in the study. Medical records were reviewed to identify infections diagnosed by site clinicians. MAIN OUTCOMES AND MEASURESIncidence of infections, such as RTIs; skin and soft-tissue infections; chronic comorbid conditions, including neurologic and respiratory disorders; and device use, including gastrostomy tubes and tracheostomies, was determined. Risk factors for RTIs were assessed by generalized linear mixed method regression modeling. RESULTSThe 717 residents had a median (interquartile range) age at enrollment of 2.6 (0.4-9.1) years; 358 (49.9%) were male. Four hundred twenty-eight residents (59.7%) had feeding tubes and 215 (30.0%) had tracheostomies. Most chronic comorbid conditions were musculoskeletal or ambulation (532 residents [74.2%]), neurologic (505 [70.4%]), respiratory (361 [50.3%]), and gastrointestinal (230 [32.1%]) disorders, and 460 residents (64.2%) had 4 or more chronic comorbid conditions. Site clinicians diagnosed 2052 infections during the 3-year study period. Respiratory tract infections were most common and were diagnosed in 1291 residents (62.9%). The overall infection rate was 5.3 infections per 1000 resident-days, and RTI rates were 3.3 infections per 1000 resident-days. Overall infection rates and rates of RTI, skin and soft-tissue infection, urinary tract infection, and bloodstream infection varied among the 3 sites. In the multivariable model, younger age (incidence rate ratio [IRR], 1.05; 95% CI, 1.03-1.06), increased number of chronic comorbid conditions (IRR, 1.12; 95% CI, 1.06-1.19), and the use of feeding tubes (IRR, 1.34; 95% CI, 1.03-1.64) and tracheostomies (IRR, 1.40; 95% CI, 1.17-1.69) were associated with RTIs. CONCLUSIONS AND RELEVANCEIn this study, RTIs were the most common infections diagnosed, but modifiable risk factors for RTIs were not identified. Future work should focus on optimizing infection prevention and control strategies to reduce infections, particularly RTIs, in the pediatric long-term care population.

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An epidemiologic study of nosocomial infections in a pediatric long-term care facility

Cited by 16 publications

References 14 publications

Nosocomial infections in paediatric and neonatal intensive care units

Nosocomial infections in paediatric and neonatal intensive care units

Nosocomial infections in a pediatric residential care facility

Incidence, Risks, and Types of Infections in Pediatric Long-term Care Facilities

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