“…NI was considered to be a secondary cause in 51% of the deaths and a primary cause in 30%, mostly among those not critically ill on hospital admission [17].…”
Nosocomial infection is a frequent event with potentially lethal consequences. We reviewed the literature on the predictive factors for mortality related to nosocomial infection in pediatric medicine. Electronic searches in English, Spanish and Portuguese of the PubMed/MEDLINE, LILACS and Cochrane Collaboration Databases was performed, focusing on studies that had been published from 1996 to 2006. The key words were: nosocomial infection and mortality and pediatrics/neonate/newborn/child/infant/adolescent. The risk factors found to be associated with mortality were: nosocomial infection itself, leukemia, lymphopenia, neutropenia, corticosteroid therapy, multiple organ failure, previous antimicrobial therapy, catheter use duration, candidemia, cancer, bacteremia, age over 60, invasive procedures, mechanical ventilation, transport out of the pediatric intensive care unit, methicillin-resistant Staphylococcus aureus, Pseudomonas aeruginosa, and Burkholderia cepacia infections, acute physiology and chronic health evaluation (APACHE) II scores over 15. Among these factors, the only one that can be minimized is inadequate antimicrobial treatment, which has proven to be an important contributor to hospital mortality in critically-ill patients. There is room for further prognosis research on this matter to determine local differences. Such research requires appropriate epidemiological design and statistical analysis so that pediatric death due to nosocomial infection can be reduced and health care quality improved in pediatric hospitals.
“…NI was considered to be a secondary cause in 51% of the deaths and a primary cause in 30%, mostly among those not critically ill on hospital admission [17].…”
Nosocomial infection is a frequent event with potentially lethal consequences. We reviewed the literature on the predictive factors for mortality related to nosocomial infection in pediatric medicine. Electronic searches in English, Spanish and Portuguese of the PubMed/MEDLINE, LILACS and Cochrane Collaboration Databases was performed, focusing on studies that had been published from 1996 to 2006. The key words were: nosocomial infection and mortality and pediatrics/neonate/newborn/child/infant/adolescent. The risk factors found to be associated with mortality were: nosocomial infection itself, leukemia, lymphopenia, neutropenia, corticosteroid therapy, multiple organ failure, previous antimicrobial therapy, catheter use duration, candidemia, cancer, bacteremia, age over 60, invasive procedures, mechanical ventilation, transport out of the pediatric intensive care unit, methicillin-resistant Staphylococcus aureus, Pseudomonas aeruginosa, and Burkholderia cepacia infections, acute physiology and chronic health evaluation (APACHE) II scores over 15. Among these factors, the only one that can be minimized is inadequate antimicrobial treatment, which has proven to be an important contributor to hospital mortality in critically-ill patients. There is room for further prognosis research on this matter to determine local differences. Such research requires appropriate epidemiological design and statistical analysis so that pediatric death due to nosocomial infection can be reduced and health care quality improved in pediatric hospitals.
“…Esses fatores influenciam diretamente no grau de morbi-mortalidade, além de relacionar-se à gravidade da doença de base (7) . Ressaltando que a IH interfere no aumento dos custos de hospitalização mediante o prolongamento da permanência do paciente e gastos com procedimentos diagnósticos (6) .…”
Section: Hospitalar (Ccih)unclassified
“…É incerto se a infecção por si só influencia a mortalidade ou se, simplesmente, serve de marcador para o paciente com maior risco de morrer (7) .…”
Section: Hospitalar (Ccih)unclassified
“…A infecção hospitalar é a principal causa de morbidade e mortalidade em recém-nascidos, principalmente nas quatro primeiras semanas de vida (7) . Os pacientes pediátricos possuem uma instabilidade fisiológica, permitindo que os mesmos contraiam a IH mais facilmente.…”
RESUMOTrata-se de um estudo bibliométrico que objetivou refletir sobre a Infecção Hospitalar como objeto de conhecimento da enfermagem brasileira, a partir das teses e dissertações publicadas sobre a temática no período de 2001 a 2010. A fonte de pesquisa foi o Banco de Teses e Dissertações da Associação Brasileira de Enfermagem aonde foram identificados 68 estudos. Na avaliação dos dados realizou-se uma organização do material baseada nas informações coletadas, originando as categorias temáticas: Infecção hospitalar e enfermagem; Biossegurança: um item primordial para enfermagem; Ética e bioética na infecção hospitalar.
“…Em muitos hospitais, estes dados não são consolidados dificultando, assim, o conhecimento da dimensão do problema no País (6,7) . Ainda assim, estima-se que, no Brasil, por volta de 3% a 15% dos pacientes sob hospitalização desenvolvam alguma IH (8) .…”
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