Nosocomial Infections in a Children's Hospital in Argentina: Impact of a Unique Infection Control Intervention Program

A, de Gentile; Rivas, N.; Rl, Sinkowitz-Cochran; Momesso, Tomas; Em, Iriart; López, EG Fernández; Beck-Sague, Consuelo M.; Wr, Jarvis

doi:10.1086/501859

Cited by 13 publications

(21 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Infants (children < 1 year of age) were at highest risk for hospital-acquired diarrhea during their hospitalization, a finding consistent with previous studies5,12,27,28; all three deaths in this study occurred among infants, suggesting that new onset of diarrhea during hospitalization could lead to particularly poor health outcomes in very young children. The proportion of patients who developed hospital-acquired diarrhea in this study was similar to other studies from middle- and low-income countries 2,3,8.…”

Section: Discussionsupporting

confidence: 91%

“…Malnourished children are at increased risk for hospital-acquired infections including hospital-acquired gastroenteritis compare with well-nourished children 12,19,35. Our study did not systematically collect data on malnutrition of patients therefore we are unable to investigate the association between malnutrition and hospital-acquired diarrhea.…”

Section: Discussionmentioning

confidence: 94%

“…Patients may face the additional risk of acquiring pathogens during contact with other patients, healthcare workers, or contaminated hospital surfaces,10 and in low-income hospitals, where infection control is often less rigorous,11 such risk could be higher. Data from high- and low-income countries suggest that age, length of hospitalization, nutritional status, immune status, and exposure to gastrointestinal procedures such as nasogastric intubation and endoscopy are host-related risk factors for hospital-acquired diarrhea 7,10,12…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Incidence of and Risk Factors for Hospital-Acquired Diarrhea in Three Tertiary Care Public Hospitals in Bangladesh

Bhuiyan¹,

Luby

Zaman³

et al. 2014

The American Society of Tropical Medicine and Hygiene

View full text Add to dashboard Cite

During April 2007–April 2010, surveillance physicians in adult and pediatric medicine wards of three tertiary public hospitals in Bangladesh identified patients who developed hospital-acquired diarrhea. We calculated incidence of hospital-acquired diarrhea. To identify risk factors, we compared these patients to randomly selected patients from the same wards who were admitted > 72 hours without having diarrhea. The incidence of hospital-acquired diarrhea was 4.8 cases per 1,000 patient-days. Children < 1 year of age were more likely to develop hospital-acquired diarrhea than older children. The risk of developing hospital-acquired diarrhea increased for each additional day of hospitalization beyond 72 hours, whereas exposure to antibiotics within 72 hours of admission decreased the risk. There were three deaths among case-patients; all were infants. Patients, particularly young children, are at risk for hospital-acquired diarrhea and associated deaths in Bangladeshi hospitals. Further research to identify the responsible organisms and transmission routes could inform prevention strategies.

show abstract

Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Incidence of and Risk Factors for Hospital-Acquired Diarrhea in Three Tertiary Care Public Hospitals in Bangladesh

Bhuiyan¹,

Luby

Zaman³

et al. 2014

The American Society of Tropical Medicine and Hygiene

View full text Add to dashboard Cite

show abstract

“…The UTI frequency (13.61) was low similar to previous study and was lower than in adults (30-40%) probably because urinary catheter are less frequently used for children. The lower rate of LRTIs in our study (9.7%) is comparable with the results of Gentile et al (11%) (27) but is lower than the results of other studies. Coagulase negative staphylococci infect children more often than the adults, and were the most frequent isolated pathogen in our hospital (35%) especially neonate and hematology units.…”

Section: Discussionsupporting

confidence: 88%

“…Raymond et al in a 6-month prospective study by evaluating 20 units of eight European countries (5 pediatric intensive care units (PICUs), 7 neonatal units, 2 hematology-oncology units, 8 general pediatric units) reported the overall incidence of 2.5% ranging from 1% in general pediatric units to 23.6 in PICU (25). In our study, the NIs incidence (1.33) is lower than the reported of 7.7% for 1623 Australian children (11 (27) and Ben Jaballah (68.2%) (28) but it was higher than the reports of Raymond (36%) (25) Muhlemann (37%) (29) and Arch Pediatr Infect Dis. 2014;2 (2) Tantrachee-wathron (28.6%) (30).…”

Section: Discussioncontrasting

confidence: 52%

Microbiological Evaluation of Nosocomial Infections by Using National Nosocomial Infection Surveillance (NNIS) System

Oskouie

Rezaie

Panahi

et al. 2013

Arch Pediatr Infect Dis

View full text Add to dashboard Cite

Background: Healthcare-associated infections such as nosocomial infections (NI) are important causes of mortality worldwide. Objectives: In this study we evaluated the nosocomial infections terms of microbiology (resistance, culturing, etc.) in a referral pediatric hospital based on national nosocomial infection surveillance system. Patients and Methods:In an epidemiological surveillance study during a 14 month-period, patients who had no infection or not been in incubation period at the admission time, but had positive culture after the third day of admission, were defined as a case of nosocomial infection. Characteristics and features of each infection were coded and classified. Results: The total number of hospitalized patients was 7730 and the total number of hospitalized days was 30147 days. The mean age of 103 patients with nosocomial infection was 21.59 ± 3.87 months and the average duration of hospital stay was 25.53 ± 17.63 days. The incidence of NI was 1.33 per 100 hospital discharges and 0.34 per 100 hospital days. The incidence of NI was 1.33 infections per 100 hospital discharges and 0.34 infection per 100 hospital days. The most frequently isolated organisms included coagulase-negative Staphylococcus, Klebsiella, Serratia, yeast, E. coli and Pseudomonas respectively. The frequency of antimicrobial resistant isolated organisms was high. Half of isolated S. aureus were Methicillin resistant. Klebsiella was resistant to third generation Cephalosporins in 87%, against aminoglicosides in 80%, and against Imipenem in 52%. 100% of isolated pseudomonas were resistant to third generation Cephalosporins and Imipenem. 27 cases (of 103 cases) (26.2%) expired with the diagnosis of NI. Conclusions: Increasing frequency of anti-microbial resistant isolates emphasizes the necessity for bacteriological monitoring of hospitalized children.

show abstract

Antibiotic Policies: Fighting Resistance

Gould¹,

Meer²,

McGowan³

2008

View full text Add to dashboard Cite

Nosocomial Infections in a Children's Hospital in Argentina: Impact of a Unique Infection Control Intervention Program

Abstract: Our data suggest that parental infection control education and recruitment to relieve nursing staff of routine low-risk procedures are economical and easily implemented measures to reduce nosocomial infections in hospitals with limited personnel resources in the developing world.

Cited by 13 publications

References 11 publications

Incidence of and Risk Factors for Hospital-Acquired Diarrhea in Three Tertiary Care Public Hospitals in Bangladesh

Incidence of and Risk Factors for Hospital-Acquired Diarrhea in Three Tertiary Care Public Hospitals in Bangladesh

Microbiological Evaluation of Nosocomial Infections by Using National Nosocomial Infection Surveillance (NNIS) System

Antibiotic Policies: Fighting Resistance

Contact Info

Product

Resources

About