Nosocomial infections in pediatric patients: A prevalence study in Spanish hospitals

Campins, Magda; Vaqué, Josep; Rosselló, J.; S, Salcedo Abizanda; Monge, Vicente; Caballero, J. Garci´a; ́enz, M.C. Sa; Calbo, Francisco; Armadans, Lluı́s

doi:10.1016/0196-6553(93)90225-s

Cited by 47 publications

(16 citation statements)

References 20 publications

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“…A prevalence study from 17 European centers reported a PICU HAI rate as 23.6% [14]. Our prevalence is lower than that reported (29.8%) in a Spanish PICU study [15]. A national pointprevalence survey study of 50 PICUs in Turkey reported the overall HAI rate as 37% [1].…”

Section: Discussioncontrasting

confidence: 49%

Healthcare-associated infections in a newly opened pediatric intensive care unit in Turkey: Results of four-year surveillance

Atıcı

Soysal

Kadayıfçı

et al. 2016

J Infect Dev Ctries

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Introduction: Healthcare-associated infections (HAIs) are important causes of morbidity and mortality, especially in critically ill patients in intensive care units. The aim of this study was to assess the rate and distribution of HAIs, pathogens, and antimicrobial susceptibility patterns in a newly opened pediatric intensive care unit (PICU). Methodology: The infection control team detected and recorded HAI cases according to the Centers for Disease Control and Prevention's criteria in the PICU of Marmara University Pendik Training and Research Hospital over a four-year period following its opening. Laboratorybased HAIs surveillance was performed prospectively from 1 January 2011 to 30 November 2014. Results: During the study period, 1,007 patients hospitalized in the PICU and 224 HAIs were identified. The overall HAI rate was 22.24%, and the incidence density was 20.71 per 1,000 patient-days. The most commonly observed HAIs were bloodstream infection (35.7%), pneumonia (21.4%), and urinary tract infection (20.5%), and the three most common HAI pathogens were Klebsiella spp. (19.4%), Pseudomonas aeruginosa (13.8%), and Acinetobacter baumanii (12%). Methicillin resistance was detected in 78% of coagulase-negative Staphylococcus. Presence of extended-spectrum beta-lactamases was determined in 45% and 54% of Klebsiella spp. strains and Escherichia coli isolates, respectively. Conclusions: Our rate of HAIs is higher than the mean rates reported in PICU studies from developed countries. Active surveillance studies of HAIs is an essential component of infection control, which may contribute to improving preventive strategies in developing countries.

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Section: Discussioncontrasting

confidence: 49%

Healthcare-associated infections in a newly opened pediatric intensive care unit in Turkey: Results of four-year surveillance

Atıcı

Soysal

Kadayıfçı

et al. 2016

J Infect Dev Ctries

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“…A maioria dos relatos mais antigos indica que os Staphylococcus e os bastonetes gram-negativos, nessa ordem, são os responsáveis pela maioria das IH em crianças [16][17][18][19] .Os cinco agentes etiológicos mais freqüen-temente encontrados no presente estudo não diferem, basicamente, daqueles relatados em estudos semelhantes. Estudos mais recentes em nosso meio 4,14,15 vêm traduzindo também uma possível tendência de gram-negativos passarem a predominar sobre os gram-positivos.…”

Section: Discussionunclassified

Joint effort to improve quality in a Brazilian public pediatric hospital through cross-infection control

Lopes¹,

Ce²,

Lessa³

et al. 1999

J Pediatr (Rio J)

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“…In some countries, nasocomial bloodstream infections are observed in approximately half of the hospitalized patients and the mortality rate is increased up to 52% (11). The rate of nasocomial infection is reported to be 7% in Europe, 11.4% in USA and 16.7% in Spain (12)(13)(14). In the prospective 6-year study performed by Yap›c›o¤lu et al (15), the rate of infection was reported to range between 14% and 29% by years.…”

Section: Discussionmentioning

confidence: 99%

Yenidoğan yoğun bakım biriminde hastane kökenli kan akım enfeksiyonları

Bolat¹,

Uslu²,

Bülbül³

et al. 2011

tpa

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H Ho os sp pi it ta al l a ac cq qu ui ir re ed d b bl lo oo od ds st tr re ea am m i in nf fe ec ct ti io on ns s i in n n ne eo on na at ta al l i in nt te en ns si iv ve e c ca ar re e u un ni it t F Fa at ti ih h B Bo ol la at t, , S Si in na an n U Us sl lu u, , A Al li i B Bü ül lb bü ül l, , S Se er rd da ar r C Cö öm me er rt t, , E Em mr ra ah h C Ca an n, , E Ev vr ri im m K K› ›r ra ay y B Ba afl fl, , Ö Öm me er r G Gü ür ra an n, , A As si iy ye e N Nu uh ho o¤ ¤l lu u O Or ri ig gi in na al l A Ar rt ti ic cl le e S Su um mm ma ar ry yAim: The aim of this study was to evaluate the risk factors for term and preterm newborns, etiological agents, antibiotic susceptibility and rate of hospital acquired bloodstream infections among newborns hospitalized in our Neonatal Intensive Care Unit during the year of 2008. Material and Method:The medical records of patients were evaluated retrospectively. The risk factors for term and preterm babies were evaluated by multivariate logistic regression analysis. Results:During the one year period, 807 patients were hospitalized for longer than 72 hours. A total of 97 hemocultures were found to be positive. Among hemoculture positive newborns, 65.6% were found to be preterm and 34.4% term. The most common microorganisms identified were coagulase negative staphylococci and Klebsiella pneumonia. Blood stream infection rate, catheter related blood stream infection rate and ventilator associated pneumonia rate were found to be 5;9:1000 days, 9.6:1000 days and 13.8:1000 days, respectively. Glycopeptide resistance was not observed among gram positive microorganisms. Length of hospital stay, mechanical ventilation and presence of catheter were risk factors for hospital acquired infections. The mortality was found to be 12.5% among newborns with positive hemocultures. Conclusions:Hospital acquired infections are important causes of morbidity and mortality in neonatal intensive care units. The decrement of risk factors in term and preterm newborns would help to improve the outcome. (Turk Arch Ped 2011; 46: 130-6)

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Nosocomial infections in pediatric patients: A prevalence study in Spanish hospitals

Cited by 47 publications

References 20 publications

Healthcare-associated infections in a newly opened pediatric intensive care unit in Turkey: Results of four-year surveillance

Healthcare-associated infections in a newly opened pediatric intensive care unit in Turkey: Results of four-year surveillance

Joint effort to improve quality in a Brazilian public pediatric hospital through cross-infection control

Yenidoğan yoğun bakım biriminde hastane kökenli kan akım enfeksiyonları

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