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An Pediatr (Barc). 2014 Jan;80(1):28-33. doi: 10.1016/j.anpedi.2010.09.010. Epub 2011 Jan 12.

[A national multicentre study on nosocomial infections in PICU].

[Article in Spanish]

Author information

1
Servicio de Cuidados Intensivos Pediátricos, Hospital Sant Joan de Déu, Esplugues, Barcelona, España. Electronic address: ijordan@hsjdbcn.org.
2
Servicio de Cuidados Intensivos Pediátricos, Hospital General Universitario Gregorio Marañón, Madrid, España.
3
Sección de Cuidados Intensivos Pediátricos, Hospital Universitario Central de Asturias, Oviedo, España.
4
Sección de Cuidados Intensivos Pediatría, Hospital de Cruces, Baracaldo, Vizcaya, España.
5
Unidad de Cuidados Intensivos Pediatría, Hospital Son Dureta, Palma de Mallorca, Baleares, España.
6
Unidad de Cuidados Intensivos Pediatría, Grupo de Trabajo de Enfermedades Infecciosas de la SECIP, Hospital Virgen de la Arrixaca, El Palmar, Murcia, España.

Abstract

INTRODUCTION:

Nosocomial infection (NI) is a common complication in paediatric critical care units (PICU), with an associated mortality up to 11%.

OBJECTIVE:

To describe NI epidemiology in the national PICU. To initiate an standard NI control measures to obtain paediatric incidence rates.

PATIENTS AND METHOD:

Multicentre prospective study from 1 to 31 march 2007. Centre Disease Control diagnosis and methodological criteria were used. It was specially analyzed NI related to invasive devices: central venous catheter (CVC), mechanical ventilation (MV), urinary catheter (UC).

RESULTS:

There were recruited 300 patients from 6 PICU, with 17 NI episodes in 16 patients (5,3% from admitted). NI rates resulted in 13,8 infections/1000 patients-day. Middle age from infected patients was 2,31 years (± 3,43), 9 males. Risk factors were found in 7 cases. NI location was: catheter-related bloodstream infection in 7 patients (6,7/1000 days CVC), ventilator associated pneumonia in 4 (9,4/1000 MV days), urinary-tract infection associated with UC in 4 (5,5/1000 UC days), one case of primary bloodstream infection and one surgical site infection. Isolated microorganisms were: 9 gram negatives bacillus, 4 Candida, 2 plasmocoagulase negative staphylococcus, 1 Haemophilus and 1 Staphylococcus aureus. Seven isolations were resistant microorganisms. There weren't any died related to NI.

CONCLUSIONS:

NI epidemiology was similar to published data in our near countries. NI surveillance, with a standardized method of analysis is essential to the NI correct manage.

KEYWORDS:

Infección nosocomial; Multicentre; Multicéntrico; Nosocomial infection; Rates; Tasas

PMID:
21233032
DOI:
10.1016/j.anpedi.2010.09.010
[Indexed for MEDLINE]
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