Pattern of Hospital-Associated Infections in Children Admitted in the Intensive Care Unit of a University Hospital / 소아감염
Korean Journal of Pediatric Infectious Diseases
;
: 135-142, 2011.
Artigo
em Coreano
| WPRIM
| ID: wpr-75122
ABSTRACT
PURPOSE:
Hospital associated infection (HAI) caused by multidrug-resistant (MDR) microorganisms has been recognized as an important issue in the world, especially in critically ill patients such as the patients admitted in the intensive care unit. There are fewer papers about MDR-HAI in pediatric patients compared to adult patients. In this study, we investigated the incidence and associated factors of MDR-HAI in children admitted to the intensive care unit (ICU) of a university hospital.METHODS:
We retrospectively evaluated 135 children who were admitted in ICU for at least 3 days between January 2009 and December 2010. HAI cases were divided into MDR-HAI group and non-MDR-HAI group. Clinical characteristics and various associated factors were compared between those groups.RESULTS:
In 39 patients, 45 cases of ICU-related HAI were developed. ICU-related HAI incidence was 47.7 per 1000 patient-days. Thirty-six cases (80.0%) were MDR-HAI. Acinetobacter baumannii was isolated more commonly in MDR-HAI group. And the followings were found more frequently in MDR-HAI group than non-MDR-HAI group medical condition as an indication for ICU admission, mechanical ventilation, urinary catheterization and previous use of broad-spectrum antibiotics. Among the risk factors, previous use of broad-spectrum antibiotics was the independent risk factor for MDR-HAI.CONCLUSION:
ICU-related HAI incidence was higher than previously reported. Previous use of broad-spectrum antibiotics was the independent risk factor for MDR-HAI. To investigate the characteristics of MDR-HAI in children admitted in ICU, further studies with a larger sample size over a longer period of time are warranted.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Respiração Artificial
/
Cateterismo Urinário
/
Incidência
/
Estudos Retrospectivos
/
Fatores de Risco
/
Estado Terminal
/
Tamanho da Amostra
/
Cuidados Críticos
/
Acinetobacter baumannii
/
Cateteres Urinários
Tipo de estudo:
Estudo de etiologia
/
Estudo de incidência
/
Estudo observacional
/
Estudo prognóstico
/
Fatores de risco
Limite:
Adulto
/
Criança
/
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Pediatric Infectious Diseases
Ano de publicação:
2011
Tipo de documento:
Artigo
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