Nosocomial infections in a pediatric intensive care unit of a developing country: NHSN surveillance

Detalhes bibliográficos
Autor(a) principal: Porto,Juliana Pena
Data de Publicação: 2012
Outros Autores: Mantese,Orlando Cesar, Arantes,Aglai, Freitas,Claudete, Gontijo Filho,Paulo Pinto, Ribas,Rosineide Marques
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista da Sociedade Brasileira de Medicina Tropical
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822012000400012
Resumo: INTRODUCTION: This study aimed to determine the epidemiology of the three most common nosocomial infections (NI), namely, sepsis, pneumonia, and urinary tract infection (UTI), in a pediatric intensive care unit (PICU) in a developing country and to define the risk factors associated with NI. METHODS: We performed a prospective study on the incidence of NI in a single PICU, between August 2009 and August 2010. Active surveillance by National Healthcare Safety Network (NHSN) was conducted in the unit and children with NI (cases) were compared with a group (matched controls) in a case-control fashion. RESULTS: We analyzed 172 patients; 22.1% had NI, 71.1% of whom acquired it in the unit. The incidence densities of sepsis, pneumonia, and UTI per 1,000 patients/day were 17.9, 11.4, and 4.3, respectively. The most common agents in sepsis were Enterococcus faecalis and Escherichia coli (18% each); Staphylococcus epidermidis was isolated in 13% of cases. In pneumonias Staphylococcus aureus was the most common cause (3.2%), and in UTI the most frequent agents were yeasts (33.3%). The presence of NI was associated with a long period of hospitalization, use of invasive devices (central venous catheter, nasogastric tube), and use of antibiotics. The last two were independent factors for NI. CONCLUSIONS: The incidence of NI acquired in this unit was high and was associated with extrinsic factors.
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spelling Nosocomial infections in a pediatric intensive care unit of a developing country: NHSN surveillanceNosocomial infectionsPediatric ICUSurveillance systemINTRODUCTION: This study aimed to determine the epidemiology of the three most common nosocomial infections (NI), namely, sepsis, pneumonia, and urinary tract infection (UTI), in a pediatric intensive care unit (PICU) in a developing country and to define the risk factors associated with NI. METHODS: We performed a prospective study on the incidence of NI in a single PICU, between August 2009 and August 2010. Active surveillance by National Healthcare Safety Network (NHSN) was conducted in the unit and children with NI (cases) were compared with a group (matched controls) in a case-control fashion. RESULTS: We analyzed 172 patients; 22.1% had NI, 71.1% of whom acquired it in the unit. The incidence densities of sepsis, pneumonia, and UTI per 1,000 patients/day were 17.9, 11.4, and 4.3, respectively. The most common agents in sepsis were Enterococcus faecalis and Escherichia coli (18% each); Staphylococcus epidermidis was isolated in 13% of cases. In pneumonias Staphylococcus aureus was the most common cause (3.2%), and in UTI the most frequent agents were yeasts (33.3%). The presence of NI was associated with a long period of hospitalization, use of invasive devices (central venous catheter, nasogastric tube), and use of antibiotics. The last two were independent factors for NI. CONCLUSIONS: The incidence of NI acquired in this unit was high and was associated with extrinsic factors.Sociedade Brasileira de Medicina Tropical - SBMT2012-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822012000400012Revista da Sociedade Brasileira de Medicina Tropical v.45 n.4 2012reponame:Revista da Sociedade Brasileira de Medicina Tropicalinstname:Sociedade Brasileira de Medicina Tropical (SBMT)instacron:SBMT10.1590/S0037-86822012005000003info:eu-repo/semantics/openAccessPorto,Juliana PenaMantese,Orlando CesarArantes,AglaiFreitas,ClaudeteGontijo Filho,Paulo PintoRibas,Rosineide Marqueseng2012-08-23T00:00:00Zoai:scielo:S0037-86822012000400012Revistahttps://www.sbmt.org.br/portal/revista/ONGhttps://old.scielo.br/oai/scielo-oai.php||dalmo@rsbmt.uftm.edu.br|| rsbmt@rsbmt.uftm.edu.br1678-98490037-8682opendoar:2012-08-23T00:00Revista da Sociedade Brasileira de Medicina Tropical - Sociedade Brasileira de Medicina Tropical (SBMT)false
dc.title.none.fl_str_mv Nosocomial infections in a pediatric intensive care unit of a developing country: NHSN surveillance
title Nosocomial infections in a pediatric intensive care unit of a developing country: NHSN surveillance
spellingShingle Nosocomial infections in a pediatric intensive care unit of a developing country: NHSN surveillance
Porto,Juliana Pena
Nosocomial infections
Pediatric ICU
Surveillance system
title_short Nosocomial infections in a pediatric intensive care unit of a developing country: NHSN surveillance
title_full Nosocomial infections in a pediatric intensive care unit of a developing country: NHSN surveillance
title_fullStr Nosocomial infections in a pediatric intensive care unit of a developing country: NHSN surveillance
title_full_unstemmed Nosocomial infections in a pediatric intensive care unit of a developing country: NHSN surveillance
title_sort Nosocomial infections in a pediatric intensive care unit of a developing country: NHSN surveillance
author Porto,Juliana Pena
author_facet Porto,Juliana Pena
Mantese,Orlando Cesar
Arantes,Aglai
Freitas,Claudete
Gontijo Filho,Paulo Pinto
Ribas,Rosineide Marques
author_role author
author2 Mantese,Orlando Cesar
Arantes,Aglai
Freitas,Claudete
Gontijo Filho,Paulo Pinto
Ribas,Rosineide Marques
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Porto,Juliana Pena
Mantese,Orlando Cesar
Arantes,Aglai
Freitas,Claudete
Gontijo Filho,Paulo Pinto
Ribas,Rosineide Marques
dc.subject.por.fl_str_mv Nosocomial infections
Pediatric ICU
Surveillance system
topic Nosocomial infections
Pediatric ICU
Surveillance system
description INTRODUCTION: This study aimed to determine the epidemiology of the three most common nosocomial infections (NI), namely, sepsis, pneumonia, and urinary tract infection (UTI), in a pediatric intensive care unit (PICU) in a developing country and to define the risk factors associated with NI. METHODS: We performed a prospective study on the incidence of NI in a single PICU, between August 2009 and August 2010. Active surveillance by National Healthcare Safety Network (NHSN) was conducted in the unit and children with NI (cases) were compared with a group (matched controls) in a case-control fashion. RESULTS: We analyzed 172 patients; 22.1% had NI, 71.1% of whom acquired it in the unit. The incidence densities of sepsis, pneumonia, and UTI per 1,000 patients/day were 17.9, 11.4, and 4.3, respectively. The most common agents in sepsis were Enterococcus faecalis and Escherichia coli (18% each); Staphylococcus epidermidis was isolated in 13% of cases. In pneumonias Staphylococcus aureus was the most common cause (3.2%), and in UTI the most frequent agents were yeasts (33.3%). The presence of NI was associated with a long period of hospitalization, use of invasive devices (central venous catheter, nasogastric tube), and use of antibiotics. The last two were independent factors for NI. CONCLUSIONS: The incidence of NI acquired in this unit was high and was associated with extrinsic factors.
publishDate 2012
dc.date.none.fl_str_mv 2012-08-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822012000400012
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dc.language.iso.fl_str_mv eng
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dc.relation.none.fl_str_mv 10.1590/S0037-86822012005000003
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dc.publisher.none.fl_str_mv Sociedade Brasileira de Medicina Tropical - SBMT
publisher.none.fl_str_mv Sociedade Brasileira de Medicina Tropical - SBMT
dc.source.none.fl_str_mv Revista da Sociedade Brasileira de Medicina Tropical v.45 n.4 2012
reponame:Revista da Sociedade Brasileira de Medicina Tropical
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repository.name.fl_str_mv Revista da Sociedade Brasileira de Medicina Tropical - Sociedade Brasileira de Medicina Tropical (SBMT)
repository.mail.fl_str_mv ||dalmo@rsbmt.uftm.edu.br|| rsbmt@rsbmt.uftm.edu.br
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