| Journal: | The brazilian journal of infectious diseases |
| Database: | PERIÓDICA |
| System number: | 000290767 |
| ISSN: | 1413-8670 |
| Authors: | Medeiros, Eduardo A.S1 Abramczyk, Marcelo L1 Carvalho, Werther B1 Carvalho, Eduardo S2 |
| Institutions: | 1Hospital Sao Paulo, Sao Paulo. Brasil 2Universidade Federal de Sao Paulo, Sao Paulo. Brasil |
| Year: | 2003 |
| Season: | Dic |
| Volumen: | 7 |
| Number: | 6 |
| Pages: | 375-380 |
| Country: | Brasil |
| Language: | Inglés |
| Document type: | Artículo |
| Approach: | Caso clínico, descriptivo |
| English abstract | OBJECTIVE: Determine the rate and outcome of nosocomial infection (NI) in pediatric intensive care unit patients in a developing country. DESIGN: Prospective cohort study using the Centers for Disease Control and Prevention definitions to diagnose nosocomial infection and NNISS (National Nosocomial Infection Surveillance System) methodology. SETTING: São Paulo Hospital - Universidade Federal de São Paulo - Brazil, a 700-bed teaching hospital with an 8-bed pediatric intensive care unit. PARTICIPANTS: All 515 children consecutively admitted to the pediatric intensive care unit from April 1996 to October 1997. RESULTS: The NI incidence was 18.3% and the mean infection rate per 1,000 patient days was 46.1; the ventilator-associated pneumonia rate was 18.7 per 1,000 ventilator days; the central line-associated bloodstream infection rate was 10.2 per 1,000 central line days; and the urinary tract catheter-associated infection rate was 1.8 per 1,000 catheter days. Pneumonia was the most common NI (31.6%), followed by bloodstream infections (17.3%), and surgical site infection (17.3%). Gram-negative bacterias were the most common pathogens identified in the NIs (54.8%), followed by Gram-positive bacterias (23.8%), and yeasts. CONCLUSION: Pneumonia was the most common type of NI. A high incidence of ventilator-associated pneumonia and central line-associated bloodstream infections was found, whereas the urinary tract catheter-associated infection rate was low. Gram-negative bacterias were the most common etiologic agents identified in the u |
| Disciplines: | Medicina |
| Keyword: | Hospitales, Microbiología, Pediatría, Infección hospitalaria, Pneumonia, Bacterias Gram negativas |
| Keyword: | Medicine, Hospitals, Microbiology, Pediatrics, Nosocomial infections, Pneumonia, Gram negative bacteria |
| Full text: | Texto completo (Ver HTML) |
