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

M. Campins, J. Vaqué, J. Rosselló, S. Salcedo, M. Durán, V. Monge, J. García Caballero, M. C. Sáenz, F. Calbo, L. Armadans

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47 Citations (Scopus)

Abstract

Background: The magnitude of the problem of nosocomial infection in children has never been studied in Spain. Methods: In 1990, a nationwide cross-sectional study was conducted to determine the prevalence of nosocomial infection and associated risk factors. Results: Among 38,489 patients surveyed, 4081 were pediatric patients. Three hundred forty-five patients (8.4%) had active nosocomial infection at the time of the survey. Pediatric intensive care units (29.7%), hematology (23%), and special units (22%) showed the highest rates. Infections were most common in patients younger than 1 year (prevalence, 12.3%). Frequencies of nosocomial infection by site were as follows: bloodstream, 22.1%; urinary tract, 13.1%; lower respiratory tract, 12.3%; postoperative wound, 8%; gastrointestinal tract, 7.6%; skin, 6.5%; eye, 5.8%; and others 24.6%. The factors most closely associated with a higher prevalence of nosocomial infection in pediatrics were as follows: age younger than 1 year, surgery, moderate and severe baseline risk; number of diagnoses, and all categories of extrinsic risk factors. The most frequent etiologic agents were gram-positive bacteria (45.8%). Conclusions: Although the overall prevalence is at an acceptable level, future efforts should be focused on developing more effective prevention strategies in specific areas. © 1993.
Original languageEnglish
Pages (from-to)58-63
JournalAJIC: American Journal of Infection Control
Volume21
Issue number2
DOIs
Publication statusPublished - 1 Jan 1993

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