Incidence of nosocomial infection in the pediatric intensive care unit of a teaching hospital delivering tertiary level care
DOI:
https://doi.org/10.18203/2349-3291.ijcp20170047Keywords:
Children, Nosocomial infection, PICUAbstract
Background: Nosocomial infections are generally a chain of events whereby a source or reservoir of microorganisms is transmitted by some method to a susceptible host. The organisms causing infections can come from either the patient’s own endogenous flora or from external sources including hospital staff, equipment or even food, water, walls, floor, and some other surfaces.
Methods: Children in age group of one month to twelve years are admitted to our PICU. All the patients admitted in PICU with PICU stay of more than 48 hours were daily monitored for fever or any other symptoms or sign suggestive of any infection. The patients who developed the same 48 hours after admission, which was not present at the time of admission, were included. Centers for Disease Control and Prevention definitions of nosocomial infections, as described later, are used as criteria for diagnosis of infections.
Results: During study period, 466 patients were admitted to PICU with their PICU stay for more than 48 hours. Out of 466 patients, 35 patients had 49 episodes of nosocomial infections. Nosocomial incidence rate = 10.51 per 100 admissions. Nosocomial infection incidence density = 19.37 per 1000 patient days.
Conclusions: In patients with nosocomial infection, the mean PICU stay was 17.31 days and mean hospital stay was 23.95 days.
References
Feigin RD, Cherry RD. Textbook of pediatrics infectious diseases. Vol II, 1st Ed. WB Saunders Company. Philadelphia; 1981:1655-1693.
Correia M, Simao C, Lito CM. Nosocomial infections in a pediatric ICU. Acta Medica Portuguesa. 1997;10(6-7);463-8.
Donowitz LG. High risk of nosocomial infection in the pediatric critical care patient. Critical Care Med. 1986;14:26-8.
Mukherjee S, Nani AS. Nosocomial infection-an epidemiological perspective guidelines for antibiotic therapy. Bombay Hospital J. 1997;24-25.
Schaffner W. Prevention and control of hospital acquired infections. Text book of medicine, Eds Wyngaarden Smith, Bennet; 19th Edition. WB Saunders; 1992:1589-1594.
Figuerosa A. Prevalence of nosocomial infections in children:survey of 25 Hospitals in Mexico. Salud Publica de Mexico 41st suppl; 1999:518-25.
Milliker J, Tait G, Ford A, Jones EL. Nosocomial infection in a pediatric ICU. Critical Care Med. 1988;16:233-7.
CDC: National Nosocomial Infection study report (quarterly); first and second quarter, 1973. 1974:20-27.
Legras A, Robert R. Nosocomial infection: prospective survey of incidence in 5 French ICUs. Intensive Care Med. 1999;24(10):1040-6.
Richards MJ, Edwards JR, Culver DH, Gayness RP. Nosocomial infections in pediatric intensive care unit in the United States. National Nosocomial Infection Surveillance System. Pediatr. 1999;103(4);e39.
Marcelo L. A bramczyk I,II, Werther B. Carvalho Eduardo S carvalho II; Eduardo A.S, medeivos I, II: Nosocomial Infection in a pediatric intensive care clinic in a developing country. Braz J Infect DIS. 2003;7(6):1407-17.
Nosocomial Infections in Pediatric patient: a prospective study in Spanish hospitals. 1993;21(2):58-63.
Dinkel RH. A survey of nosocomial infections and their influence on hospital mortality rates. J Hospital Infect Eng. 1994;28(4):297-304.
Urrea M, Pons M, Latorrec SM, Palomeq. A prospective incidence study of nosocomial infections in a pediatric intensive care unit. Pediatr Infect Dis J. 2003;22(6):490-4.
