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Trends in nosocomial infections and multidrug-resistant microorganisms in Spanish pediatric intensive care units.
- Source :
-
Enfermedades infecciosas y microbiologia clinica [Enferm Infecc Microbiol Clin] 2016 May; Vol. 34 (5), pp. 286-92. Date of Electronic Publication: 2015 Sep 11. - Publication Year :
- 2016
-
Abstract
- Introduction: Nosocomial infections (NI) are a major healthcare problem. National surveillance systems enable data to be compared and to implement new measures to improve our practice.<br />Methods: A multicentre, prospective, descriptive and observational study was conducted using the data from surveillance system for nosocomial infections created in 2007 for Spanish pediatric intensive care units. Data were collected for one month, between 01 and 31 March, for every study year (2008-2012). The objective was to report 5-years of NI surveillance data, as well as trends in infections by multidrug resistant organisms in Spanish pediatric intensive care units.<br />Results: A total of 3667 patients were admitted to the units during the study period. There were 90 (2.45%) patients with nosocomial infections. The mean rates during the 5 years study were: central line-associated bloodstream infection, 3.8/1000 central venous catheter-days, Ventilator-associated pneumonia 7.5/1000 endotracheal tube-days, and catheter-associated urinary tract infections 4.1/1000 urinary catheter-days. The comparison between the 2008 and 2009 rates for nosocomial infections did not show statistically significant differences. All rates homogeneously decreased from 2009 to 2012: central line-associated bloodstream infection 5.83 (95% CI 2.67-11.07) to 0.49 (95% CI 0.0125-2.76), P=0.0029; ventilator-associated pneumonia 10.44 (95% CI 5.21-18.67) to 4.04 (95% CI 1.48-8.80), P=0.0525; and Catheter-associated urinary tract infections 7.10 (95% CI 3.067-13.999) to 2.56 (95% CI 0.697-6.553), P=0.0817; respectively. The microorganism analysis: 63 of the 99 isolated bacteria (63.6%) were Gram-negative bacteria (36.5% were resistant), 19 (19.2%) Gram-positive bacteria, and 17 (17.2%) were Candida spp. infections.<br />Conclusions: The local surveillance systems provide information for dealing with nosocomial infections rates.<br /> (Copyright © 2015 Elsevier España, S.L.U. y Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica. All rights reserved.)
- Subjects :
- Adolescent
Candida isolation & purification
Child
Child, Preschool
Cross Infection microbiology
Female
Gram-Negative Bacteria isolation & purification
Gram-Positive Bacteria isolation & purification
Humans
Infant
Infant, Newborn
Intensive Care Units
Male
Pneumonia, Ventilator-Associated epidemiology
Prospective Studies
Spain epidemiology
Urinary Tract Infections epidemiology
Cross Infection epidemiology
Drug Resistance, Multiple, Bacterial
Intensive Care Units, Pediatric
Subjects
Details
- Language :
- English
- ISSN :
- 1578-1852
- Volume :
- 34
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Enfermedades infecciosas y microbiologia clinica
- Publication Type :
- Academic Journal
- Accession number :
- 26364857
- Full Text :
- https://doi.org/10.1016/j.eimc.2015.07.010