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Pathogen Distribution and Antimicrobial Resistance Among Pediatric Healthcare-Associated Infections Reported to the National Healthcare Safety Network, 2011–2014
- Source :
- Infection Control & Hospital Epidemiology. 39:1-11
- Publication Year :
- 2017
- Publisher :
- Cambridge University Press (CUP), 2017.
-
Abstract
- OBJECTIVETo describe pathogen distribution and antimicrobial resistance patterns for healthcare-associated infections (HAIs) reported to the National Healthcare Safety Network (NHSN) from pediatric locations during 2011–2014.METHODSDevice-associated infection data were analyzed for central line-associated bloodstream infection (CLABSI), catheter-associated urinary tract infections (CAUTI), ventilator-associated pneumonia (VAP), and surgical site infection (SSI). Pooled mean percentage resistance was calculated for a variety of pathogen-antimicrobial resistance pattern combinations and was stratified by location for device-associated infections (neonatal intensive care units [NICUs], pediatric intensive care units [PICUs], pediatric oncology and pediatric wards) and by surgery type for SSIs.RESULTSFrom 2011 to 2014, 1,003 hospitals reported 20,390 pediatric HAIs and 22,323 associated pathogens to the NHSN. Among all HAIs, the following pathogens accounted for more than 60% of those reported:Staphylococcus aureus(17%), coagulase-negative staphylococci (17%),Escherichia coli(11%),Klebsiella pneumoniaeand/oroxytoca(9%), andEnterococcus faecalis(8%). Among device-associated infections, resistance was generally lower in NICUs than in other locations. For several pathogens, resistance was greater in pediatric wards than in PICUs. The proportion of organisms resistant to carbapenems was low overall but reached approximately 20% forPseudomonas aeruginosafrom CLABSIs and CAUTIs in some locations. Among SSIs, antimicrobial resistance patterns were similar across surgical procedure types for most pathogens.CONCLUSIONThis report is the first pediatric-specific description of antimicrobial resistance data reported to the NHSN. Reporting of pediatric-specific HAIs and antimicrobial resistance data will help identify priority targets for infection control and antimicrobial stewardship activities in facilities that provide care for children.Infect Control Hosp Epidemiol2018;39:1–11
- Subjects :
- 0301 basic medicine
Microbiology (medical)
medicine.medical_specialty
Epidemiology
Klebsiella pneumoniae
Staphylococcus
030106 microbiology
Drug resistance
medicine.disease_cause
Pediatrics
Article
Enterococcus faecalis
03 medical and health sciences
Catheters, Indwelling
0302 clinical medicine
Antibiotic resistance
Internal medicine
Intensive care
Drug Resistance, Bacterial
Escherichia coli
medicine
Humans
Surgical Wound Infection
Antimicrobial stewardship
Infection control
030212 general & internal medicine
Child
Cross Infection
biology
business.industry
Pseudomonas aeruginosa
Infant, Newborn
Infant
Pneumonia, Ventilator-Associated
Bacterial Infections
biology.organism_classification
Hospitals
United States
Anti-Bacterial Agents
Infectious Diseases
Carbapenems
Catheter-Related Infections
Child, Preschool
Equipment Contamination
Centers for Disease Control and Prevention, U.S
business
Subjects
Details
- ISSN :
- 15596834 and 0899823X
- Volume :
- 39
- Database :
- OpenAIRE
- Journal :
- Infection Control & Hospital Epidemiology
- Accession number :
- edsair.doi.dedup.....2dac0a99a45fda905751bf72a73b6ad3