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Antimicrobial-resistant pathogens associated with pediatric healthcare-associated infections: Summary of data reported to the National Healthcare Safety Network, 2015–2017
- Source :
- Infect Control Hosp Epidemiol
- Publication Year :
- 2019
- Publisher :
- Cambridge University Press (CUP), 2019.
-
Abstract
- Objective:To describe common pathogens and antimicrobial resistance patterns for healthcare-associated infections (HAIs) among pediatric patients that occurred in 2015–2017 and were reported to the Centers for Disease Control and Prevention’s National Healthcare Safety Network (NHSN).Methods:Antimicrobial resistance data were analyzed for pathogens implicated in central line-associated bloodstream infections (CLABSIs), catheter-associated urinary tract infections (CAUTIs), ventilator-associated pneumonias (VAPs), and surgical site infections (SSIs). This analysis was restricted to device-associated HAIs reported from pediatric patient care locations and SSIs among patients Results:Overall, 2,545 facilities performed surveillance of pediatric HAIs in the NHSN during this period. Staphylococcus aureus (15%), Escherichia coli (12%), and coagulase-negative staphylococci (12%) were the 3 most commonly reported pathogens associated with pediatric HAIs. Pathogens and the %NS varied by HAI type, location type, and/or surgical category. Among CLABSIs, the %NS was generally lowest in neonatal intensive care units and highest in pediatric oncology units. Staphylococcus spp were particularly common among orthopedic, neurosurgical, and cardiac SSIs; however, E. coli was more common in abdominal SSIs. Overall, antimicrobial nonsusceptibility was less prevalent in pediatric HAIs than in adult HAIs.Conclusion:This report provides an updated national summary of pathogen distributions and antimicrobial resistance patterns among pediatric HAIs. These data highlight the need for continued antimicrobial resistance tracking among pediatric patients and should encourage the pediatric healthcare community to use such data when establishing policies for infection prevention and antimicrobial stewardship.
- Subjects :
- 0301 basic medicine
Microbiology (medical)
Adolescent
Epidemiology
Staphylococcus
030106 microbiology
Article
03 medical and health sciences
Catheters, Indwelling
0302 clinical medicine
Drug Resistance, Bacterial
Enterococcus faecalis
Escherichia coli
Humans
Surgical Wound Infection
030212 general & internal medicine
Child
Cross Infection
Infant, Newborn
virus diseases
Infant
Pneumonia, Ventilator-Associated
Bacterial Infections
Hospitals
United States
Anti-Bacterial Agents
Klebsiella pneumoniae
Infectious Diseases
Carbapenems
Catheter-Related Infections
Child, Preschool
Equipment Contamination
Centers for Disease Control and Prevention, U.S
Subjects
Details
- ISSN :
- 15596834 and 0899823X
- Volume :
- 41
- Database :
- OpenAIRE
- Journal :
- Infection Control & Hospital Epidemiology
- Accession number :
- edsair.doi.dedup.....f89e1684fd85a8b31f9ce9aed957e09a