Risk factors for nosocomial infections in pediatric intensive care unit
- Author:
Ha Manh Tuan
- Publication Type:Journal Article
- Keywords:
Nosocomial infections
- MeSH:
Cross Infection;
Risk Factors;
Pediatrics;
Intensive Care
- From:Ho Chi Minh city Medical Association
2005;10(3):139-142
- CountryViet Nam
- Language:Vietnamese
-
Abstract:
A prospective cohort study was conducted on 671 patients, who were admitted to the pediatric intensive care unit of the Children Hospital N0 1 in the period of 14 months, to identify risk factors for nosocomial infections (NI). Results: NI rate was 22.9% and 29.3/1000 patient-days, in which nosocomial pneumonia accounted for 49.4%, surgical site infection 12.3%, catheter site infection 11.7%, urinary tract infection 5.8%. There is no significant difference of NI rate in age and sex (p>0.05). By multiple logistic regression analysis, the risk factors for NI were: 2nd degree malnutrition, PRISM score, multiple invasive interventions, antibiotic therapy, H2 receptor blocker, parenteral nutrition. Risk factors for nosocomial pneumonia were intubation, duration of intubation >5 days, reintubation, H2 receptor blockers, aspiration. Risk factors for blood stream infection included venous cutdown, central venous catheter, duration of central venous catheter >3 days, parenteral nutrition. The risk factors for surgical site infection consisted of gastrointestinal surgery, post operative drain, duration of drain >5 days. The risk factors for urinary tract infection were urinary catheter, duration of urinary catheter >3 days
