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Risk Factors for Nosocomial Infections in a Critically Ill Pediatric Population: A 25-Month Prospective Cohort Study

Published online by Cambridge University Press:  02 January 2015

Alfredo E. Gilio ,
Adalberto Stape ,
Crésio R. Pereira ,
Maria Fátima S. Cardoso ,
Claudia V. Silva  and
Eduardo J. Troster
Alfredo E. Gilio
Affiliation:
Pediatric Intensive Care Unit and the Infection Control Service, Hospital Israelita Albert Einstein—São Paulo, Brasil
Adalberto Stape
Affiliation:
Pediatric Intensive Care Unit and the Infection Control Service, Hospital Israelita Albert Einstein—São Paulo, Brasil
Crésio R. Pereira
Affiliation:
Pediatric Intensive Care Unit and the Infection Control Service, Hospital Israelita Albert Einstein—São Paulo, Brasil
Maria Fátima S. Cardoso
Affiliation:
Pediatric Intensive Care Unit and the Infection Control Service, Hospital Israelita Albert Einstein—São Paulo, Brasil
Claudia V. Silva
Affiliation:
Pediatric Intensive Care Unit and the Infection Control Service, Hospital Israelita Albert Einstein—São Paulo, Brasil
Eduardo J. Troster*
Affiliation:
Pediatric Intensive Care Unit and the Infection Control Service, Hospital Israelita Albert Einstein—São Paulo, Brasil
*
Pediatric Intensive Care Unit, Hospital Israelita Albert Einstein, Av Albert Einstein, 627/701, Morumbi, CEP 05651-901, São Paulo, Brasil
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Abstract

We studied risk factors for nosocomial infections among 500 critically ill children who were admitted to a pediatric intensive care unit from August 1994 through August 1996 and who were prospectively followed until death, transfer, or discharge. Age, gender, postoperative state, length of stay, device-utilization ratio, pediatric risk of mortality score, and total parenteral nutrition were the risk factors studied. Through multivariate analysis, we identified three independent risk factors for nosocomial infection: device-utilization ratio (odds ratio [OR], 1.6; 95% confidence interval [CI95], 1.10-2.34), total parenteral nutrition (OR, 2.5; CI95, 1.05-5.81) and length of stay (OR, 1.7; CI95, 1.31-2.21).

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 21 , Issue 5 , May 2000 , pp. 340 - 342
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2000

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