medigraphic.com
SPANISH

Revista de Enfermedades Infecciosas en Pediatría

Órgano Oficial de la Asociación Mexicana de Infectología Pediátrica y la SLIPE.
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2009, Number 88

<< Back Next >>

Rev Enfer Infec Pediatr 2009; 22.23 (88)

Invasive method associated nosocomial infection in a high speciality pediatric hospital

Hernández OHG, Castañeda NJL, González SN
Full text How to cite this article

Language: Spanish
References: 9
Page: 115-120
PDF size: 135.78 Kb.


Key words:

Nosocomial infection, invasive method associated nosocomial infection, catheter associated bloodstream, ventilator associated pneumonia, catheter associated urinary tract infection, rates per 1,000 device days.

ABSTRACT

Objective: To describe the incidence rates of invasive methods-associated infections at the National Institute of Pediatrics.
Material and methods: A prospective, descriptive, observational study of the epidemiological monitoring nosocomial infection at the National Institute of Pediatrics, using nosocomial infection site definition of project of Mexican Official Norm for the Monitoring and Control of Hospital-acquired Infections 2005 and Central Disease Control. Site specific nosocomial infections rates were calculated.
Results: The overall nosocomial infection rate was 4.41 (363/7138) per 100 patient discharge. The most common infection was invasive method-associated systemic infection (48%), follow by ventilator associated pneumonia (37%), and finally catheter-associated urinary tract infection (15%), that change when rates per 1,000 invasive method were calculated; the first place was urinary tract infection 8.19 per 1000 catheter days, follow by pneumonia 7.15 per 1000 device days, and the last was blood stream systemic infection 6.03 per 1000 catheter days.
Conclusion: Device nosocomial infection rates were less than 10 per 1000 device days what denotes how important is involved the hospital services interaction and their commitment to prevent and control the nosocomial infection in the institution to achieve this results.


REFERENCES

  1. Mendoza RM, Acevedo TJL, Nicté CM, Huerta RM, Campos MMJ. La atención médica como factor de riesgo en las infecciones nosocomiales. Medicina Crítica y Terapia Intensiva 2000;14(4):131-41.

  2. Raymond J, Aujard Y. European Study Group. Nosocomial infections in pediatric patients: a European, multicenter prospective study. Infect Control Hosp Epidemiol 2000;21:260-3.

  3. Ramirez BEJ, Rosenthal VD, Higuera F, Sobreyra OM, et al. Device-associated nosocomial infection rates in intensive care units in four Mexican public hospitals. Am J Infect Control 2006;34:244-7.

  4. Mendívil C, Egueés J, Polo P, Ollaquindia P, Nuin MA, et al. Infección nosocomial, vigilancia y control de la infección en neonatología. Anales Sis San Navarra 2000;23(Suppl2):177-84.

  5. Lopes JM. Prospective surveillance applying the national nosocomial infection surveillance methods in a Brazilian pediatric public hospital. Am J Control 2002;30(1):1-7.

  6. Martínez–Aguilar G, Anaya-Arriaga MC, Ávila-Figueroa C. Incidencia de bacteriemia y neumonía nosocomial en una unidad de pediatría. Salud Pub Mex 2001;43(6):515-23.

  7. Canadian Critical Care Trials Group. A randomized trial of diagnostic techniques for ventilator-associated pneumonia. N Engl J Med 2006;355(25):2619-30.

  8. Shorr AF, Schemer JH, Jackson LW, Kollef MH. Invasive approaches to the diagnosis of ventilator associated pneumonia: a meta-analysis. Crit Care Med 2005;33:46-53.

  9. Robert J. The influence of the composition of the nurse staff on primary bloodstream infection rates in a surgical intensive care unit. Infect Control Hosp Epidemiol 2000;21(1):12-7.




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Rev Enfer Infec Pediatr. 2009;22.23