Fulltext

Prevalence of Nosocomial Infections in Swiss Children's Hospitals

Mühlemann, Kathrin ; Franzini, Christine ; Aebi, Christoph ; Berger, Christoph ; Nadal, David ; Stähelin, Jody ; Gnehm, Hanspeter ; Posfay-Barbe, Klara ; Gervaix, Alain ; Sax, Hugo ; Heininger, Ulrich ; Bonhoeffer, Jan ; Eich, Gerhard ; Kind, Christian ; Petignat, Christiane ; Scalfaro, Pietro

In: Infection Control & Hospital Epidemiology, 2004, vol. 25, no. 9, p. 765-771

Ajouter à la liste personnelle
    Titre
    • Prevalence of Nosocomial Infections in Swiss Children's Hospitals
    Auteur
    • Mühlemann, Kathrin. University Hospital, Bern, Switzerland
    • Franzini, Christine. University Hospital, Bern, Switzerland
    • Aebi, Christoph. University Hospital, Bern, Switzerland
    • Berger, Christoph. University Children's Hospital, Zürich, Switzerland
    • Nadal, David. University Children's Hospital, Zürich, Switzerland
    • Stähelin, Jody. Children's Hospital, Aarau, Switzerland
    • Gnehm, Hanspeter. Children's Hospital, Aarau, Switzerland
    • Posfay-Barbe, Klara. University Children's Hospital, University of Geneva Hospitals, Geneva, Switzerland
    • Gervaix, Alain. University Children's Hospital, University of Geneva Hospitals, Geneva, Switzerland
    • Sax, Hugo. Infection Control Program, University of Geneva Hospitals, Geneva, Switzerland
    • Heininger, Ulrich. University Children's Hospital, Basel, Switzerland
    • Bonhoeffer, Jan. University Children's Hospital, Basel, Switzerland
    • Eich, Gerhard. Children's Hospital, St. Gallen, Switzerland
    • Kind, Christian. Children's Hospital, St. Gallen, Switzerland
    • Petignat, Christiane. University Children's Hospital, Lausanne, Switzerland
    • Scalfaro, Pietro. University Children's Hospital, Lausanne, Switzerland
    Type de document
    • Postprint
    Langue
    • Anglais
    Publié dans
    • Infection Control & Hospital Epidemiology, 2004, vol. 25, no. 9, p. 765-771. Cambridge University Press
    Autre version électronique
    Classification
    • Santé
    Identifiant OAI-PMH
    • oai:doc.rero.ch:295239
    Summary
    Abstract Objective: To acquire data on pediatric nosocomial infections (NIs), which are associated with substantial morbidity and mortality and for which data are scarce. Design: Prevalence survey and evaluation of a new comorbidity index. Setting: Seven Swiss pediatric hospitals. Patients: Those hospitalized for at least 24 hours in a medical, surgical, intensive care, or intermediate care ward. Results: Thirty-five NIs were observed among 520 patients (6.7%; range per hospital, 1.4% to 11.8%). Bacteremia was most frequent (2.5 per 100 patients), followed by urinary tract infection (1.3 per 100 patients) and surgical-site infection (1.1 per 100 patients; 3.2 per 100 patients undergoing surgery). The median duration until the onset of infection was 19 days. Independent risk factors for NI were age between 1 and 12 months, a comorbidity score of 2 or greater, and a urinary catheter. Among surgical patients, an American Society of Anesthesiologists (ASA) score of 2 or greater was associated with any type of NI (P = .03). Enterobacteriaceae were the most frequent cause of NI, followed by coagulase-negative staphylococci; viruses were rarely the cause. Conclusions: This national prevalence survey yielded valuable information about the rate and risk factors of pediatric NI. A new comorbidity score showed promising performance. ASA score may be a predictor of NI. The season in which a prevalence survey is conducted must be considered, as this determines whether seasonal viral infections are observed. Periodic prevalence surveys are a simple and cost-effective method for assessing NI and comparing rates among pediatric hospitals