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Observational Study
. 2016 May;34(5):286-92.
doi: 10.1016/j.eimc.2015.07.010. Epub 2015 Sep 11.

Trends in nosocomial infections and multidrug-resistant microorganisms in Spanish pediatric intensive care units

Iolanda Jordan Garcia  1 , Elisabeth Esteban Torné  2 , Amaya Bustinza Arriortua  3 , Juan Carlos de Carlos Vicente  4 , Patricia García Soler  5 , José Andrés Concha Torre  6 , José Carlos Flores González  7 , Paula Madurga Revilla  8 , Mercedes Palomar Martínez  9 ; VINCIP Study Group, from Spanish Society of Pediatric Intensive Care (SECIP)
Affiliations
Observational Study

Trends in nosocomial infections and multidrug-resistant microorganisms in Spanish pediatric intensive care units

Iolanda Jordan Garcia et al. Enferm Infecc Microbiol Clin. 2016 May.

Abstract

Introduction: Nosocomial infections (NI) are a major healthcare problem. National surveillance systems enable data to be compared and to implement new measures to improve our practice.

Methods: A multicentre, prospective, descriptive and observational study was conducted using the data from surveillance system for nosocomial infections created in 2007 for Spanish pediatric intensive care units. Data were collected for one month, between 01 and 31 March, for every study year (2008-2012). The objective was to report 5-years of NI surveillance data, as well as trends in infections by multidrug resistant organisms in Spanish pediatric intensive care units.

Results: A total of 3667 patients were admitted to the units during the study period. There were 90 (2.45%) patients with nosocomial infections. The mean rates during the 5 years study were: central line-associated bloodstream infection, 3.8/1000 central venous catheter-days, Ventilator-associated pneumonia 7.5/1000 endotracheal tube-days, and catheter-associated urinary tract infections 4.1/1000 urinary catheter-days. The comparison between the 2008 and 2009 rates for nosocomial infections did not show statistically significant differences. All rates homogeneously decreased from 2009 to 2012: central line-associated bloodstream infection 5.83 (95% CI 2.67-11.07) to 0.49 (95% CI 0.0125-2.76), P=0.0029; ventilator-associated pneumonia 10.44 (95% CI 5.21-18.67) to 4.04 (95% CI 1.48-8.80), P=0.0525; and Catheter-associated urinary tract infections 7.10 (95% CI 3.067-13.999) to 2.56 (95% CI 0.697-6.553), P=0.0817; respectively. The microorganism analysis: 63 of the 99 isolated bacteria (63.6%) were Gram-negative bacteria (36.5% were resistant), 19 (19.2%) Gram-positive bacteria, and 17 (17.2%) were Candida spp. infections.

Conclusions: The local surveillance systems provide information for dealing with nosocomial infections rates.

Keywords: Microorganismos multirresistentes; Multidrug resistant microorganisms; Nosocomial; Pediatric; Pediátrico; Rates; Surveillance; Tasas; Vigilancia.

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