A point prevalence survey of health care-associated infections in Canadian pediatric inpatients
Background Health care-associated infections (HAIs) cause considerable morbidity and mortality to hospitalized patients. The objective of this point prevalence study was to assess the burden of HAIs in the Canadian pediatric population, updating results reported from a similar study conducted in 200...
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| Veröffentlicht in: | American journal of infection control 2012-08, Vol.40 (6), p.491-496 |
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| creator | Rutledge-Taylor, Katie, RN, BScN, MPH Matlow, Anne, MD Gravel, Denise, BScN, MSc, CIC Embree, Joanne, MD Le Saux, Nicole, MD Johnston, Lynn, MD Suh, Kathryn, MD, MSc Embil, John, MD Henderson, Elizabeth, PhD John, Michael, MD Roth, Virginia, MD Wong, Alice, MD Shurgold, Jayson, BSc Taylor, Geoff, MD |
| description | Background Health care-associated infections (HAIs) cause considerable morbidity and mortality to hospitalized patients. The objective of this point prevalence study was to assess the burden of HAIs in the Canadian pediatric population, updating results reported from a similar study conducted in 2002. Methods A point prevalence survey of pediatric inpatients was conducted in February 2009 in 30 pediatric or combined adult/pediatric hospitals. Data pertaining to one 24-hour period were collected, including information on HAIs, microorganisms isolated, antimicrobials prescribed, and use of additional (transmission based) precautions. The following prevalent infections were included: pneumonia, urinary tract infection, bloodstream infection, surgical site infection, viral respiratory infection, Clostridium difficile infection, viral gastroenteritis, and necrotizing enterocolitis. Results One hundred eighteen patients had 1 or more HAI, corresponding to a prevalence of 8.7% (n = 118 of 1353, 95% confidence interval: 7.2-10.2). Six patients had 2 infections. Bloodstream infections were the most frequent infection in neonates (3.0%), infants (3.1%), and children (3.5%). Among all patients surveyed, 16.3% were on additional precautions, and 40.1% were on antimicrobial agents, whereas 40.7% of patients with a HAI were on additional precautions, and 89.0% were on antimicrobial agents. Conclusion Overall prevalence of HAI in 2009 has remained similar to the prevalence reported from 2002. The unchanged prevalence of these infections nonetheless warrants continued vigilance on their prevention and control. |
| doi_str_mv | 10.1016/j.ajic.2011.08.008 |
| format | Article |
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The objective of this point prevalence study was to assess the burden of HAIs in the Canadian pediatric population, updating results reported from a similar study conducted in 2002. Methods A point prevalence survey of pediatric inpatients was conducted in February 2009 in 30 pediatric or combined adult/pediatric hospitals. Data pertaining to one 24-hour period were collected, including information on HAIs, microorganisms isolated, antimicrobials prescribed, and use of additional (transmission based) precautions. The following prevalent infections were included: pneumonia, urinary tract infection, bloodstream infection, surgical site infection, viral respiratory infection, Clostridium difficile infection, viral gastroenteritis, and necrotizing enterocolitis. Results One hundred eighteen patients had 1 or more HAI, corresponding to a prevalence of 8.7% (n = 118 of 1353, 95% confidence interval: 7.2-10.2). Six patients had 2 infections. Bloodstream infections were the most frequent infection in neonates (3.0%), infants (3.1%), and children (3.5%). Among all patients surveyed, 16.3% were on additional precautions, and 40.1% were on antimicrobial agents, whereas 40.7% of patients with a HAI were on additional precautions, and 89.0% were on antimicrobial agents. Conclusion Overall prevalence of HAI in 2009 has remained similar to the prevalence reported from 2002. The unchanged prevalence of these infections nonetheless warrants continued vigilance on their prevention and control.</description><identifier>ISSN: 0196-6553</identifier><identifier>EISSN: 1527-3296</identifier><identifier>DOI: 10.1016/j.ajic.2011.08.008</identifier><identifier>PMID: 22078941</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Adolescent ; Antimicrobial agents ; Bacterial Infections - epidemiology ; Bacterial Infections - microbiology ; Biological and medical sciences ; Canada - epidemiology ; Child ; Child, Preschool ; Children ; Cross Infection - epidemiology ; Cross transmission ; Epidemiology. Vaccinations ; Female ; General aspects ; Hospitals, Pediatric ; Human infectious diseases. Experimental studies and models ; Humans ; Infant ; Infant, Newborn ; Infection Control ; Infections ; Infectious Disease ; Infectious diseases ; Inpatients ; Male ; Medical sciences ; Morbidity ; Mortality ; Nosocomial infections ; Patients ; Prevalence ; Surveillance ; Virus Diseases - epidemiology ; Virus Diseases - virology</subject><ispartof>American journal of infection control, 2012-08, Vol.40 (6), p.491-496</ispartof><rights>Association for Professionals in Infection Control and Epidemiology, Inc.</rights><rights>2012 Association for Professionals in Infection Control and Epidemiology, Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2012 Association for Professionals in Infection Control and Epidemiology, Inc. All rights reserved.</rights><rights>Copyright Mosby-Year Book, Inc. Aug 2012</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c535t-a2447b1706df0cb375eec03add3f6063ea88d87ee39e37c59faa0ef8d0ed05d03</citedby><cites>FETCH-LOGICAL-c535t-a2447b1706df0cb375eec03add3f6063ea88d87ee39e37c59faa0ef8d0ed05d03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0196655311010194$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=26203576$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22078941$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rutledge-Taylor, Katie, RN, BScN, MPH</creatorcontrib><creatorcontrib>Matlow, Anne, MD</creatorcontrib><creatorcontrib>Gravel, Denise, BScN, MSc, CIC</creatorcontrib><creatorcontrib>Embree, Joanne, MD</creatorcontrib><creatorcontrib>Le Saux, Nicole, MD</creatorcontrib><creatorcontrib>Johnston, Lynn, MD</creatorcontrib><creatorcontrib>Suh, Kathryn, MD, MSc</creatorcontrib><creatorcontrib>Embil, John, MD</creatorcontrib><creatorcontrib>Henderson, Elizabeth, PhD</creatorcontrib><creatorcontrib>John, Michael, MD</creatorcontrib><creatorcontrib>Roth, Virginia, MD</creatorcontrib><creatorcontrib>Wong, Alice, MD</creatorcontrib><creatorcontrib>Shurgold, Jayson, BSc</creatorcontrib><creatorcontrib>Taylor, Geoff, MD</creatorcontrib><creatorcontrib>Canadian Nosocomial Infection Surveillance Program</creatorcontrib><title>A point prevalence survey of health care-associated infections in Canadian pediatric inpatients</title><title>American journal of infection control</title><addtitle>Am J Infect Control</addtitle><description>Background Health care-associated infections (HAIs) cause considerable morbidity and mortality to hospitalized patients. The objective of this point prevalence study was to assess the burden of HAIs in the Canadian pediatric population, updating results reported from a similar study conducted in 2002. Methods A point prevalence survey of pediatric inpatients was conducted in February 2009 in 30 pediatric or combined adult/pediatric hospitals. Data pertaining to one 24-hour period were collected, including information on HAIs, microorganisms isolated, antimicrobials prescribed, and use of additional (transmission based) precautions. The following prevalent infections were included: pneumonia, urinary tract infection, bloodstream infection, surgical site infection, viral respiratory infection, Clostridium difficile infection, viral gastroenteritis, and necrotizing enterocolitis. Results One hundred eighteen patients had 1 or more HAI, corresponding to a prevalence of 8.7% (n = 118 of 1353, 95% confidence interval: 7.2-10.2). Six patients had 2 infections. Bloodstream infections were the most frequent infection in neonates (3.0%), infants (3.1%), and children (3.5%). Among all patients surveyed, 16.3% were on additional precautions, and 40.1% were on antimicrobial agents, whereas 40.7% of patients with a HAI were on additional precautions, and 89.0% were on antimicrobial agents. Conclusion Overall prevalence of HAI in 2009 has remained similar to the prevalence reported from 2002. The unchanged prevalence of these infections nonetheless warrants continued vigilance on their prevention and control.</description><subject>Adolescent</subject><subject>Antimicrobial agents</subject><subject>Bacterial Infections - epidemiology</subject><subject>Bacterial Infections - microbiology</subject><subject>Biological and medical sciences</subject><subject>Canada - epidemiology</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Cross Infection - epidemiology</subject><subject>Cross transmission</subject><subject>Epidemiology. Vaccinations</subject><subject>Female</subject><subject>General aspects</subject><subject>Hospitals, Pediatric</subject><subject>Human infectious diseases. Experimental studies and models</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Infection Control</subject><subject>Infections</subject><subject>Infectious Disease</subject><subject>Infectious diseases</subject><subject>Inpatients</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Morbidity</subject><subject>Mortality</subject><subject>Nosocomial infections</subject><subject>Patients</subject><subject>Prevalence</subject><subject>Surveillance</subject><subject>Virus Diseases - epidemiology</subject><subject>Virus Diseases - virology</subject><issn>0196-6553</issn><issn>1527-3296</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kt-L1DAQgIMo3nr6D_ggBRF8aZ0kTdqCCMfiLzjwQX0Os8mUy9pNa9Iu7H9vyq4e3INPM4RvJpMvw9hLDhUHrt_tK9x7WwngvIK2AmgfsQ1Xoiml6PRjtgHe6VIrJa_Ys5T2ANBJrZ6yKyGgabuab5i5KabRh7mYIh1xoGCpSEs80qkY--KOcJjvCouRSkxptB5ncoUPPdnZjyHltNhiQOcxFBPlMEdv8-mEs6cwp-fsSY9DoheXeM1-fvr4Y_ulvP32-ev25ra0Sqq5RFHXzY43oF0PdicbRWRBonOy16AlYdu6tiGSHcnGqq5HBOpbB-RAOZDX7O257xTH3wul2Rx8sjQMGGhckuEgOVdayDajrx-g-3GJIU-3UtDVUtRNpsSZsnFMKVJvpugPGE8ZMqt-szerfrPqN9CarD8Xvbq0XnYHcv9K_vrOwJsLgMni0EcM1qd7TguQqtGZe3_mKDs7eoomWb9-jvMxqzdu9P-f48ODcjv44PONv-hE6f69JgkD5vu6KOue8Nww57X8A0ZQuFc</recordid><startdate>20120801</startdate><enddate>20120801</enddate><creator>Rutledge-Taylor, Katie, RN, BScN, MPH</creator><creator>Matlow, Anne, MD</creator><creator>Gravel, Denise, BScN, MSc, CIC</creator><creator>Embree, Joanne, MD</creator><creator>Le Saux, Nicole, MD</creator><creator>Johnston, Lynn, MD</creator><creator>Suh, Kathryn, MD, MSc</creator><creator>Embil, John, MD</creator><creator>Henderson, Elizabeth, PhD</creator><creator>John, Michael, MD</creator><creator>Roth, Virginia, MD</creator><creator>Wong, Alice, MD</creator><creator>Shurgold, Jayson, BSc</creator><creator>Taylor, Geoff, MD</creator><general>Mosby, Inc</general><general>Elsevier</general><general>Mosby-Year Book, Inc</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20120801</creationdate><title>A point prevalence survey of health care-associated infections in Canadian pediatric inpatients</title><author>Rutledge-Taylor, Katie, RN, BScN, MPH ; Matlow, Anne, MD ; Gravel, Denise, BScN, MSc, CIC ; Embree, Joanne, MD ; Le Saux, Nicole, MD ; Johnston, Lynn, MD ; Suh, Kathryn, MD, MSc ; Embil, John, MD ; Henderson, Elizabeth, PhD ; John, Michael, MD ; Roth, Virginia, MD ; Wong, Alice, MD ; Shurgold, Jayson, BSc ; Taylor, Geoff, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c535t-a2447b1706df0cb375eec03add3f6063ea88d87ee39e37c59faa0ef8d0ed05d03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adolescent</topic><topic>Antimicrobial agents</topic><topic>Bacterial Infections - epidemiology</topic><topic>Bacterial Infections - microbiology</topic><topic>Biological and medical sciences</topic><topic>Canada - epidemiology</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>Cross Infection - epidemiology</topic><topic>Cross transmission</topic><topic>Epidemiology. Vaccinations</topic><topic>Female</topic><topic>General aspects</topic><topic>Hospitals, Pediatric</topic><topic>Human infectious diseases. Experimental studies and models</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Infection Control</topic><topic>Infections</topic><topic>Infectious Disease</topic><topic>Infectious diseases</topic><topic>Inpatients</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Morbidity</topic><topic>Mortality</topic><topic>Nosocomial infections</topic><topic>Patients</topic><topic>Prevalence</topic><topic>Surveillance</topic><topic>Virus Diseases - epidemiology</topic><topic>Virus Diseases - virology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rutledge-Taylor, Katie, RN, BScN, MPH</creatorcontrib><creatorcontrib>Matlow, Anne, MD</creatorcontrib><creatorcontrib>Gravel, Denise, BScN, MSc, CIC</creatorcontrib><creatorcontrib>Embree, Joanne, MD</creatorcontrib><creatorcontrib>Le Saux, Nicole, MD</creatorcontrib><creatorcontrib>Johnston, Lynn, MD</creatorcontrib><creatorcontrib>Suh, Kathryn, MD, MSc</creatorcontrib><creatorcontrib>Embil, John, MD</creatorcontrib><creatorcontrib>Henderson, Elizabeth, PhD</creatorcontrib><creatorcontrib>John, Michael, MD</creatorcontrib><creatorcontrib>Roth, Virginia, MD</creatorcontrib><creatorcontrib>Wong, Alice, MD</creatorcontrib><creatorcontrib>Shurgold, Jayson, BSc</creatorcontrib><creatorcontrib>Taylor, Geoff, MD</creatorcontrib><creatorcontrib>Canadian Nosocomial Infection Surveillance Program</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of infection control</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rutledge-Taylor, Katie, RN, BScN, MPH</au><au>Matlow, Anne, MD</au><au>Gravel, Denise, BScN, MSc, CIC</au><au>Embree, Joanne, MD</au><au>Le Saux, Nicole, MD</au><au>Johnston, Lynn, MD</au><au>Suh, Kathryn, MD, MSc</au><au>Embil, John, MD</au><au>Henderson, Elizabeth, PhD</au><au>John, Michael, MD</au><au>Roth, Virginia, MD</au><au>Wong, Alice, MD</au><au>Shurgold, Jayson, BSc</au><au>Taylor, Geoff, MD</au><aucorp>Canadian Nosocomial Infection Surveillance Program</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A point prevalence survey of health care-associated infections in Canadian pediatric inpatients</atitle><jtitle>American journal of infection control</jtitle><addtitle>Am J Infect Control</addtitle><date>2012-08-01</date><risdate>2012</risdate><volume>40</volume><issue>6</issue><spage>491</spage><epage>496</epage><pages>491-496</pages><issn>0196-6553</issn><eissn>1527-3296</eissn><abstract>Background Health care-associated infections (HAIs) cause considerable morbidity and mortality to hospitalized patients. The objective of this point prevalence study was to assess the burden of HAIs in the Canadian pediatric population, updating results reported from a similar study conducted in 2002. Methods A point prevalence survey of pediatric inpatients was conducted in February 2009 in 30 pediatric or combined adult/pediatric hospitals. Data pertaining to one 24-hour period were collected, including information on HAIs, microorganisms isolated, antimicrobials prescribed, and use of additional (transmission based) precautions. The following prevalent infections were included: pneumonia, urinary tract infection, bloodstream infection, surgical site infection, viral respiratory infection, Clostridium difficile infection, viral gastroenteritis, and necrotizing enterocolitis. Results One hundred eighteen patients had 1 or more HAI, corresponding to a prevalence of 8.7% (n = 118 of 1353, 95% confidence interval: 7.2-10.2). Six patients had 2 infections. Bloodstream infections were the most frequent infection in neonates (3.0%), infants (3.1%), and children (3.5%). Among all patients surveyed, 16.3% were on additional precautions, and 40.1% were on antimicrobial agents, whereas 40.7% of patients with a HAI were on additional precautions, and 89.0% were on antimicrobial agents. Conclusion Overall prevalence of HAI in 2009 has remained similar to the prevalence reported from 2002. The unchanged prevalence of these infections nonetheless warrants continued vigilance on their prevention and control.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>22078941</pmid><doi>10.1016/j.ajic.2011.08.008</doi><tpages>6</tpages></addata></record> |
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| subjects | Adolescent Antimicrobial agents Bacterial Infections - epidemiology Bacterial Infections - microbiology Biological and medical sciences Canada - epidemiology Child Child, Preschool Children Cross Infection - epidemiology Cross transmission Epidemiology. Vaccinations Female General aspects Hospitals, Pediatric Human infectious diseases. Experimental studies and models Humans Infant Infant, Newborn Infection Control Infections Infectious Disease Infectious diseases Inpatients Male Medical sciences Morbidity Mortality Nosocomial infections Patients Prevalence Surveillance Virus Diseases - epidemiology Virus Diseases - virology |
| title | A point prevalence survey of health care-associated infections in Canadian pediatric inpatients |
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