Nosocomial infections. Trends over a 12 year-period in a pediatric hospital
Main Article Content
Keywords
Cross infection, Hand disinfection, Equipment and supplies
Abstract
Background: Nosocomial infections account for one of the most important health issues in hospitals; thus, prevention and control programs should be assessed through the impact on the incidence rates. The purpose of this study was to identify the trends of nosocomial infections over a 12-year period in a tertiary care pediatric hospital.
Methods: A retrospective cohort study was carried out where all hospitalized patients presenting with nosocomial infections were included. Data statistical analysis included simple frequencies, proportions and incidence density rate per year, infection site and lethality rate.
Results: Incidence density rate for year 2000 was 14.67 and decreased to 7.39 in 2012. Most frequent infections were those related with the intravenous line (15.4 %), mechanical ventilation-associated pneumonia (17.9 %), surgical site infection (10.3%) and urinary tract infection (6.8 %). The departments with higher rates were neonatology, the pediatric intensive care unit, medical pediatrics and neurosurgery. Nosocomial infection-associated lethality rate was 4.5 %.
Conclusions: The slow decrease in the incidence density rate indicates that programs focused on training and supervision of the healthcare personnel on the appropriate placement and care of medical devices should be reinforced.
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