Hospital-acquired urinary tract infections in the pediatric patient: a prospective study
| Autor: | Leigh G. Donowitz, Sharon M. Dudley, Stephen M. Downs, Jacob A. Lohr |
|---|---|
| Rok vydání: | 1994 |
| Předmět: |
Microbiology (medical)
Male medicine.medical_specialty Adolescent medicine.medical_treatment Urinary system Urine Urinary catheterization Internal medicine Hospital-acquired infection medicine Humans Prospective Studies Prospective cohort study Child Mycosis Cross Infection business.industry Infant Newborn Virginia Infant medicine.disease Surgery Infectious Diseases El Niño Bacteremia Child Preschool Pediatrics Perinatology and Child Health Urinary Tract Infections Female business Urinary Catheterization |
| Zdroj: | The Pediatric infectious disease journal. 13(1) |
| ISSN: | 0891-3668 |
| Popis: | To determine through a prospective study the characteristics of hospital-acquired urinary tract infections (HAUTI) in children, 525 children subjected to bladder catheterization during a hospital admission were identified through surveillance of 12,316 admissions during a 24-month period. Urine culture results were available for 296 (56.4%) of the catheterized patients. In addition 12 noncatheterized children with a documented HAUTI were identified. The clinical courses of all patients with a HAUTI were followed for at least 6 months after their last HAUTI during the study period. Forty-four patients, 1 week to 17 years of age, with 1 or more HAUTI during a hospital unit admission were identified. A total of 51 HAUTI occurred. Thirty-nine (76.5%) of the infections occurred in patients subjected to catheterization. Thirty-two (10.8%) of 296 catheterized patients developed a HAUTI. Forty-three (84.3%) of the 51 infections were single organism infections. One HAUTI was associated with a wound infection with the same organism and one with a concurrent bacteremia with the same organism. Relapses were seen after 4 HAUTI. One reinfection was identified. There were no deaths directly associated with a HAUTI. Hospitalized children subjected to urinary tract catheterization are at significant risk for HAUTI. Complications are infrequent and not life-threatening. |
| Databáze: | OpenAIRE |
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