[Nosocomial viral infections in a pediatric service: example of rotaviral gastroenteritis and respiratory syncytial viral bronchiolitis]
| Autor: | P, Le Roux, B, Marshall, F, Toutain, J-F, Mary, G, Pinon, E, Briquet, B, Le Luyer |
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| Jazyk: | francouzština |
| Rok vydání: | 2002 |
| Předmět: |
Male
Cross Infection Infection Control Quality Assurance Health Care Incidence Hospital Departments Infant Respiratory Syncytial Virus Infections Length of Stay Pediatrics Rotavirus Infections Gastroenteritis Community-Acquired Infections Hospitalization Epidemiologic Studies Age Distribution Risk Factors Prevalence Bronchiolitis Viral Humans Female France Prospective Studies Needs Assessment Interior Design and Furnishings |
| Zdroj: | Archives de pediatrie : organe officiel de la Societe francaise de pediatrie. 11(8) |
| ISSN: | 0929-693X |
| Popis: | Nosocomial infections are a preoccupation in a pediatric hospital mainly during the winter with bronchiolitis and gastroenteritis epidemics. We have examined the risk factors of nosocomial infections.A prospective study was conducted between November, 1999 and March, 2000 in the infants units of the Le Havre hospital. We systematically listed the admissions and contacted the family after their discharge by phone. A geographic information system was implemented to display the epidemiological data; this software is able to illustrate the sectors at risk.During the study, 687 infants were hospitalized of whom 458 for bronchiolitis and community-acquired gastroenteritis. Mean age was 5.4 months old. No nosocomial bronchiolitis occurred. Prevalence of nosocomial gastroenteritis was 10% (68 cases including nine after discharge). Infants with nosocomial infection were younger than those with community-acquired infection (6.6 months vs. 11.2 months, P0.01). The mean length of stay was longer in nosocomial infection (7.7 vs. 4.1 days, P0.05). Among the infants with bronchiolitis, 16% have developed nosocomial intestinal infections (RR = 2.65, IC: 1.59-4.4; P0.01). The geographic analysis pointed the area with nosocomial risk (bedroom without water, nearness of nurse office and games room).Geographic information system is a part of the quality control system and may have some interaction effect on final decision making. Incidence of nosocomial infections showed the need for a prevention strategy in a pediatric hospital. |
| Databáze: | OpenAIRE |
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