Hostname: page-component-7bb8b95d7b-lvwk9 Total loading time: 0 Render date: 2024-09-05T23:01:50.693Z Has data issue: false hasContentIssue false
  • English
  • Français

Pediatric Risk of Mortality and Hospital Infection

Published online by Cambridge University Press:  02 January 2015

Aglai Arantes ,
Eduardo da Silva Carvalho ,
Eduardo A. S. Medeiros ,
Calil Kairalla Farhat  and
Orlando Cesar Mantese
Aglai Arantes*
Affiliation:
Departamento de Pediatria, Universidade Federal de Uberlândia, Minas Gerais, Brazil
Eduardo da Silva Carvalho
Affiliation:
Disciplina de Infectologia Pediátrica, Universidade Federal de São Paulo - Escola Paulista de Medicina, São Paulo, Brazil
Eduardo A. S. Medeiros
Affiliation:
Disciplina de Infectologia e Parasitologia, Universidade Federal de São Paulo - Escola Paulista de Medicina, São Paulo, Brazil
Calil Kairalla Farhat
Affiliation:
Disciplina de Infectologia Pediátrica, Universidade Federal de São Paulo - Escola Paulista de Medicina, São Paulo, Brazil
Orlando Cesar Mantese
Affiliation:
Departamento de Pediatria, Universidade Federal de Uberlândia, Minas Gerais, Brazil
*
Av. Estrêla do Sul, no. 2699 - Uberlândia, MG, Brasil, CEP 38.401-139
Get access Rights & Permissions [Opens in a new window]

Abstract

We studied the association of Pediatric Risk of Mortality scores with nosocomial infections among 341 critically ill patients admitted to a pediatric intensive care unit between June 1998 and December 2000. Through stepwise logistic regression analysis, the best predictors for nosocomial infections were device utilization ratio, antimicrobial therapy, and length of stay.

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 25 , Issue 9 , September 2004 , pp. 783 - 785
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2004

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Pollock, E, Ford-Jones, EL, Corey, M, et al.Use of the Pediatric Risk of Mortality score to predict nosocomial infection in a pediatric intensive care unit. Crit Care Med 1991;19:160–165.Google Scholar
2.Keita-Perse, O, Gaynes, RP. Severity of illness scoring systems to adjust nosocomial infection rates: a review and commentary. Am J Infect Control 1996;24:429–434.CrossRefGoogle Scholar
3.Pollack, MM, Ruttmann, EU, Gestor, PR. Pediatric Risk of Mortality (PRISM) score. Crit Care Med 1988;16:1110–1116.Google Scholar
4.Garner, JS, Jarvis, WR, Emori, TG, Horan, TC, Hughes, JM. CDC definitions for nosocomial infections, 1988. Am J Infect Control 1988;16:128–140.Google Scholar
5.Horan, TC, Emori, TG. Definitions of key terms used in the NNIS system. Am J Infect Control 1997;25:112–116.Google Scholar
6.National Nosocomial Infections Surveillance (NNIS) System. Nosocomial infection rates for interhospital comparison: limitations and possible solutions. Infect Control Hosp Epidemiol 1991;12:609–621.CrossRefGoogle Scholar
7.Swets, JA. ROC analysis applied to the evaluation of medical imaging techniques. Invest Radiol 1979;14:109–121.Google Scholar
8.Metz, CE. Basic principles of ROC analysis. Semin Nucl Med 1978;4:283–298.CrossRefGoogle Scholar
9.Farr, BM, Shapiro, DE. Diagnostic tests: distinguishing good tests from bad and even ugly ones. Infect Control Hosp Epidemiol 2000;21:278–284.Google ScholarPubMed
10.Lusted, LB. General problems in medical decision making with comments on ROC analysis. Semin Nucl Med 1978;8:299–306.Google Scholar
11.Lemeshow, S, Le Gall, JR. Modeling the severity of illness of ICU patients: a systems update. JAMA 1994;272:1049–1055.CrossRefGoogle ScholarPubMed
12.Donowitz, LG. High risk of nosocomial infection in the pediatric critical care patient. Crit Care Med 1986;14:26–28.CrossRefGoogle ScholarPubMed
13.Singh-Naz, N, Sprague, BM, Patel, KM, Pollack, MM. Risk factors for nosocomial infection in critically ill children: a prospective cohort study. Crit Care Med 1996;24:875–878.Google Scholar
14.Singh-Naz, N, Sprague, BM, Patel, KM, Pollack, MM. Risk assessment and standardized nosocomial infection rate in critically ill children. Crit Care Med 2000;28:2069–2075.Google Scholar
15.Gilio, AE, Stape, A, Pereira, CR, Cardoso, MF, Silva, CV, Troster, EJ. Risk factors for nosocomial infections in a critically ill pediatric population: a 25-month prospective cohort study. Infect Control Hosp Epidemiol 2000;21:340–342.Google Scholar