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[Nosocomial infection and mortality].
1Departamento de Enfermagem Médico Cirúrgica, Escola de Enfermagem, Universidade de São Paulo. rturrini@usp.br
Revista Da Escola De Enfermagem Da U S P
|February 26, 2003
Summary
Nosocomial infections, primarily pneumonia and bloodstream infections, were linked to a significant number of pediatric deaths. These hospital-acquired infections were causally related to death in over 30% of cases.
Area of Science:
- Pediatric critical care medicine
- Infectious diseases
- Hospital epidemiology
Context:
- Retrospective analysis of 69 pediatric deaths at a hospital in 1993.
- Focus on the role of hospital-acquired infections (nosocomial infections) in mortality.
Purpose:
- To determine the relationship between nosocomial infections and death in a pediatric population.
- To identify common sites and pathogens associated with fatal infections.
Summary:
- Pneumonia and bloodstream infections were the most frequent sites of nosocomial infection.
- Gram-negative bacteria showed a higher prevalence.
- Hospital infections were causally related to death in 30.4% and contributed to death in 50.8% of cases.
- Nosocomial infections were more frequently causally related to death in patients admitted with non-fatal conditions.
Impact:
- Highlights the significant mortality burden of nosocomial infections in pediatric patients.
- Informs infection control strategies and clinical management in pediatric settings.
- Underscores the importance of preventing hospital-acquired infections, especially in vulnerable populations.