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Nosocomial infections in a pediatric residential care facility

Amir Abdolahi1, Susan G Fisher, Carla Aquino

  • 1Department of Community and Preventive Medicine, University of Rochester, Rochester, NY, USA.

American Journal of Infection Control
|November 8, 2011
PubMed

Insights

Nosocomial infections in pediatric residential care facilities are common, with skin infections being most frequent. These facilities are diverse, requiring individualized infection control strategies.

Area of Science:

  • Pediatric healthcare epidemiology
  • Infectious disease surveillance
  • Residential care facility management

Background:

  • Nosocomial infections in pediatric residential care facilities are understudied.
  • Understanding infection rates and risk factors is crucial for patient safety.
  • This study compares infection data from a specialized facility with broader pediatric extended care settings.

Purpose of the Study:

  • To determine the incidence and types of infections in a pediatric residential care facility.
  • To identify risk factors associated with these infections.
  • To compare findings with other pediatric extended care facilities.

Main Methods:

  • Retrospective chart review of 109 residents from January 1 to December 31, 2009.
  • Infection classification using ICD-9-CM codes.
  • Literature search of PubMed, Web of Science, and CINAHL for comparable studies.

Main Results:

  • Overall infection incidence rate was 6.21 per 1,000 resident-days.
  • Streptococcal/staphylococcal skin infections were most common (1.11 per 1,000 resident-days).
  • Conjunctivitis was least common (0.16 per 1,000 resident-days).

Conclusions:

  • Pediatric extended care facilities are heterogeneous and should not be treated as a single category for infection control.
  • Facility-specific data is essential for effective nosocomial infection management.
  • Further research is needed to characterize diverse pediatric residential care settings.
Abstract

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