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Infection and cross-infection in a paediatric gastro-enteritis unit.

J Bowen-Jones

    Curationis
    |December 1, 1989
    PubMed
    Summary

    Nosocomial infections are common in pediatric gastroenteritis wards, affecting 17.1% of patients. Poor hygiene practices, like bathing and feeding methods, contribute to the spread of these infections, significantly increasing hospital stays.

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    Area of Science:

    • Infectious Diseases
    • Public Health
    • Pediatrics

    Background:

    • Nosocomial infections pose a significant threat in hospital settings, particularly in pediatric wards.
    • Gastroenteritis in children is a common reason for hospitalization, increasing vulnerability to hospital-acquired infections.
    • Understanding the epidemiology of enteric pathogens is crucial for infection control.

    Purpose of the Study:

    • To determine the incidence of nosocomial infections in a pediatric gastroenteritis ward.
    • To identify common enteric pathogens present on admission and those causing nosocomial infections.
    • To explore factors contributing to the spread of nosocomial infections.

    Main Methods:

    • A two-month prospective study was conducted in a pediatric gastroenteritis ward.
    • Patient data, including pathogen identification on admission and nosocomial infections, were collected.
    • Statistical analysis was used to determine infection rates and identify contributing factors.

    Main Results:

    • 61% of 129 patients had enteric pathogens on admission, with Campylobacter jejuni (22%) and Rotavirus (19.3%) being most frequent.
    • The overall nosocomial infection rate was 17.1%, with EPEC (5.3%), Salmonella typhimurium (4.6%), and Shigella spp. (2.3%) being common.
    • Nosocomial infections extended the mean hospital stay from 7.2 to 20.2 days.

    Conclusions:

    • Nosocomial infections are a substantial problem in pediatric gastroenteritis wards, increasing patient morbidity and healthcare costs.
    • Inadequate patient bathing and nasogastric feeding methods were identified as key factors contributing to infection spread.
    • Improved infection control strategies focusing on hygiene are essential to reduce nosocomial infections in this setting.

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