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Infections acquired by young infants

G C Maguire, J Nordin, M G Myers

    American Journal of Diseases of Children (1960)
    |August 1, 1981
    PubMed
    Summary

    Hospitalized infants acquiring infections, especially in intensive care, face significant risks. Community-acquired infections differ from hospital-acquired infections, with the latter often involving more antibiotic-resistant pathogens.

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    Area of Science:

    • Pediatrics
    • Infectious Diseases
    • Hospital Epidemiology

    Background:

    • Hospitalized young infants are susceptible to infections.
    • Antimicrobial therapy is frequently used for suspected community-acquired infections in this population.
    • Infection rates vary significantly based on nursery admission type.

    Purpose of the Study:

    • To survey infections in hospitalized young infants over 24 months.
    • To compare infection rates between normal-newborn nurseries and intensive care nurseries.
    • To identify pathogens associated with community-acquired versus nosocomial infections.

    Main Methods:

    • Prospective survey of 7,339 hospitalized infants over 24 months.
    • Documentation of antimicrobial therapy duration for suspected infections.

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  • Comparison of infection acquisition rates based on nursery type.
  • Pathogen identification for community-acquired and nosocomial infections.

    • Main Results:

    • Nearly 10% of infants received 5+ days of antimicrobial therapy.
    • Infection rates were 0.6/100 in normal-newborn nurseries vs. 16.9/100 in intensive care nurseries.
    • Bacteremia was frequent with nosocomial infections.
    • Community-acquired infections were primarily caused by streptococci and susceptible Enterobacteriaceae.
    • Nosocomial infections involved more antibiotic-resistant organisms.

    Conclusions:

    • Infants in intensive care nurseries have a substantially higher risk of acquiring infections.
    • Distinct pathogens are associated with community-acquired and hospital-acquired infections in infants.
    • Hospital-acquired pathogens demonstrate increased antibiotic resistance compared to community-acquired ones.