Presence of Invasive Devices and Risks of Healthcare-Associated infections and Sepsis

被引：16
作者：
Bennett, Erin E. [1 ]
VanBuren, John [1 ]
Holubkov, Richard [1 ]
Bratton, Susan L. [1 ]
机构：
[1] Univ Utah, Dept Pediat, Div Crit Care, Salt Lake City, UT USA
来源：
JOURNAL OF PEDIATRIC INTENSIVE CARE | 2018年 / 7卷 / 04期
关键词：
healthcare-associated infection; sepsis; catheter-associated infections;
D O I：
10.1055/s-0038-1656535
中图分类号：
R72 [儿科学];
学科分类号：
100202 ;
摘要：
The present study evaluated the daily risk of healthcare-associated infections and sepsis (HAIS) events in pediatric intensive care unit patients with invasive devices. This was a retrospective cohort study. Invasive devices were associated with significant daily risk of HAIS (p < 0.05). Endotracheal tubes posed the greatest risk of HAIS (hazard ratio [HR]: 4.39, confidence interval [CI]: 2.59-7.46). Children with both a central venous catheter (CVC) and urinary catheter (UC) had over 2.5-fold increased daily risk (HR: 2.59, Cl: 1.18-5.68), in addition to daily CVC risk (HR: 3.06, CI: 1.38-6.77) and daily UC risk (HR: 8.9, CI: 3.62-21.91). We conclude that a multistate hazard model optimally predicts daily HAIS risk.
引用
收藏
页码：188 / 195
页数：8
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