Risk factors for healthcare-associated infection in pediatric intensive care units: a systematic review

被引：14

作者：

Goncalves de Mello, Maria Julia ^{[1
]}

Pessoa Militao de Albuquerque, Maria de Fatima ^{[2
,3
]}

Lacerda, Heloisa Ramos ^{[3
]}

de Souza, Wayner Vieira ^{[2
]}

Correia, Jailson B. ^{[1
]}

Amorim de Britto, Murilo Carlos ^{[1
]}

机构：

[1] Inst Med Integral Prof Fernando Figueira, BR-50070550 Recife, PE, Brazil

[2] Ctr Pesquisa Aggeu Magalhaes, Fundacao Oswaldo Cruz, Recife, PE, Brazil

[3] Univ Fed Pernambuco, Recife, PE, Brazil

来源：

CADERNOS DE SAUDE PUBLICA | 2009年 / 25卷

关键词：

Cross Infection; Pediatric Intensive Care Units; Delivery of Health Care; BLOOD-STREAM INFECTION; VENTILATOR-ASSOCIATED PNEUMONIA; CRITICALLY-ILL CHILDREN; NOSOCOMIAL INFECTIONS; CARDIOVASCULAR-SURGERY; ACQUIRED INFECTIONS; CARDIAC-SURGERY; ANTIBIOTIC USE; MORTALITY; BACTERIAL;

D O I：

10.1590/S0102-311X2009001500004

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

A systematic review of observational studies on risk factors for healthcare-associated infection in pediatric Intensive Care Units (ICU) was carried out. Studies indexed in MEDLINE, LILACS, Cochrane, BDENF, CAPES databases published in English, French, Spanish or Portuguese between 1987 and 2006 were included and cross references added. Key words for search were "cross infection" and "Pediatric Intensive Care Units" with others sub-terms included. 11 studies were selected from 419 originally found: four studies had healthcare-associated infection as the main outcome without a specific site; three articles identified factors associated with lower respiratory tract infection (pneumonia or tracheitis); three articles were concerned with laboratory-confirmed bloodstream infection; and a single retrospective study analyzed urinary tract infection. The production of evidence on risk factors Paediatric ICU has not kept up the same pace of that on adult - there are few studies with adequate design and statistical analysis. The methodological diversity of the studies did not allow for a summarized measurement of risk factors.

引用

页码：S373 / S391

页数：19