title: Risk factors for nosocomial infections in a critically ill pediatric population: a 25-month prospective cohort study.
abstract: We studied risk factors for nosocomial infections among 500 critically ill children who were admitted to a pediatric intensive care unit from August 1994 through August 1996 and who were prospectively followed until death, transfer, or discharge. Age, gender, postoperative state, length of stay, device-utilization ratio, pediatric risk of mortality score, and total parenteral nutrition were the risk factors studied. Through multivariate analysis, we identified three independent risk factors for nosocomial infection: device-utilization ratio (odds ratio [OR], 1.6; 95% confidence interval [CI95], 1.10-2.34), total parenteral nutrition (OR, 2.5; CI95, 1.05 5.81) and length of stay (OR, 1.7; CI95, 1.31-2.21).
authors.affiliation: Pediatric Intensive Care Unit, Hospital Israelita Albert Einstein-São Paulo, Brasil.
authors.forename: A E
authors.initials: AE
authors.lastname: Gilio
authors.forename: A
authors.initials: A
authors.lastname: Stape
authors.forename: C R
authors.initials: CR
authors.lastname: Pereira
authors.forename: M F
authors.initials: MF
authors.lastname: Cardoso
authors.forename: C V
authors.initials: CV
authors.lastname: Silva
authors.forename: E J
authors.initials: EJ
authors.lastname: Troster
mesh_terms: D000293:Adolescent; D001938:Brazil / Q000453:epidemiology; D002408:Catheters, Indwelling / Q000009:adverse effects; D002648:Child; D002675:Child, Preschool; D015331:Cohort Studies; D016638:Critical Illness / Q000453:epidemiology; D003428:Cross Infection / Q000453:epidemiology*; D005260:Female; D006801:Humans; D015994:Incidence; D007223:Infant; D007231:Infant, Newborn; D007902:Length of Stay; D008137:Longitudinal Studies; D008297:Male; D015999:Multivariate Analysis; D011446:Prospective Studies; D012141:Respiratory Tract Infections / Q000453:epidemiology; D012306:Risk; D012307:Risk Factors; D012874:Skin Diseases, Infectious / Q000453:epidemiology; D018461:Soft Tissue Infections / Q000453:epidemiology; D013530:Surgical Wound Infection / Q000453:epidemiology; D014552:Urinary Tract Infections / Q000453:epidemiology