title: [A national multicentre study on nosocomial infections in PICU].
abstract: BACKGROUND
  Nosocomial infection (NI) is a common complication in paediatric critical care units (PICU), with an associated mortality up to 11%.
  
  
  OBJECTIVE
  To describe NI epidemiology in the national PICU. To initiate an standard NI control measures to obtain paediatric incidence rates.
  
  
  METHODS
  Multicentre prospective study from 1 to 31 march 2007. Centre Disease Control diagnosis and methodological criteria were used. It was specially analyzed NI related to invasive devices: central venous catheter (CVC), mechanical ventilation (MV), urinary catheter (UC).
  
  
  RESULTS
  There were recruited 300 patients from 6 PICU, with 17 NI episodes in 16 patients (5,3% from admitted). NI rates resulted in 13,8 infections/1000 patients-day. Middle age from infected patients was 2,31 years (± 3,43), 9 males. Risk factors were found in 7 cases. NI location was: catheter-related bloodstream infection in 7 patients (6,7/1000 days CVC), ventilator associated pneumonia in 4 (9,4/1000 MV days), urinary-tract infection associated with UC in 4 (5,5/1000 UC days), one case of primary bloodstream infection and one surgical site infection. Isolated microorganisms were: 9 gram negatives bacillus, 4 Candida, 2 plasmocoagulase negative staphylococcus, 1 Haemophilus and 1 Staphylococcus aureus. Seven isolations were resistant microorganisms. There weren't any died related to NI.
  
  
  CONCLUSIONS
  NI epidemiology was similar to published data in our near countries. NI surveillance, with a standardized method of analysis is essential to the NI correct manage.
authors.affiliation: Servicio de Cuidados Intensivos Pediátricos, Hospital Sant Joan de Déu, Esplugues, Barcelona, España. Electronic address: ijordan@hsjdbcn.org.
authors.forename: I
authors.initials: I
authors.lastname: Jordan García
authors.affiliation: Servicio de Cuidados Intensivos Pediátricos, Hospital General Universitario Gregorio Marañón, Madrid, España.
authors.forename: A Bustinza
authors.initials: AB
authors.lastname: Arriourtúa
authors.affiliation: Sección de Cuidados Intensivos Pediátricos, Hospital Universitario Central de Asturias, Oviedo, España.
authors.forename: J A Concha
authors.initials: JA
authors.lastname: Torre
authors.affiliation: Sección de Cuidados Intensivos Pediatría, Hospital de Cruces, Baracaldo, Vizcaya, España.
authors.forename: J Gil
authors.initials: JG
authors.lastname: Antón
authors.affiliation: Unidad de Cuidados Intensivos Pediatría, Hospital Son Dureta, Palma de Mallorca, Baleares, España.
authors.forename: J C de Carlos
authors.initials: JC
authors.lastname: Vicente
authors.affiliation: Unidad de Cuidados Intensivos Pediatría, Grupo de Trabajo de Enfermedades Infecciosas de la SECIP, Hospital Virgen de la Arrixaca, El Palmar, Murcia, España.
authors.forename: C Téllez
authors.initials: CT
authors.lastname: González
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003428:Cross Infection / Q000453:epidemiology*; D005260:Female; D006801:Humans; D007223:Infant; D015278:Intensive Care Units, Pediatric; D008297:Male; D011446:Prospective Studies; D012121:Respiration, Artificial; D013030:Spain