Hospital-acquired infections (HAI) risk factors include high complexity score, neonatal age, prolonged ICU stay after pediatric cardiac surgery.
"This prospective study was undertaken to determine the spectrum, sites and main risk factors for hospital-acquired infections (HAI) in our pediatric cardiothoracic intensive care unit (PCICU), and to determine the main organisms causing bloodstream infection in this setting.
"All patients admitted between January and December 1999 were prospectively followed for the development of HAI. To define risk factors, patients were grouped by age, complexity score, length of stay in PCICU, and whether the patient's chest was open or closed postoperatively," researchers in Israel report.
"Three hundred and thirty-five patients underwent cardiac surgery. Fifty-five patients acquired 69 HAIs (HAI patient rate 16.4%). The most common HAI were bloodstream and surgical wound infection in 10 and 8%, respectively.
"The main causative organisms were Klebsiella spp., Enterobacter spp. and Pseudomonas spp. in 22, 17, and 16% of episodes, respectively. Staphylococcus spp. accounted for 16% of episodes.
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