Infectious Diseases

Healthcare-associated infections in a multidisciplinary children’s hospital: results of a ten-year monitoring

Point-prevalence surveys are known as simple, cost-efficient, and time-saving option for surveillance of healthcare-associated infections which is used in many countries.
Objective. Repeated prevalence surveys of healthcare-associated infections were conducted in a multidisciplinary pediatric hospital twice a year between 2006 and 2015. The study aimed to assess the prevalence of healthcare-associated infections and to identify factors associated with acquiring healthcare-associated infections in the pediatric hospital.
Patients and methods. All patients staying in the hospital for more than 48 hours at 9 a.m. on the day of the survey were included. Altogether, 6284 inpatients were enrolled in the study and overall prevalence of healthcare-associated infections was 9.5%.
Results. We observed a reduction in prevalence of healthcare-associated infections over time from 12.8% in 2006 to 6.3% in 2015. The most prevalent healthcare-associated infections were upper respiratory tract infections (43.5%), followed by acute gastroenteritis (16.5%) and urinary tract  infections (13.1%). Compared to infants, children aged >3 years were less likely to have healthcare-associated infections. Hospital stay >7 days, neutropenia and use of intravascular catheter(s) were positively associated with healthcare-associated infections.
Conclusion. Surveillance routines may help to decrease prevalence of healthcare-associated infections by increasing awareness among the medical staff and identifying need for the infection control measures.
Key words: health-care associated infections, children.
For citation: Kriger E.A., Samodova О.V., Nazarenko S.Yu., Rogushina N.L., Grzhibovskiy A.M. Healthcare-associated infections in a multidisciplinary children’s hospital: results of a ten-year monitoring. Infekc. bolezni (Infectious diseases). 2019; 17(2): 53–60. (In Russian).

DOI: 10.20953/1729-9225-2019-2-53-60