Classification of Infections in Intensive Care Units: A
Comparison of Current Definition of Hospital-Acquired
Infections and Carrier State Criterion

J 2012

Classification of Infections in Intensive Care Units: A Comparison of Current Definition of Hospital-Acquired Infections and Carrier State Criterion

ŽUREK, Jiří a Michal FEDORA

Základní údaje

Originální název

Classification of Infections in Intensive Care Units: A Comparison of Current Definition of Hospital-Acquired Infections and Carrier State Criterion

Autoři

ŽUREK, Jiří a Michal FEDORA

Vydání

Iranian Journal of Medical Sciences, Shiraz, Iran, Shiraz University of Medical Sciences, 2012, 0253-0716

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30209 Paediatrics

Stát vydavatele

Írán

Utajení

není předmětem státního či obchodního tajemství

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/12:00059946

Organizační jednotka

Lékařská fakulta

Klíčová slova anglicky

Children; Endogenous; Exogenous; Infection; Nosocomial

Změněno: 14. 2. 2013 19:13, Ing. Mgr. Věra Pospíšilíková

Anotace

V originále

Background: The rate of nosocomial infection appears to depend on whether it is calculated using the Center for Disease Control (CDC) or carrier state criteria. The objective of this study was to differentiate between primary endogenous (PE), secondary endogenous (SE) and exogenous (EX) infections, and to compare this Classification with CDC criteria for nosocomial infections. Methods: Children hospitalized for more than 72 h at pediatric intensive care unit during 2004-2005 were enrolled. Children, who had the infection before the admission, and or did not develop an infection within the hospitalization were excluded. Surveillance samples were sampled on admission, and then twice a week. Diagnostic samples were obtained when infection was suspected based on the clinical condition and laboratory findings. Infections were evaluated as PE, SE and EX, and their incidences were compared with CDC criteria for nosocomial infections. Results: One hundred seventy eight patients were enrolled in the study. Forty-four patients (24.7%) develop infection. Twenty-seven patients (61.3%) had PE, 10 patients (22.7%) had SE, and 7 patients (15.9%) had EX infection. Secondary endogenous and EX infections are considered as nosocomial, thus 17 patients (38.6%) had a nosocomial infection. Thirty-one patients (70.5%) met CDC criteria for nosocomial infections. Seventeen patients (55%) were classified as PE, and 14 patients (45%) as SE or EX infections. Conclusion: Seventy percent of infections (31 out of 44 patients) met the CDC criteria for nosocomial infections, but only 39% of infections (17 out of 44 patients) were classified as nosocomial based on carrier state Classification.

Citovat

ŽUREK, Jiří a Michal FEDORA. Classification of Infections in Intensive Care Units: A Comparison of Current Definition of Hospital-Acquired Infections and Carrier State Criterion. Iranian Journal of Medical Sciences. Shiraz, Iran: Shiraz University of Medical Sciences, 2012, roč. 37, č. 2, s. 100-104. ISSN 0253-0716.

@article{982496,
   author = {Žurek, Jiří and Fedora, Michal},
   article_location = {Shiraz, Iran},
   article_number = {2},
   keywords = {Children; Endogenous; Exogenous; Infection; Nosocomial},
   language = {eng},
   issn = {0253-0716},
   journal = {Iranian Journal of Medical Sciences},
   title = {Classification of Infections in Intensive Care Units: A Comparison of Current Definition of Hospital-Acquired Infections and Carrier State Criterion},
   volume = {37},
   year = {2012}
}

TY  - JOUR
ID  - 982496
AU  - Žurek, Jiří - Fedora, Michal
PY  - 2012
TI  - Classification of Infections in Intensive Care Units: A Comparison of Current Definition of Hospital-Acquired Infections and Carrier State Criterion
JF  - Iranian Journal of Medical Sciences
VL  - 37
IS  - 2
SP  - 100-104
EP  - 100-104
PB  - Shiraz University of Medical Sciences
SN  - 02530716
KW  - Children
KW  - Endogenous
KW  - Exogenous
KW  - Infection
KW  - Nosocomial
N2  - Background: The rate of nosocomial infection appears to depend on whether it is calculated using the Center for Disease Control (CDC) or carrier state criteria. The objective of this study was to differentiate between primary endogenous (PE), secondary endogenous (SE) and exogenous (EX) infections, and to compare this Classification with CDC criteria for nosocomial infections. Methods: Children hospitalized for more than 72 h at pediatric intensive care unit during 2004-2005 were enrolled. Children, who had the infection before the admission, and or did not develop an infection within the hospitalization were excluded. Surveillance samples were sampled on admission, and then twice a week. Diagnostic samples were obtained when infection was suspected based on the clinical condition and laboratory findings. Infections were evaluated as PE, SE and EX, and their incidences were compared with CDC criteria for nosocomial infections. Results: One hundred seventy eight patients were enrolled in the study. Forty-four patients (24.7%) develop infection. Twenty-seven patients (61.3%) had PE, 10 patients (22.7%) had SE, and 7 patients (15.9%) had EX infection. Secondary endogenous and EX infections are considered as nosocomial, thus 17 patients (38.6%) had a nosocomial infection. Thirty-one patients (70.5%) met CDC criteria for nosocomial infections. Seventeen patients (55%) were classified as PE, and 14 patients (45%) as SE or EX infections. Conclusion: Seventy percent of infections (31 out of 44 patients) met the CDC criteria for nosocomial infections, but only 39% of infections (17 out of 44 patients) were classified as nosocomial based on carrier state Classification.
ER  -

ŽUREK, Jiří a Michal FEDORA. Classification of Infections in Intensive Care Units: A Comparison of Current Definition of Hospital-Acquired Infections and Carrier State Criterion. \textit{Iranian Journal of Medical Sciences}. Shiraz, Iran: Shiraz University of Medical Sciences, 2012, roč.~37, č.~2, s.~100-104. ISSN~0253-0716.

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