J 2012

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

ŽUREK, Jiří and Michal FEDORA

Basic information

Original name

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

Authors

ŽUREK, Jiří (203 Czech Republic, guarantor, belonging to the institution) and Michal FEDORA (203 Czech Republic, belonging to the institution)

Edition

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

Other information

Language

English

Type of outcome

Article in a journal

Field of Study

30209 Paediatrics

Country of publisher

Islamic Republic of Iran

Confidentiality degree

is not subject to a state or trade secret

RIV identification code

RIV/00216224:14110/12:00059946

Organization unit

Faculty of Medicine

Keywords in English

Children; Endogenous; Exogenous; Infection; Nosocomial
Changed: 14/2/2013 19:13, Ing. Mgr. Věra Pospíšilíková

Abstract

In the original language

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.