Hospital-acquired urinary tract infections in the pediatric patient: a prospective study.
Hospital-acquired urinary tract infections in the pediatric patient: a prospective study.
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儿科患者医院获得性尿路感染：一项前瞻性研究。
DOI：
10.1097/00006454-199401000-00003
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发表时间：
1994
期刊：
影响因子：
--
通讯作者：
L. G. Donowitz
中科院分区：
文献类型：
--
作者：
J. Lohr;S. Downs;S. Dudley;L. G. Donowitz
To determine through a prospective study the characteristics of hospital-acquired urinary tract infections (HAUTI) in children, 525 children subjected to bladder catheterization during a hospital admission were identified through surveillance of 12,316 admissions during a 24-month period. Urine culture results were available for 296 (56.4%) of the catheterized patients. In addition 12 noncatheterized children with a documented HAUTI were identified. The clinical courses of all patients with a HAUTI were followed for at least 6 months after their last HAUTI during the study period. Forty-four patients, 1 week to 17 years of age, with 1 or more HAUTI during a hospital unit admission were identified. A total of 51 HAUTI occurred. Thirty-nine (76.5%) of the infections occurred in patients subjected to catheterization. Thirty-two (10.8%) of 296 catheterized patients developed a HAUTI. Forty-three (84.3%) of the 51 infections were single organism infections. One HAUTI was associated with a wound infection with the same organism and one with a concurrent bacteremia with the same organism. Relapses were seen after 4 HAUTI. One reinfection was identified. There were no deaths directly associated with a HAUTI. Hospitalized children subjected to urinary tract catheterization are at significant risk for HAUTI. Complications are infrequent and not life-threatening.
