Risk factors for nosocomial infections in a critically ill pediatric population: A 25-month prospective cohort study
Risk factors for nosocomial infections in a critically ill pediatric population: A 25-month prospective cohort study
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DOI：
10.1086/501770
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发表时间：
2000-05-01
影响因子：
4.5
通讯作者：
Troster, EJ
中科院分区：
文献类型：
--
作者：
Gilio, AE;Stape, A;Troster, EJ
我们研究了1994年8月至1996年8月间500名进入儿科重症监护病房的危重儿童的院内感染危险因素，并对这些儿童进行前瞻性随访，直至死亡、转院或出院。年龄、性别、术后状态、住院时间、器械使用率、儿童死亡风险评分和总肠外营养是研究的危险因素。通过多因素分析，我们确定了医院感染的三个独立危险因素：器械使用率（优势比[OR]， 1.6； 95%可信区间[CI95]， 1.10-2.34）、总肠外营养（OR, 2.5; CI95, 1.05- 5.81）和住院时间（OR, 1.7; CI95, 1.31-2.21）。
We studied risk factors for nosocomial infections among 500 critically ill children who were admitted to a pediatric intensive care unit from August 1994 through August 1996 and who were prospectively followed until death, transfer, or discharge. Age, gender, postoperative state, length of stay, device-utilization ratio, pediatric risk of mortality score, and total parenteral nutrition were the risk factors studied. Through multivariate analysis, we identified three independent risk factors for nosocomial infection: device-utilization ratio (odds ratio [OR], 1.6; 95% confidence interval [CI95], 1.10-2.34), total parenteral nutrition (OR, 2.5; CI95, 1.05- 5.81) and length of stay (OR, 1.7; CI95 1.31-2.21).