+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

A retrospective study of nosocomial infections in a pediatric hospital: a seven-year experience at Beijing Children's Hospital

A retrospective study of nosocomial infections in a pediatric hospital: a seven-year experience at Beijing Children's Hospital

Journal of Tropical Pediatrics 54(4): 281-282

A retrospective study of children who were admitted to the Beijing Children's Hospital, Beijing, China between 2000 and 2006 was conducted. The aim of this study was to investigate the rate of nosocomial infections (NIs) and the frequency of nosocomial pathogen in a general children's hospital over a seven-year period. During the study period, 163 508 patients were discharged from this general children's hospital and there were 5994 NI episodes identified. The mean annual rate of NIs was 3.67% episodes per 100 discharges. There was a significant difference in annual NI rates between 2000 and 2006 (P<0.01). NI rates ranged between 0.2 and 12.6% in different departments, and the highest rates were observed in the haematology department, followed by the internal medicine department, the paediatric intensive care unit and the neonatal intensive care unit. Regardless of the year of surveillance, the most commonly detected NIs involved the upper respiratory tract, which accounted for more than 50% of all NIs, followed by the lower respiratory tract and gastrointestinal tract. These findings differed from other reports in adults. Gram-negative bacteria were the most common causative pathogen, in which Klebsiella pneumoniae, Pseudomonas aeruginosa, Escherichia coli and Acinetobacter baumannii accounted for more than 65% of all isolated Gram-positive bacteria. Enterococci, Staphylococcus spp. and S. aureus were the most frequently isolated Gram-positive bacteria. Rotavirus and Candida spp. were the most frequently isolated viral and fungal organisms, respectively.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 029772232

Download citation: RISBibTeXText

PMID: 18263573

DOI: 10.1093/tropej/fmm121

Related references

Incidence, clinical characteristics, and outcomes of nosocomial Enterococcus spp. bloodstream infections in a tertiary-care hospital in Beijing, China: a four-year retrospective study. Antimicrobial Resistance and Infection Control 6: 73, 2017

Nosocomial bloodstream infections in children: an 8-year experience at a tertiary-care hospital in Finland. Clinical Microbiology and Infection 14(11): 1072-1075, 2008

Nosocomial infections among pediatric hematology patients: results of a retrospective incidence study at a pediatric hospital in China. Journal of Pediatric Hematology/Oncology 30(9): 674-678, 2008

Nosocomial urinary tract infections: retrospective study in a pediatric hospital. Archives de Pediatrie 5(Suppl. 3): 274s-278s, 1998

Nosocomial infections. Experience at a third-level pediatric hospital. Salud Publica de Mexico 41(Suppl. 1): S12-S17, 1999

Nosocomial infections. Trends over a 12 year-period in a pediatric hospital. Revista Medica del Instituto Mexicano del Seguro Social 52(Suppl. 2): S38-S42, 2014

Incidence of nosocomial rotavirus infections in a pediatric hospital over a 3-year period. Minerva Pediatrica 58(5): 477-482, 2006

Agents and consequences of nosocomial infections in a Lebanese university hospital. Retrospective study over a two-year period. Annales de Medecine Interne 152(2): 77-83, 2001

Colistin use in pediatric intensive care unit for severe nosocomial infections: experience of an university hospital. Annals of Clinical Microbiology and Antimicrobials 12: 32, 2013

Three-year experience with cefepime (maxipime) in the treatment of nosocomial infections in specialized surgical hospital. Antibiotiki i Khimioterapiya 49(1): 26-29, 2004

Epidemiology and microbiology of Gram-positive bloodstream infections in a tertiary-care hospital in Beijing, China: a 6-year retrospective study. Antimicrobial Resistance and Infection Control 7: 107, 2018

Deaths from nosocomial infections experience in a university hospital and a community hospital. American Journal of Medicine 68(2): 219-223, 1980

Nosocomial bacteremia in children: a 15-year experience at a general hospital in Mexico. Infection Control and Hospital Epidemiology 28(4): 418-422, 2007

Nosocomial outbreaks: the Centers for Disease Control's Hospital Infections Program experience, 1980-1990. Epidemiology Branch, Hospital Infections Program. American Journal of Medicine 91(3b): 101s-106s, 1991

A 10-year retrospective review of Salmonella infections at the Children's Hospital in London, Ontario. Canadian Journal of Infectious Diseases and Medical Microbiology 21(2): 78-82, 2010