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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.

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Accession: 029772232

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PMID: 18263573

DOI: 10.1093/tropej/fmm121


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