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Presence of Invasive Devices and Risks of Healthcare-Associated Infections and Sepsis.

ABSTRACT: The present study evaluated the daily risk of healthcare-associated infections and sepsis (HAIS) events in pediatric intensive care unit patients with invasive devices. This was a retrospective cohort study. Invasive devices were associated with significant daily risk of HAIS ( p < 0.05). Endotracheal tubes posed the greatest risk of HAIS (hazard ratio [HR]: 4.39, confidence interval [CI]: 2.59-7.46). Children with both a central venous catheter (CVC) and urinary catheter (UC) had over 2.5-fold increased daily risk (HR: 2.59, CI: 1.18-5.68), in addition to daily CVC risk (HR: 3.06, CI: 1.38-6.77) and daily UC risk (HR: 8.9, CI: 3.62-21.91). We conclude that a multistate hazard model optimally predicts daily HAIS risk.

SUBMITTER: Bennett EE

PROVIDER: S-EPMC6506685 | biostudies-literature | 2018 Dec

REPOSITORIES: biostudies-literature

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Presence of Invasive Devices and Risks of Healthcare-Associated Infections and Sepsis.

Bennett Erin E EE VanBuren John J Holubkov Richard R Bratton Susan L SL

Journal of pediatric intensive care 20180523 4

The present study evaluated the daily risk of healthcare-associated infections and sepsis (HAIS) events in pediatric intensive care unit patients with invasive devices. This was a retrospective cohort study. Invasive devices were associated with significant daily risk of HAIS ( <i>p</i> < 0.05). Endotracheal tubes posed the greatest risk of HAIS (hazard ratio [HR]: 4.39, confidence interval [CI]: 2.59-7.46). Children with both a central venous catheter (CVC) and urinary catheter (UC) had over 2 ...[more]

PMID: 31073493

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