Infection control policies and hospital-associated infections among surgical patients: variability and associations in a multicenter pediatric setting.
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| Title: | Infection control policies and hospital-associated infections among surgical patients: variability and associations in a multicenter pediatric setting. |
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| Authors: | Zerr DM (AUTHOR), Garrison MM (AUTHOR), Allpress AL (AUTHOR), Heath J (AUTHOR), Christakis DA (AUTHOR) |
| Source: | Pediatrics. 2005 Apr Supplement, Vol. 115 Issue 4 Part 1, pe387-92. 1p. |
| Abstract: | BACKGROUND: Hospital-associated infections are an important cause of patient morbidity and death. Little is known about the variability of infection rates and infection control practices among pediatric hospitals. METHODS: This cross-sectional study was performed with the Pediatric Health Information System database, which includes demographic and diagnostic data for 35 freestanding, noncompeting, children's hospitals, and with data from a survey of the hospitals, which yielded additional information on infection control policies and practices. Patients undergoing elective surgical procedures were included in this study. RESULTS: Of the 35 eligible hospitals, 31 (89%) chose to participate in the survey component of this study. A total of 48278 patients met the inclusion criteria for the study; 2.3% of these patients had respiratory infections and 0.8% had gastrointestinal infections. The frequency of patients diagnosed with respiratory or gastrointestinal infections varied considerably among the hospitals and ranged from <1% to 6%. Certain infection control processes also varied among the hospitals during the study period. For instance, of the 31 hospitals, 12 monitored hand hygiene, 19 had administrative support of hand hygiene, and 16 had alcohol hand gel present for the entire study period. The presence of alcohol hand gel for the entire study was strongly and independently associated with lower odds of gastrointestinal infections (adjusted odds ratio: 0.64; 95% confidence interval: 0.49-0.85). CONCLUSIONS: Hospitals should support the use of alcohol hand gel, with the aim of decreasing hospital-associated infection rates. [ABSTRACT FROM AUTHOR] |
| Copyright of Pediatrics is the property of American Academy of Pediatrics and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 106488785 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Infection control policies and hospital-associated infections among surgical patients: variability and associations in a multicenter pediatric setting. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Zerr+DM%22">Zerr DM</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Garrison+MM%22">Garrison MM</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Allpress+AL%22">Allpress AL</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Heath+J%22">Heath J</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Christakis+DA%22">Christakis DA</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Pediatrics%22">Pediatrics</searchLink>. 2005 Apr Supplement, Vol. 115 Issue 4 Part 1, pe387-92. 1p. – Name: Abstract Label: Abstract Group: Ab Data: BACKGROUND: Hospital-associated infections are an important cause of patient morbidity and death. Little is known about the variability of infection rates and infection control practices among pediatric hospitals. METHODS: This cross-sectional study was performed with the Pediatric Health Information System database, which includes demographic and diagnostic data for 35 freestanding, noncompeting, children's hospitals, and with data from a survey of the hospitals, which yielded additional information on infection control policies and practices. Patients undergoing elective surgical procedures were included in this study. RESULTS: Of the 35 eligible hospitals, 31 (89%) chose to participate in the survey component of this study. A total of 48278 patients met the inclusion criteria for the study; 2.3% of these patients had respiratory infections and 0.8% had gastrointestinal infections. The frequency of patients diagnosed with respiratory or gastrointestinal infections varied considerably among the hospitals and ranged from <1% to 6%. Certain infection control processes also varied among the hospitals during the study period. For instance, of the 31 hospitals, 12 monitored hand hygiene, 19 had administrative support of hand hygiene, and 16 had alcohol hand gel present for the entire study period. The presence of alcohol hand gel for the entire study was strongly and independently associated with lower odds of gastrointestinal infections (adjusted odds ratio: 0.64; 95% confidence interval: 0.49-0.85). CONCLUSIONS: Hospitals should support the use of alcohol hand gel, with the aim of decreasing hospital-associated infection rates. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Pediatrics is the property of American Academy of Pediatrics and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=106488785 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1542/peds.2004-2014 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 1 StartPage: e387 Titles: – TitleFull: Infection control policies and hospital-associated infections among surgical patients: variability and associations in a multicenter pediatric setting. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Zerr DM – PersonEntity: Name: NameFull: Garrison MM – PersonEntity: Name: NameFull: Allpress AL – PersonEntity: Name: NameFull: Heath J – PersonEntity: Name: NameFull: Christakis DA IsPartOfRelationships: – BibEntity: Dates: – D: 03 M: 04 Text: 2005 Apr Supplement Type: published Y: 2005 Identifiers: – Type: issn-print Value: 00314005 Numbering: – Type: volume Value: 115 – Type: issue Value: 4 Part 1 Titles: – TitleFull: Pediatrics Type: main |
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