Presence of invasive devices and risk of healthcare-associated infections

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The present study evaluated the daily risk of healthcare-associated infections and sepsis (HAIS) events in pediatric intensive care unit patients with invasive devices” Bennett et al (2018).

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.

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Reference:

Bennett, E.E., VanBuren, J., Holubkov, R. and Bratton, S.L. (2018) Presence of Invasive Devices and Risks of Healthcare-Associated Infections and Sepsis. Journal of Pediatric Intensive Care. 7(4), p.188-195. doi: 10.1055/s-0038-1656535.

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