• About
  • Masthead
  • License Content
  • Advertise
  • Submit Press Release
  • RSS/Email List
  • Write for us
  • Contact us
2 Minute Medicine
No Result
View All Result

No products in the cart.

SUBSCRIBE
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
2 Minute Medicine
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
SUBSCRIBE
2 Minute Medicine
Subscribe
Home All Specialties Infectious Disease

Healthcare-associated infections falling among critically ill children

byJames GrayandCordelia Ross
September 8, 2014
in Infectious Disease, Pediatrics, Public Health
Reading Time: 3 mins read
0
Share on FacebookShare on Twitter

1. Central line-associated bloodstream infections (CLABSIs) and ventilator-associated pneumonias (VAPs) fell significantly among neonatal intensive care units between 2007 and 2012.

2. During the same time period, CLABSIs and VAPs also fell significantly among pediatric intensive care units; however, there was no significant change in catheter-associated urinary tract infections (CAUTIs).

Evidence Rating Level: 2 (Good)

Study Rundown: Hospital-associated infections (HAIs) such as CLABSIs and VAPs are known to cause significant morbidity and mortality in pediatric populations. This study examined the incidence of CLABSIs and VAPs among neonatal intensive care units (NICUs); as well as CLABSIs, VAPs and CAUTIs among pediatric intensive care units (PICUs) in the United States between 2007 and 2012. In both NICUs and PICUs, rates of CLABSI fell 61% during the study. Similarly, VAP incidence fell 50% in NICUs and 76% in PICUs. Among PICUs, CAUTI rates remained unchanged during the study period. This study is limited by the inclusion of only hospitals who are members of the Preventing Avoidable Infectious Complications by Avoiding Payment (PAICAP) study, who were more likely to be large (>400 beds) and to be associated with a graduate teaching hospital. The Affordable Care Act and Medicaid began financially penalizing hospitals for HAIs in 2012. This study shows that it is possible to reduce HAIs and, in fact, many hospitals succeeded in doing so without financial incentives.

Click to read the study, published today in Pediatrics

Relevant Reading: Reducing Central Line–Associated Bloodstream Infections in North Carolina NICUs

Study Author, Dr. Stephen Patrick, MD, MPH, MS, talks to 2 Minute Medicine: Vanderbilt University, Assistant Professor of Pediatrics and Health Policy, Division of Neonatology:

RELATED REPORTS

#VisualAbstract: New-onset atrial fibrillation following hospitalization for pneumonia associated with increased thromboembolic risk

Intravenous vitamin C increases mortality and organ dysfunction in sepsis patients

New-onset atrial fibrillation following hospitalization for pneumonia associated with increased thromboembolic risk

“Health-care associated infections (HAIs) are a harmful and costly complication of the care we provide to our most vulnerable patients. Our study found a dramatic decrease in HAIs across the US. This paper will introduce trainees to HAIs and discuss why we believe this dangerous complication of care is becoming more rare. Despite the decrease there is more work to do, trainees play a pivotal role in making care for our children safer by being mindful of ways to reduce HAIs.”

In-Depth [retrospective cohort]: In this study, authors examined hospitals reporting to the CDC’s National Healthcare Safety Network between 2007 and 2012. The 174-hospital subset examined were members of PAICAP study and included 173 institutions reporting NICU data and 64 institutions reporting PICU data. Among NICUs, the rates of CLABSI fell from 4.9 to 1.5 per 1000 line days (incident rate ratio [IRR] 0.96 per quarter, 95% CI 0.95-0.97). VAP incidence rates fell from 1.6 to 0.6 per 1000 ventilator days (IRR 0.97 per quarter, CI 0.93-0.99). In addition, very low birth weight infants were 2.24 (CI 1.96-2.57) times as likely to have CLABSI and 3.48 (CI 2.11-5.47) times as likely to have VAP when compared to normal birth weight neonates. Among PICUs, the rates of CLABSI fell from 4.7 to 1.0 per 1000 line days (IRR 0.96 per quarter, CI 0.94-0.98) and VAP rates fell from 1.9 to 0.7 per 1000 ventilator days (IRR 0.95 per quarter, CI 0.94-0.98).

More from this author: Childhood ADHD, stimulant treatment not linked with height

Image: PD

©2012-2014 2minutemedicine.com. All rights reserved. No works may be reproduced without expressed written consent from 2minutemedicine.com. Disclaimer: We present factual information directly from peer reviewed medical journals. No post should be construed as medical advice and is not intended as such by the authors, editors, staff or by 2minutemedicine.com. PLEASE SEE A HEALTHCARE PROVIDER IN YOUR AREA IF YOU SEEK MEDICAL ADVICE OF ANY SORT.

Tags: infectionsintensive careneonatal intensive carepneumonia
Previous Post

Melanoma risk may be elevated in flight-based occupations

Next Post

Pediatric renal and thyroid cancer rates increase

RelatedReports

#VisualAbstract: New-onset atrial fibrillation following hospitalization for pneumonia associated with increased thromboembolic risk
StudyGraphics

#VisualAbstract: New-onset atrial fibrillation following hospitalization for pneumonia associated with increased thromboembolic risk

June 28, 2022
Emergency

Intravenous vitamin C increases mortality and organ dysfunction in sepsis patients

June 27, 2022
Rivaroxaban likely reduces risk of recurrent stroke in specific subgroup of patients with embolic stroke of undetermined source
Cardiology

New-onset atrial fibrillation following hospitalization for pneumonia associated with increased thromboembolic risk

May 30, 2022
Psychiatry

Symptoms of posttraumatic stress disorder highly prevalent among family members of patients admitted to the intensive care unit with COVID-19

May 2, 2022
Next Post
Pediatric renal and thyroid cancer rates increase

Pediatric renal and thyroid cancer rates increase

Lower vulvar cancer-related mortality in African Americans

Puberty suppression linked to improved well-being in transgender youth

ADHD stimulant treatment associated with changes in BMI trajectory

2 Minute Medicine Rewind September 1 – September 8, 2014

License Our Award-Winning Physician-Written Medical News and Visual Abstracts

2 Minute Medicine is the leading authoritative medical news licensing service, and the only with reports written by practicing doctors.

LICENSE CONTENT

2MM+ Premium Access

No ads & unlimited access to all current reports, over 9000 searchable archived reports, visual abstracts, Weekly Rewinds, and the online edition of The Classics Series™ textbook.

Subscription Options
2 Minute Medicine

2 Minute Medicine® is an award winning, physician-run, expert medical media company. Our content is curated, written and edited by practicing health professionals who have clinical and scientific expertise in their field of reporting. Our editorial management team is comprised of highly-trained MD physicians. Join numerous brands, companies, and hospitals who trust our licensed content.

Recent Reports

  • Stereotactic body radiotherapy as a state of the art treatment option in inoperable non-small cell lung cancer [Classics Series]
  • Health system-based care associated with better treatment use and high rates of tobacco abstinence at 3 months post-discharge in hospitalized smokers
  • APOEε4 genotype may increase risk of chronic traumatic encephalopathy following repetitive head impact
License Content
Terms of Use | Disclaimer
Cookie Policy
Privacy Statement (EU)
Disclaimer

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.