Open AccessSome Risk Factors for Hospital Infections at the ICU in the Vietnam National Children’s Hospital
Author(s) -
Thi Hue Pham,
Kien Ngai Le,
Bich Ngoc Hoang
Publication year - 2020
Publication title -
tạp chí nghiên cứu và thực hành nhi khoa/journal of pediatric research and practice
Language(s) - English
Resource type - Journals
eISSN - 2734-9179
pISSN - 2615-9198
DOI - 10.25073/jprp.v4i5.233
Subject(s) - medicine , sepsis , pneumonia , risk factor , urinary system , malnutrition , prospective cohort study , parenteral nutrition , intensive care medicine
Purpose: To identify some risk factors for hospital infections in the ICU, Vietnam National Children’s Hospital in 2018-2019.
Method: A prospective cohort study was conducted.
Results: Malnutrition grade II or higher, PRISM > 10, ≥ 3 invasive intervention, use of H2-receptor antagonists and intravenous feeding were risk factors for nosocomial infections. Endotracheal intubation, intubation for > 5 days, re-intubation, and aspiration of vomit were risk factors for nosocomial pneumonia. Intravenous exposure, 3 or more IV lines, and central venous catheterization were risk factors for sepsis. Gastrointestinal surgery, surgery time > 2 hours, postoperative drainage, drainage time > 5 days and no prophylactic antibiotics were risk factors for wound infection. Urinary retention and urinary flow > 3 days were risk factors for urinary tract infections.
Conclusion: Nosocomial infections with grade II or higher malnutrition and 3 invasive interventions, the use of H2-receptor resistance and intravenous nutrition associated with nosocomial infections. Pneumonia, urinary tract infections, and sepsis are high risk factors for nosocomial infections.