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. 2018 Dec;7(4):188-195.
doi: 10.1055/s-0038-1656535. Epub 2018 May 23.

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

Erin E Bennett  1 , John VanBuren  1 , Richard Holubkov  1 , Susan L Bratton  1
Affiliations

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

Erin E Bennett et al. J Pediatr Intensive Care. 2018 Dec.

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.

Keywords: catheter-associated infections; healthcare-associated infection; sepsis.

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Conflict of interest statement

Conflict of Interest None.

Figures

Fig. 1
Fig. 1
Flow chart of all pediatric intensive care unit subjects with an initial healthcare-associated infection or sepsis (HAIS) event, distributed by event type.
See this image and copyright information in PMC

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