Six-Year Surveillance of Acquired Bloodstream Infection in a Pediatric Intensive Care Unit in Israel

Dabaja‐Younis, Halima; Alaiyan, Maha; Shalabi, Ranaa Damouni; Ben‐Ari, Josef; Alon, Tamar; Hadash, Amir; Shachor-Meyouhas, Yael; Kassis, Imad; Hussein, Khetam

doi:10.1007/s13312-023-2693-8

Indian Pediatr

2022

DOI: 10.1007/s13312-023-2693-8

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Six-Year Surveillance of Acquired Bloodstream Infection in a Pediatric Intensive Care Unit in Israel

Halima Dabaja‐Younis

Maha Alaiyan

Ranaa Damouni Shalabi

et al.

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2024

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Intensive care unit–onset bloodstream infections represent a distinct category of hospital–onset infections: A multicentre, retrospective cohort study. Queensland Critical Care Network (QCCRN)

Tabah,

Edwards,

Ramanan

et al. 2024

Journal of the Association of Medical Microbiology and Infectio

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Background: The location of onset of bloodstream infections (BSIs) associated with intensive care unit (ICU) admission may influence their clinical and epidemiological characteristics. Methods: A multicentre, retrospective cohort study was conducted in Queensland, Australia, and BSIs associated with ICU admission were identified and classified as community-onset, hospital-onset, or ICU-onset if first isolated within, after 48 hours but within 48 hours of ICU admission, or after 48 hours following ICU admission, respectively. Results: We included 3,540 episodes of ICU-associated BSI, with 1,693 classified as community-onset, 663 hospital-onset, and 1,184 ICU-onset. Compared with hospital-onset BSIs, patients with ICU-onset BSIs were younger, had fewer comorbidities, had lower APACHE II scores, and were more likely male. Patients with ICU-onset BSI were more likely to be surgical admissions and have a primary cardiovascular or neurological diagnosis. The distribution of infective agents varied significantly among community-, hospital-, and ICU-onset BSI groups. The all-cause 30-day case-fatality rates for first-episode community-onset, hospital-onset, and ICU-onset BSIs were 17.1%, 21.7%, and 23.5%, respectively ( p < 0.001). Conclusion: With different epidemiological features and causal pathogens, ICU-onset BSI represents a distinct BSI group arising in hospitalized patients.

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Intensive care unit–onset bloodstream infections represent a distinct category of hospital–onset infections: A multicentre, retrospective cohort study. Queensland Critical Care Network (QCCRN)

Tabah,

Edwards,

Ramanan

et al. 2024

Journal of the Association of Medical Microbiology and Infectio

View full text Add to dashboard Cite

show abstract

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Six-Year Surveillance of Acquired Bloodstream Infection in a Pediatric Intensive Care Unit in Israel

Cited by 1 publication

References 11 publications

Intensive care unit–onset bloodstream infections represent a distinct category of hospital–onset infections: A multicentre, retrospective cohort study. Queensland Critical Care Network (QCCRN)

Intensive care unit–onset bloodstream infections represent a distinct category of hospital–onset infections: A multicentre, retrospective cohort study. Queensland Critical Care Network (QCCRN)

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