• patients
  • They are common occurrences in patients of all ages and are estimated to result in 2 million infections, 90 000 deaths, and $28 to $45 billion in excess health care costs annually. (aappublications.org)
  • 1 , 2 In the Pediatric Prevention Network national point prevalence survey, 11.2% of NICU patients had a health care−associated infection on the day of the survey. (aappublications.org)
  • While improvements in survival and processes of care have been made in high-income settings among patients with severe conditions, such as sepsis, guidelines necessary for achieving these improvements may lack applicability or have not been tested in resource-limited settings. (biomedcentral.com)
  • Patients Children admitted to a UK PICU (1 January 2004 and 31 March 2015) were identified in the Paediatric Intensive Care Audit Network dataset. (bmj.com)
  • infections
  • Health care−associated infections in the NICU are a major clinical problem resulting in increased morbidity and mortality, prolonged length of hospital stays, and increased medical costs. (aappublications.org)
  • Neonates are at high risk for health care−associated infections because of impaired host defense mechanisms, limited amounts of protective endogenous flora on skin and mucosal surfaces at time of birth, reduced barrier function of neonatal skin, the use of invasive procedures and devices, and frequent exposure to broad-spectrum antibiotics. (aappublications.org)
  • This statement will review the epidemiology and diagnosis of health care−associated infections in newborn infants. (aappublications.org)
  • Health care−associated infections are infections acquired in the hospital while receiving treatment of other conditions. (aappublications.org)
  • 3 Although there are no recent estimates of the cost of health care−associated infections in the NICU, Payne et al 4 estimated that health care-associated bloodstream infections added almost $100 million to the cost of treating infants with birth weights from 500 to 1499 g in 1999 dollars. (aappublications.org)
  • Because this finding represented the excess costs associated with only one type of infection in one gestational age cohort, it provides just a glimpse of the financial impact of health care−associated infections in the NICU. (aappublications.org)
  • Reducing health care−associated infections in the NICU would have benefits to infants, families, and the health care delivery system. (aappublications.org)
  • The purpose of this technical report was to review the epidemiology and diagnosis of health care-associated infections in the NICU. (aappublications.org)
  • A companion policy statement addresses strategies for the prevention of health care-associated infections. (aappublications.org)
  • Newborn infants hospitalized in a NICU have host factors that not only make them more vulnerable to acquisition of health care-associated infections but also increase their risk of developing more serious illnesses. (aappublications.org)
  • Infants with birth weights less than1500 g (very low birth weight) have rates of health care-associated infections 3 times higher than those who weigh greater than 1500 g at birth. (aappublications.org)
  • Recommendations to improve neonatal outcome are: performing essential newborn care for all newborns and arranging appropriate follow up until the end of neonatal period, increasing antenatal care and early detection and management of neonatal infections or problems. (biomedcentral.com)
  • medical
  • The prevalence of children and young people with a LLC is increasing 1 partly due to more aggressive treatment of complications and the use of medical technologies, including paediatric intensive care unit (PICU). (bmj.com)
  • families
  • There is an opportunity to integrate specialist paediatric palliative care services with paediatric critical care to enable choice around place of care for these children and families. (bmj.com)