National study in 174 hospitals demonstrates striking reductions in major hospital-acquired infections among pediatric patients between 2007 and 2012.Pediatrics. 2014 Sep 8; [Epub ahead of print].
Health care–associated infections among critically ill children in the US, 2007–2012.
Patrick SW, Kawai AT, Kleinman K, et al. Pediatrics. 2014 Sep 8; [Epub ahead of print].
This large cohort study of 174 hospitals examined rates of central line–associated bloodstream infections(CLABSIs), ventilator-associated pneumonias, and catheter-associated urinary tract infections in neonatal and pediatric intensive care units (ICUs) across the United States. Between 2007 and 2012, there were remarkable reductions in these hospital-acquired infections among critically ill infants and children. In pediatric ICUs, CLABSIs plummeted from about 4.7 to 1.0 per 1000 central-line days, while ventilator-associated pneumonias dropped from 1.9 to 0.7 per 1000 ventilator-days. The trends were similar in neonatal ICUs. The authors estimate that the decrease in CLABSI rates alone not only enhanced patient safety but also saved $131 million for these hospitals during the study period. A recent AHRQ WebM&M perspective focused on hospital infection prevention programs.
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