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International Journal of Pediatrics
Volume 2009 (2009), Article ID 721320, 5 pages
http://dx.doi.org/10.1155/2009/721320
Clinical Study

Nosocomial Infections among Pediatric Patients with Neoplastic Diseases

1Department of Pediatrics, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand
2Department of Pediatrics, Buddha Chinaraj Hospital, Phitsanulok 6500, Thailand
3Department of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21250, USA

Received 28 January 2009; Revised 21 June 2009; Accepted 1 September 2009

Academic Editor: Steven E. Lipshultz

Copyright © 2009 Peninnah Oberdorfer et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Pediatric patients with neoplastic diseases are more likely to develop nosocomial infections (NIs). NIs may prolong their hospital stay, and increase morbidity and mortality. Objectives. The objectives of this study were to determine: (1) the incidence of NIs, (2) sites of NIs, (3) causal organisms, and (4) outcomes of NIs among pediatric patients with neoplastic diseases. Methods. This study was a prospective cohort study of pediatric patients with neoplastic diseases who were admitted to the Chiang Mai University Hospital, Thailand. Results. A total of 707 pediatric patients with neoplastic diseases were admitted. Forty-six episodes of NIs in 30 patients were reported (6.5 NIs/100 admission episodes and 7 NIs/1000 days of hospitalization). Patients with acute lymphoblastic leukemia had the highest number of NIs (41.3%). The most common causal organisms were gram-negative bacteria (47.1%). Patients who had undergone invasive procedures were more likely to develop NIs than those who had not ( ). The mortality rate of patients with NIs was 19.6%. Conclusion. Pediatric patients with neoplastic diseases are more likely to develop NIs after having undergone invasive procedures. Pediatricians should be aware of this and strictly follow infection control guidelines in order to reduce morbidity and mortality rates related to NIs.