INCIDENCE OF NOSOCOMIAL BLOOD STREAM INFECTION, PNEUMONIA AND URINARY TRACT INFECTION INPEDIATRIC WARD AT KING ABDULAZIZ UNIVERSITY HOSPITAL, JEDDAH, SAUDI ARABIA 2015- 2016.

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Background: Nosocomial infections (NI): ?defined as those occurring within 48 hours of hospital admission,3 days of discharge or 30 days of an operation?. NI is Major complication in pediatric patients at different hospital wards. NI is associated with significant morbidity and mortality. Studies had shown that NI are associated with prolonged hospital stay and increase economic burden on the health care system. Objectives:-Identify the commonest organism which causes nosocomial BSI, pneumonia or UTI among pediatric patients at KAUH,2015-2016.To-know the prevalence of nosocomial BSI, pneumonia and UTI among pediatric patients atKAUH,2015-2016.-Identify the commonest predisposing factors which lead to nosocomial BSI, pneumonia and UTI among pediatric patients at KAUH,2015-2016. Methods:This is a retrospective study done at King Abdulaziz University Hospital Jeddah Saudi Arabia 2015-2016.This include all pediatric patients who developed fever after 48 hours of hospital admission, 3days of discharge or 30 days of an operation in pediatric ward 2015-1016. Results:The number of patients who admitted was 1502 patients,111 patients got NI. Infants are more reliable to have NI by(62.2%).Patient who had cardiovascular disease(18.9%)is more susceptible to have NI. The commonest type of infections were UTI(25.2%), BSI(21.6%) and pneumonia(19.8%).Gram negative were the dominant(48.9%).The commonest pathogen was Coagulase negative staphylococci(25.3%).The most predisposing factors were Immunosuppressive medications(22.5%),Central venous catheter(22.5%)and Nasogastric tube(19.8%). Conclusions: Infant patients are more reliable to get NI. The UTI is the commonest type of infection. Gram negative are the commonest but, the Coagulase negative staphylococci is the common organism. Immunosuppressive medications, Central venous catheter and Nasogastric tube are the most predisposing factors.


  1. Inweregbu K, Dave J, Pittard A. Nosocomial infections. ContinEducAnaesthCrit Care Pain. 2005;5(1):14-17.
  2. Urrea M, Rives S, Cruz O, Navarro A, Jos? Garcı́a J, Estella J. Nosocomial infections among pediatric hematology/oncology patients: Results of a prospective incidence study. American Journal of Infection Control. 2004;32(4):205-208.
  3. Singhi S, Ray P, Mathew J, Jayashree M, Dhanalakshmi. Nosocomial bloodstream infection in a pediatric intensive care unit. Indian J Pediatr. 2008;75(1):25-30.
  4. Tantracheewathorn T, Vititpatarapak N, Phumisantiphong U. Epidemiologic study of nosocomial bacterial infection of pediatric patients at BMA Medical College and Vajira Hospital. Journal of the Medical Association of Thailand, Chotmaihetthangphaet [Internet]. 2007 [cited 3 March 2016];90(2):258-65.
  5. Becerra M, Tantalean J, Suarez V, Alvarado M, Candela J, Urcia F. Epidemiologic surveillance of nosocomial infections in a pediatric intensive care unit of a developing country. BMC Pediatrics. 2010;10(1):66.
  6. Rasslan O, Seliem Z, Ghazi I, El Sabour M, ElKholy A, Sadeq F et al. Device-associated infection rates in adult and pediatric intensive care units of hospitals in Egypt. International Nosocomial Infection Control Consortium (INICC) findings. Journal of Infection and Public Health. 2012;5(6):394-402.
  7. Ben Jaballah N, Bouziri A, Kchaou W, Hamdi A, Mnif K, Belhadj S et al. ?pid?miologie des?infections bact?riennesnosocomialesdans?une?unit? de?r?animationn?onatale et?p?diatriquetunisienne. M?decineet Maladies Infectieuses. 2006;36(7):379-385.
  8. Raymond JAujard Y. Nosocomial Infections in Pediatric Patients: A European, Multicenter Prospective Study . Infection Control and Hospital Epidemiology. 2000;21(4):260-263.
  9. Abdel-Fattah M. Surveillance of Nosocomial Infections at a Saudi Arabian Military Hospital for a One-Year Period. International Journal of Infectious Diseases. 2005;12:e369-e370.
  10. Jackowska T, Pawlik K. Prevention of nosocomial infections in the pediatric ward - own experiences. - PubMed - NCBI [Internet]. Ncbi.nlm.nih.gov. 2015 [cited 6 June 2016]. Available from: http://www.ncbi.nlm.nih.gov/pubmed/26384127
  11. Wisplinghoff H, Bischoff T, Tallent S, Seifert H, Wenzel R, Edmond M. Nosocomial Bloodstream Infections in US Hospitals: Analysis of 24,179 Cases from a Prospective Nationwide Surveillance Study. 2004.
  12. Singhi, Ray, Mathew, Jayashree, Dhanalakshmi. Nosocomial bloodstream infection in a pediatric intensive care unit. - PubMed - NCBI [Internet]. Ncbi.nlm.nih.gov. 2008 [cited 19 December 2016]. Available from: https://www.ncbi.nlm.nih.gov/pubmed/18245931
  13. Richards M, Edwards J, Culver D, Gaynes R, System t. Nosocomial Infections in Pediatric Intensive Care Units in the United States [Internet]. Pediatrics.aappublications.org. 1999 [cited 19 December 2016]. Available from: http://pediatrics.aappublications.org/content/103/4/e39.short
  14. Yogaraj J, Elward A, Fraser V. Rate, Risk Factors, and Outcomes of Nosocomial Primary Bloodstream Infection in Pediatric Intensive Care Unit Patients. 2002.

[Osama Y. Safder, Mohammed S. Alzahrani, Wafaa F. Alharbi, Hassan K. Balubaid, Mohammed F. Bukhari, Bashaer S. Alshomrany, Barah A. Malibari, Nada J. Alata, Manayer G. ALmutairi and AbeerAlnajjar. (2017); INCIDENCE OF NOSOCOMIAL BLOOD STREAM INFECTION, PNEUMONIA AND URINARY TRACT INFECTION INPEDIATRIC WARD AT KING ABDULAZIZ UNIVERSITY HOSPITAL, JEDDAH, SAUDI ARABIA 2015- 2016. Int. J. of Adv. Res. 5 (Jan). 2083-2090] (ISSN 2320-5407). www.journalijar.com


Mohammed Saleh Alzahrani
King Abdulaziz University

DOI:


Article DOI: 10.21474/IJAR01/2981      
DOI URL: https://dx.doi.org/10.21474/IJAR01/2981