Resumen

FLORES, Juan C et al. Higher risk for health care associated infections in hospitalized children with special health needs. Rev. chil. infectol. [online]. 2014, vol.31, n.3, pp.287-292. ISSN 0716-1018.  http://dx.doi.org/10.4067/S0716-10182014000300006.

Background: Nosocomial infections (NIs) represent an important public health issue, being associated with high morbidity, mortality and costs. Objectives: To identify risk factors of NIs in a cohort of hospitalized pediatric patients, with emphasis in children with special health care needs (CSHCN). Patients and Methods: We studied patients hospitalized in Sótero del Río Pediatric Hospital at Santiago-Chile, between September and December, 2009. Relative Risk (RR) was calculated between CSHCN-3 (children attended by three or more health care professionals) versus non CSHCN-3, and between children with medical complexity (CMC) versus non CMC, using log-binomial models. Results: 920 patients were included. Prevalence of NIs was 12.7%. The most frequent diagnoses were gastrointestinal and respiratory viral infections. Both crude and adjusted by confounders (age and sex), CSHCN-3 and CMC presented significantly higher risk of NIs compared to patients without these conditions (RR 2.91 and RR 2.16, respectively). Conclusion: CSHCN-3 and CMC represent independent conditions associated to a 2-3 fold risk of NIs.

Palabras clave : Chronic diseases; children; nosocomial Infection.

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