We assessed the association between bloodstream infections (BSIs) and inpatient length
of stay among pediatric cancer patients with febrile neutropenia in Mexico City. The
estimated length of stay for BSIs was 19 days, which corresponded with a 100% (95%
confidence limits, 60%–160%) relative increase in the length of stay compared with
patients for whom no pathogen was identified. Feasible options for reducing the length
of stay should be considered to alleviate patient and resource burden.
Key Words
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References
- Fever and neutropenia in pediatric patients with cancer.Emerg Med Clin North Am. 2009; 27: 525-544
- Etiology and clinical course of febrile neutropenia in children with cancer.J Pediatr Hematol Oncol. 2009; 31: 623-629
- Length of stay and mortality associated with febrile neutropenia among children with cancer.J Clin Oncol. 2005; 23: 7958-7966
- Suspected infection in children with cancer.J Qual Clin Pract. 1998; 18: 275-284
- Bloodstream infections in a German paediatric oncology unit: prolongation of inpatient treatment and additional costs.Int J Hyg Environ Health. 2009; 212: 541-546
- Paediatric cancer in low-income and middle-income countries.Lancet Oncol. 2013; 14: e104-e116
- CDC/NHSN surveillance definition of health care-associated infection and criteria for specific types of infections in the acute care setting.Am J Infect Control. 2008; 36: 309-332
- Parametric frailty and shared frailty survival models.Stata J. 2002; 2: 22-44
- Overadjustment bias and unnecessary adjustment in epidemiologic studies.Epidemiology. 2009; 20: 488-495
- SIOP PODC: recommendations for supportive care of children with cancer in a low-income setting.Pediatr Blood Cancer. 2013; 60: 899-904
- Update on blood cultures: how to obtain, process, report, and interpret.Clin Microbiol Infect. 2013; 19: 513-520
- Antibiotic-resistant Gram-negative bacteremia in pediatric oncology patients–risk factors and outcomes.Pediatr Infect Dis J. 2013; 32: 723-726
- Automated alerts coupled with antimicrobial stewardship intervention lead to decreases in length of stay in patients with gram-negative bacteremia.Infect Control Hosp Epidemiol. 2014; 35: 132-138
Article info
Publication history
Published online: September 15, 2014
Footnotes
Funding: Ojha, Johnson, and Caniza were supported by the American Lebanese Syrian Associated Charities. The funding source was not involved in the study design, data collection, analysis, interpretation, writing, or decision to submit this report.
Conflict of interest: None to report.
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Copyright
© 2014 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.
