Bloodstream infections at a tertiary level paediatric hospital in South Africa
| dc.contributor.author | Lochan, Harsha | |
| dc.contributor.author | Pillay, Vashini | |
| dc.contributor.author | Bamford, Colleen | |
| dc.contributor.author | Nuttall, James | |
| dc.contributor.author | Eley, Brian | |
| dc.date.accessioned | 2017-12-14T09:58:45Z | |
| dc.date.available | 2017-12-14T09:58:45Z | |
| dc.date.issued | 2017-12-06 | |
| dc.date.updated | 2017-12-10T04:58:05Z | |
| dc.description.abstract | Background: Bloodstream infection (BSI) in children causes significant morbidity and mortality. There are few studies describing the epidemiology of BSI in South African children. Methods: A retrospective descriptive cohort study was conducted at a paediatric referral hospital in Cape Town, South Africa. The National Health Laboratory Service (NHLS) microbiology database was accessed to identify positive blood culture specimens during the period 2011–2012. Demographic and clinical details, antimicrobial management and patient outcome information were extracted from medical and laboratory records. Antibiotic susceptibility results of identified organisms were obtained from the NHLS database. Results: Of the 693 unique bacterial and fungal BSI episodes identified during the study period, 248 (35.8%) were community-acquired (CA), 371 (53.5%) hospital-acquired (HA) and 74 (10.7%) healthcare-associated (HCA). The overall risk was 6.7 BSI episodes per 1000 admissions. Escherichia coli, Staphylococcus aureus and Streptococcus pneumoniae were the most frequent causes of CA-BSI and Klebsiella pneumoniae, Acinetobacter baumanii and S. aureus were most commonly isolated in HA-BSI. On multivariable analysis, severe underweight, severe anaemia at the time of BSI, admission in the ICU at the time of BSI, and requiring ICU admission after BSI was diagnosed were significantly associated with 14-day mortality. Conclusion: This study adds to the limited literature describing BSI in children in Africa. Further studies are required to understand the impact that BSI has on the paediatric population in sub-Saharan Africa. | |
| dc.identifier.apacitation | Lochan, H., Pillay, V., Bamford, C., Nuttall, J., & Eley, B. (2017). Bloodstream infections at a tertiary level paediatric hospital in South Africa. <i>BMC Infectious Disease</i>, http://hdl.handle.net/11427/26637 | en_ZA |
| dc.identifier.chicagocitation | Lochan, Harsha, Vashini Pillay, Colleen Bamford, James Nuttall, and Brian Eley "Bloodstream infections at a tertiary level paediatric hospital in South Africa." <i>BMC Infectious Disease</i> (2017) http://hdl.handle.net/11427/26637 | en_ZA |
| dc.identifier.citation | BMC Infectious Diseases. 2017 Dec 06;17(1):750 | |
| dc.identifier.ris | TY - Journal Article AU - Lochan, Harsha AU - Pillay, Vashini AU - Bamford, Colleen AU - Nuttall, James AU - Eley, Brian AB - Background: Bloodstream infection (BSI) in children causes significant morbidity and mortality. There are few studies describing the epidemiology of BSI in South African children. Methods: A retrospective descriptive cohort study was conducted at a paediatric referral hospital in Cape Town, South Africa. The National Health Laboratory Service (NHLS) microbiology database was accessed to identify positive blood culture specimens during the period 2011–2012. Demographic and clinical details, antimicrobial management and patient outcome information were extracted from medical and laboratory records. Antibiotic susceptibility results of identified organisms were obtained from the NHLS database. Results: Of the 693 unique bacterial and fungal BSI episodes identified during the study period, 248 (35.8%) were community-acquired (CA), 371 (53.5%) hospital-acquired (HA) and 74 (10.7%) healthcare-associated (HCA). The overall risk was 6.7 BSI episodes per 1000 admissions. Escherichia coli, Staphylococcus aureus and Streptococcus pneumoniae were the most frequent causes of CA-BSI and Klebsiella pneumoniae, Acinetobacter baumanii and S. aureus were most commonly isolated in HA-BSI. On multivariable analysis, severe underweight, severe anaemia at the time of BSI, admission in the ICU at the time of BSI, and requiring ICU admission after BSI was diagnosed were significantly associated with 14-day mortality. Conclusion: This study adds to the limited literature describing BSI in children in Africa. Further studies are required to understand the impact that BSI has on the paediatric population in sub-Saharan Africa. DA - 2017-12-06 DB - OpenUCT DO - 10.1186/s12879-017-2862-2 DP - University of Cape Town J1 - BMC Infectious Disease LK - https://open.uct.ac.za PB - University of Cape Town PY - 2017 T1 - Bloodstream infections at a tertiary level paediatric hospital in South Africa TI - Bloodstream infections at a tertiary level paediatric hospital in South Africa UR - http://hdl.handle.net/11427/26637 ER - | en_ZA |
| dc.identifier.uri | http://dx.doi.org/10.1186/s12879-017-2862-2 | |
| dc.identifier.uri | http://hdl.handle.net/11427/26637 | |
| dc.identifier.vancouvercitation | Lochan H, Pillay V, Bamford C, Nuttall J, Eley B. Bloodstream infections at a tertiary level paediatric hospital in South Africa. BMC Infectious Disease. 2017; http://hdl.handle.net/11427/26637. | en_ZA |
| dc.language.iso | en | |
| dc.publisher | BioMed Central | |
| dc.publisher.department | Department of Paediatrics and Child Health | en_ZA |
| dc.publisher.faculty | Faculty of Health Sciences | en_ZA |
| dc.publisher.institution | University of Cape Town | |
| dc.rights.holder | The Author(s). | |
| dc.source | BMC Infectious Disease | |
| dc.source.uri | https://bmcinfectdis.biomedcentral.com/ | |
| dc.subject.other | Bloodstream infections | |
| dc.subject.other | Children | |
| dc.subject.other | Africa | |
| dc.subject.other | Antimicrobial resistance | |
| dc.title | Bloodstream infections at a tertiary level paediatric hospital in South Africa | |
| dc.type | Journal Article | |
| uct.type.filetype | Text | |
| uct.type.filetype | Image |