Les infections nosocomiales intestinales restent une préoccupation majeure des services recevant de jeunes enfants où elles surviennent simultanément aux bronchiolites à virus respiratoire syncytial.
...Matériel et méthodes
. – Durant l’hiver 1997–1998, nous avons recensé de façon systématique les infections intestinales nosocomiales survenues en pédiatrie au centre hospitalier universitaire de Clermont-Ferrand avec rappel téléphonique des familles dans le mois suivant la sortie des enfants, hospitalisés pour une pathologie autre qu’une gastroentérite.
Résultats. –
Sur 817 enfants admis, 27 % l’ont été pour gastroentérite communautaire. Chez les enfants admis pour un autre motif (73 %), 144 infections nosocomiales ont été recensées pendant la période d’étude dont 94 (66,6 %) en cours d’hospitalisation et 48 (33,3 %) après la sortie. Les infections nosocomiales intestinales représentent donc 5,8 % de la totalité des admissions. Elles augmentent avec le nombre des admissions par jour et par mois, et viennent, dans 28,1 % des cas, surinfecter les bronchiolites à virus respiratoire syncytial dont elles partagent l’âge de survenue.
Conclusion. –
Le rotavirus a été retrouvé dans 28 % des infections nosocomiales et non détecté dans 66 % des cas ; en revanche il est responsable de 85,5 % des réhospitalisations pour gastroentérites nosocomiales. Les études ultérieures doivent viser à trouver les solutions permettant de diminuer la fréquence de leur survenue.
Intestinal nosocomial infections remain a major concern in pediatric wards where they occur synchronously with syncytial respiratory virus infections.
Material and methods. –
During the 1997–1998 winter, we systematically listed the intestinal nosocomial infections that emerged in the pediatric wards of the Clermont-Ferrand hospital. After their discharge, the families of the children who were not hospitalized for acute diarrhea were contacted by telephone.
Results. –
Among 817 hospitalized children, 27% were admitted to the hospital for acute epidemic gastroenteritis. One hundred forty-four children were listed as having nosocomial gastroenteritis, 96 (66.6%) during the hospital stay and 48 (33%) after discharge, which represents 5.8% of all the admissions. Intestinal nosocomial infections increased with the number of admissions per day and per month, and occurred in 28.1% of the cases of syncytial respiratory virus bronchiolitis that concern children of the same age. Rotavirus was found in 28% of nosocomial infections, yet it was responsible for 85.5% of the hospital readmissions for nosocomial infections.
Conclusion. –
Further studies should try to find solutions to decrease the frequency of those concomitant diseases.
Intestinal nosocomial infections remain a major concern in pediatric wards where they occur synchronously with syncytial respiratory virus infections.
During the 1997-1998 winter, we systematically ...listed the intestinal nosocomial infections that emerged in the pediatric wards of the Clermont-Ferrand hospital. After their discharge, the families of the children who were not hospitalized for acute diarrhea were contacted by telephone.
Among 817 hospitalized children, 27% were admitted to the hospital for acute epidemic gastroenteritis. One hundred forty-four children were listed as having nosocomial gastroenteritis, 96 (66.6%) during the hospital stay and 48 (33%) after discharge, which represents 5.8% of all the admissions. Intestinal nosocomial infections increased with the number of admissions per day and per month, and occurred in 28.1% of the cases of syncytial respiratory virus bronchiolitis that concern children of the same age. Rotavirus was found in 28% of nosocomial infections, yet it was responsible for 85.5% of the hospital readmissions for nosocomial infections.
Further studies should try to find solutions to decrease the frequency of those concomitant diseases.
