HOSPITAL-ACQUIRED URINARY-TRACT INFECTIONS IN THE PEDIATRIC-PATIENT -A PROSPECTIVE-STUDY

To determine through a prospective study the characteristics of hospit al-acquired urinary tract infections (HAUTI) in children, 525 children subjected to bladder catheterization during a hospital admission were identified through surveillance of 12 316 admissions during a 24-mont h period. Urine culture results were available for 296 (56.4%) of the catheterized patients. In addition 12 noncatheterized children with a documented HAUTI were identified. The clinical courses of all patients with a HAUTI were followed for at least 6 months after their last HAU TI during the study period. Forty-four patients, 1 week to 17 years of age, with 1 or more HAUTI during a hospital unit admission were ident ified. A total of 51 HAUTI occurred. Thirty-nine (76.5%) of the infect ions occurred in patients subjected to catheterization. Thirty-two (10 .8%) of 296 catheterized patients developed a HAUTI. Forty-three (84.3 %) of the 51 infections were single organism infections. One HAUTI was associated with a wound infection with the same organism and one with a concurrent bactermia with the same organism. Relapses were seen aft er 4 HAUTI. One reinfection was identified. There were no deaths direc tly associated with a HAUTI. Hospitalized children subjected to urinar y tract catheterization are at significant risk for HAUTI. Complicatio ns are infrequent and not life-threatening.