Wednesday, 10 December 2014

Infection related deaths in paediatric ICUs are a growing public health concern

A cohort study co-authored by seven authors for the ANZICS Paediatric Study Group has found that severe infections are a pressing issue in paediatric ICUs, representing a high mortality rate in children.

A study of 97,127 children across Australia and New Zealand was conducted via a retrospective cohort study to determine the incidence and mortality of severe infections, sepsis and septic shock.

The study looked at data from 2002 to 2013, taken from the Australian and New Zealand Paediatric Intensive Care Registry. The results indicated that 11.9% of children were admitted for invasive illness, 2.9% for sepsis and 2.1% for septic shock. 3.9% of children who were admitted for severe infection and 17% of septic shock cases passed away in the ICU.

However, the study also indicated that risk-adjusted mortality saw a decline across the years, most significantly in severe illness related deaths. The researchers conclude that the issue of severe infections within paediatric ICUs is a significant public health issue which needs to be addressed through further study and interventions. They also make mention that future research should see a spotlight on patients who have the highest risk of poor outcomes.

Find the study here.

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