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Healthcare-Associated Urinary Tract Infections

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Healthcare-Associated Infections in Children

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Abstract

The burden, cost, and complications of healthcare-associated urinary tract infections in the pediatric population are not well defined. Key risk factors for catheter-associated urinary tract infections (CAUTI) include the length of time of catheterization. The diagnosis of CAUTI is often challenging given the inherent difficulties in distinguishing bacterial colonization of urine from true infection. Surveillance utilizing Centers for Disease Control and Prevention (CDC) National Healthcare Safety Network (NHSN) criteria may not reflect clinical significance and is complicated by the potential overuse of urine culture for the evaluation of fever in critically ill patients in the intensive care unit. CAUTI prevention bundles for the pediatric population are largely derived from evidence-based adult bundles. Children with congenital abnormalities of the genitourinary tract, spina bifida with neurogenic bladder, or who have had complex surgical repairs of the urogenital system require additional methods to prevent healthcare-associated urinary tract infections.

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Author information

Authors and Affiliations

  1. Department of Pediatrics, Section of Infectious Diseases and Epidemiology, University of Colorado School of Medicine, Aurora, CO, USA

    Ann-Christine Nyquist

  2. Infection Prevention and Control, Children’s Hospital Colorado, Aurora, CO, USA

    Ann-Christine Nyquist

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  1. Ann-Christine Nyquist
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Correspondence to Ann-Christine Nyquist .

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Editors and Affiliations

  1. Department of Pediatrics, Section of Infectious Diseases, Baylor College of Medicine and Texas Children’s Hospital, Houston, TX, USA

    J. Chase McNeil

  2. Department of Pediatrics, Section of Infectious Diseases, Baylor College of Medicine and Texas Children’s Hospital, Houston, TX, USA

    Judith R. Campbell

  3. Department of Pediatrics, Baylor College of Medicine and The Children’s Hospital of San Antonio, San Antonio, TX, USA

    Jonathan D. Crews

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Nyquist, AC. (2019). Healthcare-Associated Urinary Tract Infections. In: McNeil, J., Campbell, J., Crews, J. (eds) Healthcare-Associated Infections in Children. Springer, Cham. https://doi.org/10.1007/978-3-319-98122-2_13

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  • DOI: https://doi.org/10.1007/978-3-319-98122-2_13

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