Risk Factors and Associated Morbidity of Urinary Tract Infections in Pediatric Surgical Patients: a NSQIP Pediatric Analysis
jpedsurg.org shows its articles on its own site.
Read the article on jpedsurg.org ↗Article · May 2019 · 1 min read
In brief
In brief
This NSQIP analysis of 369,176 pediatric surgical patients identified a 0.5% postoperative UTI rate, with highest risk in urological and neurosurgical procedures. Key risk factors include diabetes, ventilator dependence, and nutritional support dependence, each increasing UTI odds by over 60%.
Written by the GCMD Library team from the article.
Background
The purpose of this study is to examine the incidence, risk factors, and morbidity of postoperative urinary tract infections (UTI) in pediatric surgical patients.
Methods
All patients in the 2012–2016 American College of Surgeons National Surgical Quality Improvement Program Pediatric database were included. Demographics, comorbidities, and 30-day outcomes were assessed. Multivariable logistic regression was used to estimate the independent effects of patient and procedure characteristics on the risk for UTI and to estimate the effects of UTI on the risk for readmission and reoperation.
Results
Of 369,176 patients, 1964 (0.5%) developed a postoperative UTI. Those undergoing urological and neurosurgical procedures were at greatest risk. Diabetes, ventilator dependence, and dependence on nutritional support each increased the odds of developing a UTI by more than 60% (P