Infections associées aux soins dans une unité d'hématologie-oncologie pédiatrique au Maroc (notice n° 1002986)

détails MARC
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fixed length control field 03723cam a2200373 4500500
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20250125134533.0
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Language code of text/sound track or separate title fre
042 ## - AUTHENTICATION CODE
Authentication code dc
100 10 - MAIN ENTRY--PERSONAL NAME
Personal name Cherkaoui, Siham
Relator term author
245 00 - TITLE STATEMENT
Title Infections associées aux soins dans une unité d'hématologie-oncologie pédiatrique au Maroc
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Date of publication, distribution, etc. 2014.<br/>
500 ## - GENERAL NOTE
General note 76
520 ## - SUMMARY, ETC.
Summary, etc. Objectif : les infections associées aux soins (IAS) représentent une cause majeure de morbidité et de mortalité en oncologie pédiatrique. L’objectif de ce travail était d’en déterminer l’incidence à l’unité d’hématologie-oncologie pédiatrique au Centre hospitalier universitaire de Casablanca. Méthodes : les IAS étaient considérées selon les critères ajustés définis par le Centers for disease control and prevention. Les facteurs extrinsèques et les informations spécifiques des épisodes infectieux ont été recueillis prospectivement entre janvier et août 2011. Résultats : le taux d’incidence était de 28/1 000 jours d’hospitalisation. La leucémie aiguë myéloblastique a constitué le premier diagnostic (32 %). La neutropénie et l’accès veineux central étaient corrélés à un risque statistiquement significatif d’infection. L’infection était d’origine inconnue dans 55,7 % des cas. Les bacilles gram négatifs étaient prédominants (60 %). La durée d’hospitalisation était significativement prolongée de 11,5 jours. L’incidence des décès par infection était de 2 %. Conclusion : la surveillance des IAS nous permet d’instaurer et de déterminer les axes de prévention.
520 ## - SUMMARY, ETC.
Summary, etc. Healthcare-associated infections in a paediatric haematology/oncology unit in Morocco Objective: HAI cause considerable morbidity and mortality and are associated with prolonged hospital stay and increased health care costs. To describe the incidence of HAI in paediatric cancer patients as the first step towards improving infection control policies. Methods: A prospective surveillance study was performed in the Casablanca university hospital paediatric haematology/oncology unit over an 8-month period from January to August 2011. Data including extrinsic risk factors associated with HAI were recorded. Results: The incidence of HAI was 28 per 1 000 patient-days. The median age was 9.6 years and the most frequent diagnosis was acute myeloid leukaemia (32%). Neutropenia at diagnosis was significantly correlated with the risk of HAI. 55.7% of HAIs were nosocomial fever of unknown origin. Gram-negative bacteria were the main pathogens (60%), gram-positive cocci were responsible for 26% of HAI and Candida for 14% of HAI. The length of hospital stay for patients with and without infection were 16.5 and 5 days, respectively (P &lt; 0.001). Six of the 11 deaths were related to HAI. Conclusion: These findings suggest the need to evaluate infection control measures in order to reduce morbidity and mortality in paediatric haematology/oncology units.
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element infection croisée
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element Maroc
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element incidence
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element enfant
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element service hospitalier d'oncologie
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element hospital
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element child
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element incidence
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element cross-infection
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element Marocco
690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN)
Topical term or geographic name as entry element oncology service
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Lamchahab, Mouna
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Samira, Hassoun
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Zerouali, Khalid
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Madani, Abdallah
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Benchekroun, Said
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Quessar, Asmaa
Relator term author
786 0# - DATA SOURCE ENTRY
Note Santé Publique | 26 | 2 | 2014-03-15 | p. 199-204 | 0995-3914
856 41 - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="https://shs.cairn.info/revue-sante-publique-2014-2-page-199?lang=fr&redirect-ssocas=7080">https://shs.cairn.info/revue-sante-publique-2014-2-page-199?lang=fr&redirect-ssocas=7080</a>

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