Pediatric ICU Infection Risk

Eighteen-month-old Josie King died after spending 10 days in a pediatric ICU, where she acquired a deadly infection.

And a Consumer Reports investigation has found that Josie's case is not an isolated one. The report analyzed 92 pediatric intensive-care units in 31 states and Washington, D.C., for rates of infection.

Dr. John Santa with Consumer Reports says, "The pediatric ICUs in our report had infection rates that were 20 percent higher than for adult ICUs."

Among the deadliest hospital-acquired infections are those introduced with central-line catheters, which is what Josie King had. Those central-lines deliver medication, nutrition, and fluid to critically ill patients.

One of the pediatric ICUs top-rated by Consumer Reports for preventing infections is the Robert Wood Johnson University Hospital in New Brunswick, New Jersey.

According to Dr. Vicki Craig with Robert Wood Johnson University, "It is essential that the central catheter be placed sterilely, and that nursing staff be specially trained to care for that catheter."

Otherwise, fatal infections can occur.

Dr. John Santa believes, "There are steps you can take to prevent infection. You must be an advocate for your child."

What parents can do - make sure your child's central-line catheter is kept clean and that all doctors and nurses wash their hands. Keep a record of how often the staff changes the catheter and dressing. And ask if the catheter is still needed - the longer it's in, the greater the risk of infection.

Dr. Santa adds, "Less than half of all pediatric ICUs make their infection rates public. So there are many more cases out there than we know about."

Consumer Reports gave four other hospitals top ratings for preventing infections in pediatric intensive-care units.

They are St. Paul's Children's Hospitals and Clinics in Minnesota;
in Charleston, the Medical University of South Carolina; in New Orleans, the Tulane Medical Center; and in Las Vegas, the University Medical Center.

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