{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T21:57:35Z","timestamp":1792015055776,"version":"4.4.0"},"reference-count":20,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2019,11,25]],"date-time":"2019-11-25T00:00:00Z","timestamp":1574640000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Infect. Control Hosp. Epidemiol."],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S0899823X19002976_as1\">\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To describe common pathogens and antimicrobial resistance patterns for healthcare-associated infections (HAIs) among pediatric patients that occurred in 2015\u20132017 and were reported to the Centers for Disease Control and Prevention\u2019s National Healthcare Safety Network (NHSN).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0899823X19002976_as2\">\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Antimicrobial resistance data were analyzed for pathogens implicated in central line-associated bloodstream infections (CLABSIs), catheter-associated urinary tract infections (CAUTIs), ventilator-associated pneumonias (VAPs), and surgical site infections (SSIs). This analysis was restricted to device-associated HAIs reported from pediatric patient care locations and SSIs among patients &lt;18\u00a0years old. Percentages of pathogens with nonsusceptibility (%NS) to selected antimicrobials were calculated by HAI type, location type, and surgical category.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0899823X19002976_as3\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Overall, 2,545 facilities performed surveillance of pediatric HAIs in the NHSN during this period.\n                      <jats:italic>Staphylococcus aureus<\/jats:italic>\n                      (15%),\n                      <jats:italic>Escherichia coli<\/jats:italic>\n                      (12%), and coagulase-negative staphylococci (12%) were the 3 most commonly reported pathogens associated with pediatric HAIs. Pathogens and the %NS varied by HAI type, location type, and\/or surgical category. Among CLABSIs, the %NS was generally lowest in neonatal intensive care units and highest in pediatric oncology units.\n                      <jats:italic>Staphylococcus<\/jats:italic>\n                      spp were particularly common among orthopedic, neurosurgical, and cardiac SSIs; however,\n                      <jats:italic>E. coli<\/jats:italic>\n                      was more common in abdominal SSIs. Overall, antimicrobial nonsusceptibility was less prevalent in pediatric HAIs than in adult HAIs.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0899823X19002976_as4\">\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This report provides an updated national summary of pathogen distributions and antimicrobial resistance patterns among pediatric HAIs. These data highlight the need for continued antimicrobial resistance tracking among pediatric patients and should encourage the pediatric healthcare community to use such data when establishing policies for infection prevention and antimicrobial stewardship.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/ice.2019.297","type":"journal-article","created":{"date-parts":[[2019,11,25]],"date-time":"2019-11-25T06:00:22Z","timestamp":1574661622000},"page":"19-30","source":"Crossref","is-referenced-by-count":102,"title":["Antimicrobial-resistant pathogens associated with pediatric healthcare-associated infections: Summary of data reported to the National Healthcare Safety Network, 2015\u20132017"],"prefix":"10.1017","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7327-9108","authenticated-orcid":false,"given":"Lindsey M.","family":"Weiner-Lastinger","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sheila","family":"Abner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea L.","family":"Benin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan R.","family":"Edwards","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander J.","family":"Kallen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Karlsson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shelley S.","family":"Magill","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Pollock","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isaac","family":"See","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Minn M.","family":"Soe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maroya S.","family":"Walters","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret A.","family":"Dudeck","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2019,11,25]]},"reference":[{"key":"S0899823X19002976_ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2009.12.010"},{"key":"S0899823X19002976_ref6","unstructured":"6. Surgical site infection (SSI) events. Centers for Disease Control and Prevention (CDC) website. http:\/\/www.cdc.gov\/nhsn\/PDFs\/pscManual\/9pscSSIcurrent.pdf. Updated January 2019. Accessed June 3, 2019."},{"key":"S0899823X19002976_ref7","doi-asserted-by":"publisher","DOI":"10.1017\/ice.2019.296"},{"key":"S0899823X19002976_ref5","unstructured":"5. Pneumonia (ventilator-associated [VAP] and non\u2013ventilator-associated pneumonia [PNEU]) events. Centers for Disease Control and Prevention (CDC) website. https:\/\/www.cdc.gov\/nhsn\/pdfs\/pscmanual\/6pscvapcurrent.pdf. Updated January 2019. Accessed June 17, 2019."},{"key":"S0899823X19002976_ref19","unstructured":"19. Inpatient Rehabilitation Facilities (IRF) Quality Reporting Program (QRP). Centers for Medicare and Medicaid Services website. https:\/\/www.cms.gov\/Medicare\/Quality-Initiatives-Patient-Assessment-Instruments\/IRF-Quality-Reporting\/index.html. Updated January 2018. Accessed June 3, 2019."},{"key":"S0899823X19002976_ref12","doi-asserted-by":"publisher","DOI":"10.1099\/ijsem.0.001572"},{"key":"S0899823X19002976_ref3","unstructured":"3. Bloodstream infection event (central line-associated bloodstream infection and non-central line-associated bloodstream infection). Centers for Disease Control and Prevention (CDC) website. http:\/\/www.cdc.gov\/nhsn\/PDFs\/pscManual\/4PSC_CLABScurrent.pdf. Updated January 2019. Accessed June 3, 2019."},{"key":"S0899823X19002976_ref16","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2334-8-70"},{"key":"S0899823X19002976_ref4","unstructured":"4. Urinary tract infection (catheter-associated urinary tract infection [CAUTI] and non-catheter-associated urinary tract infection [UTI]) and other urinary system infection [USI]) events. Centers for Disease Control and Prevention (CDC) website. http:\/\/www.cdc.gov\/nhsn\/PDFs\/pscManual\/7pscCAUTIcurrent.pdf. Updated January 2019. Accessed June 3, 2019."},{"key":"S0899823X19002976_ref15","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2011.08.008"},{"key":"S0899823X19002976_ref2","doi-asserted-by":"publisher","DOI":"10.1017\/ice.2017.236"},{"key":"S0899823X19002976_ref8","unstructured":"8. CDC locations and descriptions and instructions for mapping patient care locations. Centers for Disease Control and Prevention (CDC) website. https:\/\/www.cdc.gov\/nhsn\/pdfs\/pscmanual\/15locationsdescriptions_current.pdf. Updated January 2019. Accessed June 3, 2019."},{"key":"S0899823X19002976_ref9","unstructured":"9. The 2015\u20132017 pediatric antimicrobial resistance report online supplement. Centers for Disease Control and Prevention (CDC) website. https:\/\/www.cdc.gov\/nhsn\/datastat\/index.html. Updated January 2019. Accessed October 14, 2019."},{"key":"S0899823X19002976_ref1","doi-asserted-by":"publisher","DOI":"10.1093\/ofid\/ofu052.561"},{"key":"S0899823X19002976_ref17","unstructured":"17. Acute Inpatient PPS. Centers for Medicare and Medicaid Services website. https:\/\/www.cms.gov\/Medicare\/Medicare-Fee-for-Service-Payment\/AcuteInpatientPPS\/index.html. Updated January 2019. Accessed June 3, 2019."},{"key":"S0899823X19002976_ref10","volume-title":"Performance Standards for Antimicrobial Susceptibility Testing","year":"2017"},{"key":"S0899823X19002976_ref11","unstructured":"11. Systematized Nomenclature of Medicine\u2014Clinical Terms (SNOMED CT) Browser: United States edition. SNOMED International. https:\/\/browser.ihtsdotools.org. Updated January 2019. Accessed June 4, 2019."},{"key":"S0899823X19002976_ref13","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-0691.2011.03570.x"},{"key":"S0899823X19002976_ref18","unstructured":"18. Long-term Care Hospital (LTCH) Quality Reporting Program (QRP). Centers for Medicare and Medicaid Services website. https:\/\/www.cms.gov\/Medicare\/Quality-Initiatives-Patient-Assessment-Instruments\/LTCH-Quality-Reporting\/index.html. Updated January 2019. Accessed June 3, 2019."},{"key":"S0899823X19002976_ref20","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciw113"}],"container-title":["Infection Control &amp; Hospital Epidemiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0899823X19002976","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,12,18]],"date-time":"2019-12-18T09:34:44Z","timestamp":1576661684000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0899823X19002976\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,11,25]]},"references-count":20,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,1]]}},"alternative-id":["S0899823X19002976"],"URL":"https:\/\/doi.org\/10.1017\/ice.2019.297","relation":{},"ISSN":["0899-823X","1559-6834"],"issn-type":[{"value":"0899-823X","type":"print"},{"value":"1559-6834","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,11,25]]}}}