Bibliographic citations
Machado, R., (2020). La desnutrición crónica incrementa el riesgo de infecciones intrahospitalarias en pacientes pediátricos con quemaduras: Análisis de una cohorte en un instituto pediátrico de referencia nacional en Perú [Tesis, Universidad Peruana de Ciencias Aplicadas (UPC)]. http://hdl.handle.net/10757/648762
Machado, R., La desnutrición crónica incrementa el riesgo de infecciones intrahospitalarias en pacientes pediátricos con quemaduras: Análisis de una cohorte en un instituto pediátrico de referencia nacional en Perú [Tesis]. PE: Universidad Peruana de Ciencias Aplicadas (UPC); 2020. http://hdl.handle.net/10757/648762
@misc{renati/1286920,
title = "La desnutrición crónica incrementa el riesgo de infecciones intrahospitalarias en pacientes pediátricos con quemaduras: Análisis de una cohorte en un instituto pediátrico de referencia nacional en Perú",
author = "Machado Rivera, Rolando Alfredo",
publisher = "Universidad Peruana de Ciencias Aplicadas (UPC)",
year = "2020"
}
Objective: To evaluate the association between chronic malnutrition and nosocomial infections in pediatric patients with burns, controlled by demographic and clinical variables. Methods: We carried out a retrospective observational cohort study on burned children under five years old hospitalized in a General Pediatric Hospital in Peru. Patients were selected by stratified random sampling with proportional allocation for each year: 2012 to 2017. Exposure variable was chronic malnutrition according World Health Organization (WHO) definition and response variable was nosocomial infection. We estimated relative risk and 95% confidence intervals (95% IC) using generalized lineal models Poisson family with robust standard errors at crude (RR) and adjusted by statistical criteria (aRR1) and epidemiological criteria (aRR2). Results: We included 170 patients, 35% had chronic malnutrition and cumulative incidence of nosocomial infection was 22.3%. Frequency of nosocomial infections were 40% and 12.7%, in chronic malnutrition and healthy patients, respectively. We found association at crude model [RR: 3.14 (95% CI: 1.75-5.61 p<0,001)], statistical adjusted model [aRR1: 2.88 (95% CI: 1.63-5,09 p<0.001)] and epidemiological adjusted model [aRR2: 3.19 (95% CI: 1.71-5.93), p<0.001]. Conclusion: Chronic malnutrition is associated with the increase the risk of nosocomial infections in pediatric patients with burns, independently of demographic and clinical variables measured.
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