Publications by authors named "Mireya Urrea"

Objective: To evaluate whether a quality improvement intervention could reduce nosocomial infection rates in a PICU and improve patient outcomes.

Design: Prospective interventional cohort study conducted during three periods: preintervention period, intervention period, and long-term follow-up.

Setting: A 14-bed medical and surgical PICU in a university hospital for children.

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The use of intensive chemotherapy and central devices has improved patients survival, but it is associated with catheter-related blood-stream infections (CRBSI). An educational program was instituted for preventing CRBSI occurrence in acute leukemia pediatric patients having totally implanted central devices. The Centers of Disease Control and Prevention criteria were used as definition for CRBSI.

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Article Synopsis
  • - The study aimed to analyze the epidemiological characteristics of nosocomial infections (NI) in the Pediatric Intensive Care Unit (PICU) and Neonatal Intensive Care Unit (NICU) at a university hospital in Barcelona from May to October 2000.
  • - In the PICU, there were 26.5 NI per 100 admissions, while the NICU had 74.3, with bacteraemia being the most common type of infection and Gram-positive bacteria being the main pathogens identified.
  • - Key risk factors for NI included age under 1 year and mechanical ventilation in the PICU, and low birth weight and umbilical artery catheterization in the NICU, highlighting the need for improved infection control measures to
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In this article we intend to describe the epidemiological profile of nosocomial infection in pediatric patients with multiple trauma. We conducted a prospective study from July to November 2003 in a pediatric teaching hospital in Barcelona. We used US Centers for Disease Control and Prevention standard criteria to define nosocomial infection.

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Background: This study is aimed at describing the readmission phenomenon for heart failure patients and identifying some of their related clinical factors by means of a follow-up study with administrative data.

Methods: Longitudinal study of readmissions due to heart failure (HF) among a population > or = age 65 in Catalonia throughout the 1996-1999 period. Information source: Minimum Basic Set of Data of Hospital Discharges from the Catalan Health Service.

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Background: Nosocomial infections (NI) are an important clinical complication in adult and children patients at the different hospital wards. NI cause considerable morbidity and mortality and are associated with prolonged hospital stay and increased health care costs.

Objective: The objective of this study was to describe the incidence of NI in pediatric patients with neoplastic disease as a first step toward improving infection control policies.

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Background: Health care improvements and technical advances for diagnostic and therapeutic management in the neonatal care unit (NCU) have made possible the increasing survival of neonates with severe pathologic conditions. However, nosocomial infections (NI) still represent an important cause of morbidity and mortality in this population.

Objective: To describe the epidemiologic profile of NI in the NCU.

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Background: Nosocomial infections are important causes of substantial morbidity, mortality and prolonged hospital stay in pediatric intensive care units (PICU).

Methods: A prospective surveillance study was performed in the PICU at a university hospital in Barcelona during the 6 months from May through October 2000 to describe the epidemiologic profile of nosocomial infections. Centers for Disease Control and Prevention criteria were used as standard definitions for nosocomial infections.

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