Bacterial Sepsis in Brazilian Children: A Trend Analysis from 1992 to 2006

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dc.contributor.authorMangia, Cristina Malzoni Ferreira [UNIFESP]
dc.contributor.authorKissoon, Niranjan
dc.contributor.authorBranchini, Otavio Augusto
dc.contributor.authorAndrade, Maria Cristina [UNIFESP]
dc.contributor.authorKopelman, Benjamin Israel [UNIFESP]
dc.contributor.authorCarcillo, Joe
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.contributor.institutionUniv British Columbia
dc.contributor.institutionHosp Emilio Ribas
dc.contributor.institutionUniv Pittsburgh
dc.date.accessioned2016-01-24T14:16:52Z
dc.date.available2016-01-24T14:16:52Z
dc.date.issued2011-06-03
dc.description.abstractBackground: the objective of this study was to determine the epidemiology of hospitalized pediatric sepsis in Brazil (19922006) and to compare mortality caused by sepsis to that caused by other major childhood diseases.Methods and Findings: We performed a retrospective descriptive study of hospital admissions using a government database of all hospital affiliated with the Brazilian health system. We studied all hospitalizations in children from 28 days through 19 years with diagnosis of bacterial sepsis defined by the criteria of the International Classification of Diseases (ICD), (Appendix S1). Based on the data studied from 1992 through 2006, the pediatric hospital mortality rate was 1.23% and there were 556,073 pediatric admissions with bacterial sepsis with a mean mortality rate of 19.9%. There was a case reduction of 67% over. 1992-2006 (p<0.001); however, the mortality rate remained unchanged (from 1992-1996, 20.5%; and from 20022006, 19.7%). Sepsis-hospital mortality rate was substantially higher than pneumonia (0.5%), HIV (3.3%), diarrhea (0.3%), undernutrition (2.3%), malaria (0.2%) and measles (0.7%). the human development index (HDI) and mortality rates (MR) by region were: North region 0.76 and 21.7%; Northeast region 0.72 and 27.1%; Central-West 0.81 and 23.5%; South region 0.83 and 12.2% and Southeast region 0.82 and 14.8%, respectively.Conclusions: We concluded that sepsis remains an important health problem in children in Brazil. the institution of universal primary care programs has been associated with substantially reduced sepsis incidence and therefore deaths; however, hospital mortality rates in children with sepsis remain unchanged. Implementation of additional health initiatives to reduce sepsis mortality in hospitalized patients could have great impact on childhood mortality rates in Brazil.en
dc.description.affiliationUniversidade Federal de São Paulo, Dept Pediat, Escola Paulista Med, São Paulo, Brazil
dc.description.affiliationUniv British Columbia, Dept Pediat, Div Crit Care, Child & Family Res Inst, Vancouver, BC V6T 1W5, Canada
dc.description.affiliationHosp Emilio Ribas, São Paulo, Brazil
dc.description.affiliationUniv Pittsburgh, Sch Med, Dept Anesthesiol & Crit Care Med, Pittsburgh, PA 15261 USA
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Dept Pediat, Escola Paulista Med, São Paulo, Brazil
dc.description.sourceWeb of Science
dc.format.extent9
dc.identifierhttp://dx.doi.org/10.1371/journal.pone.0014817
dc.identifier.citationPlos One. San Francisco: Public Library Science, v. 6, n. 6, 9 p., 2011.
dc.identifier.doi10.1371/journal.pone.0014817
dc.identifier.fileWOS000291355500001.pdf
dc.identifier.issn1932-6203
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/33796
dc.identifier.wosWOS:000291355500001
dc.language.isoeng
dc.publisherPublic Library Science
dc.relation.ispartofPlos One
dc.rightsAcesso aberto
dc.titleBacterial Sepsis in Brazilian Children: A Trend Analysis from 1992 to 2006en
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