Analysis of Death Due to Infectious Diseases in Patients Hospitalized in the Pediatric Ward of a Single Japanese Tertiary Medical Facility

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  • Toda Naoko
    Departments of Pediatrics, Graduate School of Medical Sciences, Kyushu University
  • Hoshina Takayuki
    Departments of Pediatrics, Graduate School of Medical Sciences, Kyushu University Department of Pediatrics, School of Medicine, University of Occupational and Environmental Health, Japan
  • Koga Yuhki
    Departments of Pediatrics, Graduate School of Medical Sciences, Kyushu University
  • Ochiai Masayuki
    Departments of Pediatrics, Graduate School of Medical Sciences, Kyushu University
  • Kaku Noriyuki
    Pediatric Emergency & Critical Care Center, Kyushu University Hospital
  • Yamamura Kenichiro
    Departments of Pediatrics, Graduate School of Medical Sciences, Kyushu University
  • Torisu Hiroyuki
    Departments of Pediatrics, Graduate School of Medical Sciences, Kyushu University
  • Ihara Kenji
    Departments of Pediatrics, Graduate School of Medical Sciences, Kyushu University
  • Takada Hidetoshi
    Departments of Pediatrics, Graduate School of Medical Sciences, Kyushu University Perinatal and Pediatric Medicine, Graduate School of Medical Sciences, Kyushu University
  • Maehara Yoshihiko
    Pediatric Emergency & Critical Care Center, Kyushu University Hospital
  • Hara Toshiro
    Departments of Pediatrics, Graduate School of Medical Sciences, Kyushu University

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抄録

In developed countries, the infection related-mortality rates in children hospitalized in tertiary medical facilities, where many patients with underlying disease are also hospitalized, are uncertain. We investigated the characteristics of infectious diseases-related fatal cases in the pediatric ward of a Japanese tertiary medical facility. A total of 188 patients who died in the pediatric ward or intensive care unit at Kyushu University Hospital from 2002 to 2011 were enrolled. The patient characteristics were investigated based on their medical records. A total of 35 patients died of infections, 31 of whom had underlying diseases. Most patients died of sepsis or pneumonia (n = 27). All 9 patients who died within 7 days of birth were premature. Nine of the 13 patients with malignancy or hematological disorders died of hematopoietic stem cell transplantation (HSCT)-associated infections. The ratio of infectious disease-related fatal cases to the total cases decreased in the latter half of the study period. In particular, the proportion of preterm infants who died of infections was significantly lower in the latter 5 years (p = 0.02). Many of the infectious disease-related fatal cases were in premature infants and HSCT or post-HSCT patients. However, the mortality due to infectious diseases decreased in these patient groups.

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