Patient selection: pediatric patient admitted to the ICU
Risk factors for being colonized with an extended-beta-lactamase (ESBL) producing Enterobacteriaceae:
(1) history of being hospitalized in a foreign country (India, Middle East, Southeast Asia, other)
(2) sepsis as the reason for ICU admission
(3) history of hematopoietic stem cell transplant in the past 12 months
(4) history of chemotherapy in the past 6 months
(5) history of infection or being colonized with an ESBL producing Enterobacteriaceae in the past 6 months
(6) history of carbapenem therapy in the past 6 months
A pediatric patient who was previously healthy is at low risk for being colonized.
A patient with one or more of these risk factors should be screened on admission for ESBL producing Enterobacteriaceae.
