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Community bacterial infection remains to this day a common cause of morbidity and mortality in children, which preventability is a challenge for clinicians. In a previous work, the investigators found that 76% supported children admitted to the ICU for severe bacterial infection were appraised as suboptimal and significantly associated with an increased risk of death. In this context, the investigators seek to identify indicators of extractable data PMSI and SNIIR -AM associated with a higher risk of suboptimal early taking care of children with severe bacterial infection in order to combine them and use them as a score or decision tree that the investigators will validate data from a national prospective multicenter study including 512 children admitted to the ICU for severe infection. The investigators then propose a score associated with a risk of suboptimality care to evaluate the performance of the healthcare system .
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| Measure | Description | Time Frame |
|---|---|---|
| the optimality of care questionnaire | optimality of care will be assessed by 2 independent experts, blinded to outcome and final diagnosis. Medical charts will be summarized and given to experts without outcome or diagnosis. They would be asked to evaluate optimality of care as follow: optimal, certainly sub-optimal, possibly suboptimal and not evaluable | 1 month |
| Measure | Description | Time Frame |
|---|---|---|
| outcome at the hospital discharge defined as death, survival without sequelae and survival with sequelae | 1 month |
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Inclusion Criteria for retrospective inclusions:
Inclusion Criteria for prospective inclusions:
Exclusion Criteria:
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Patients included in this study will be children admitted to pediatric intensive care unit for a severe bacterial infection community.
Retrospective inclusions (data DIABACT III study) of children from 1 month to 15 years and 3 months and prospective inclusions concern for children from 0 months to 15 years and 3 months.
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| Name | Affiliation | Role |
|---|---|---|
| Christèle Gras Le Guen, Pr | Nantes University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| AP-HP | Paris | France | 75 | France | ||
| Angers University Hospital |
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| Angers |
| 49933 |
| France |
| Olivier Brissaud | Bordeaux | 33076 | France |
| Jacques Sizun | Brest | 29609 | France |
| Thierry Debillon | Grenoble | 38043 | France |
| Stéphane Leteurtre | Lille | 59037 | France |
| Etienne Javouhey | Lyon | 69003 | France |
| Gilles Cambonie | Montpellier | 34295 | France |
| Elise Launay | Nantes | 44093 | France |
| Stéphane Dauger | Paris | 75000 | France |
| Sylvain Renolleau | Paris | 75000 | France |
| Hugues Patural | Saint-Etienne | 42055 | France |
| ID | Term |
|---|---|
| D007239 | Infections |
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