Abstract:ObjectiveTo explore the main sites, pathogen distribution and risk factors of healthcareassociated infections (HAI) in children with acute leukemia, and provide scientific evidence for prevention and treatment.MethodsData of 828 children with acute leukemia admitted to a hospital in 2011-2012 were collected, infection site, pathogen distribution and risk factors of infection were analyzed.ResultsOf 828 patients, 184 cases and 196 times of HAI occurred with the incidence of 22.22% and 23.67%, respectively. HAI occurred mostly in respiratory tract (52.56%). A total of 96 pathogenic strains were isolated, among which gramnegative and grampositive bacteria accounted for 58.33%(n=56) and 29.17%(n=28) respectively. Univariate analysis revealed that risk factors for HAI were leukemia remission induction chemotherapy, hospital stay ≥30 days, peripheral leukocyte count (WBC) ≤3×109/L, granulocyte count ≤0.5×109/L, and acute nonlymphocytic leukemia. Multivariate analysis revealed that hospital stay ≥30 days was independent risk factors for HAI.ConclusionChildren with acute leukemia have a high incidence of HAI, infection mainly occurs in respiratory system, and gramnegative bacteria are major pathogens. The incidence of HAI is correlated with remission induction chemotherapy,long length of hospital stay, low WBC, low number of neutrophils, and acute myeloid leukemia.