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Finally, the AABC, GES and GHS criteria were compared with the GEMS screening questionnaire recommended for general use among Danish children ([@ref22]), and the sensitivities and specificities were determined. The differences among the screening tools were not substantial, with the exception of the GEMS questionnaire. However, the GEMS questionnaire contained a question pertaining to antibiotic use, and the sensitivity and specificity were 83% and 82%, respectively. Notably, the GEMS questionnaire has been validated for use among Danish children ([@ref28]; [@ref13]; [@ref35]), as well as among adult patients with chronic kidney disease ([@ref4]).


The present study examined the frequencies of bacterial colonization among hospitalized children and identified the most common colonizing bacteria and the most common risk factors for colonization. The most common bacterial colonization detected in our cohort was S. aureus, C. albicans, C. acnes, E. coli and S. salivarius. Frequencies of MRSA colonization were relatively low. Common risk factors for colonization included eating, using indwelling medical devices and antibiotic use. Colistin was the most frequently prescribed antibiotic.

The authors thank Mariana Maghazaei, MD, Ph.D., statistician and biostatistician from National Iranian Oil Company, for statistical analysis of the data.

Author’s contribution

All authors participated in the study design, and JT, PN, AZ and PN were responsible for the collection of data. PN drafted the manuscript. All authors read and approved the final manuscript.

Conflict of interest

There are no conflicts of interest.

Ethical considerations

Ethical issues (Including plagiarism, Informed Consent, misconduct, data fabrication and/or falsification, double publication and/or submission, redundancy, etc.) have been completely observed by the authors.