The most common type of HAIs in children is bloodstream infections, pneumonia (ventilatorassociated VAP), urinary tract infections (UTI), skin and surgical site infections. Organisms such as gram-negative bacilli, coagulase-negative staphylococci, coagulase-positive staphylococci, Pseudomonas spp., and streptococcus are the main causes of HAIs. Children diagnosed to have Community acquired nosocomial infections in the pediatric intensive care unit stay of more than 48 hours between the age group of 1 month to 12 years admitted in PICU of Tertiary care Hospital, who fulfilled the inclusion criteria. The age, sex, nutritional status, incidence of anaemia and site of nosocomial infections of dead and discharged patients was comparable and statistically not significant as per Chi-Square test (p>0.05). The mean duration of PICU stay (10.77 ± 3.80 days vs. 7.63 ± 4.27 days), requirement of mechanical ventilation (86.4% vs. 35.9%) and requirement of reintubation (13.6% vs. 0%) was significantly higher in dead patients compared to discharged patients (p<0.05).