THE NATIONWIDE NOSOCOMIAL INFECTION-RATE - A NEW NEED FOR VITAL STATISTICS
THE NATIONWIDE NOSOCOMIAL INFECTION-RATE - A NEW NEED FOR VITAL STATISTICS
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DOI：
10.1093/oxfordjournals.aje.a113988
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发表时间：
1985-01-01
影响因子：
5
通讯作者：
EMORI, TG
中科院分区：
文献类型：
--
作者：
HALEY, RW;CULVER, DH;EMORI, TG
根据随机抽样的病人和医院和外推比来自最好的可用数据来源，在1975-1976年的6449急性护理美国医院的全国医院感染率为5.7医院感染每100入院。在12个月内发生了超过200万例医院感染。在这些医院里。医院内尿路感染占感染的42%，手术伤口感染占24%，医院内肺炎占10%，医院内菌血症占5%，所有其他部位的医院内感染占19%。然而，如果对诊断方法的准确性、全国范围内不断增加的长期趋势以及疗养院的医院感染数量进行调整，现在每年可能发生多达400万例医院感染。这大大超过了以前的估计，需要及时和准确地提供关于这一问题的人口动态统计数据。
Based on a random sample of patients and hospitals and extrapolation ratios derived from the best available sources of data, the nationwide nosocomial infection rate among the 6449 acute-care USA hospitals in 1975-1976 was 5.7 nosocomial infections per 100 admissions. Over 2 million nosocomial infections occurred in a 12-mo. period in these hospitals. Nosocomial urinary tract infections constituted 42% of the infections, surgical wound infections 24%, nosocomial pneumonia 10%, nosocomial bacteremia 5%, and nosocomial infections at all other sites 19%. If adjustments are made for the accuracy of the diagnostic method, the increasing nationwide secular trend, and the number of nosocomial infections in nursing homes, however, as many as 4 million nosocomial infections per year may now be occurring. This greatly exceeds previous estimates and calls for timely and accurate vital statistics on the problem.