The Prevalence of Health Care-Associated Infection in Older People in Acute Care Hospitals
The Prevalence of Health Care-Associated Infection in Older People in Acute Care Hospitals
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DOI：
10.1086/660871
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发表时间：
2011-08-01
影响因子：
4.5
通讯作者：
Knight, Paul
中科院分区：
文献类型：
--
作者：
Cairns, Shona;Reilly, Jacqui;Knight, Paul
OBJECTIVE.确定急性护理医院中老年人的卫生保健相关感染（HAI）的患病率，详细说明HAI的具体类型和最常见的专科。苏格兰国家卫生保健相关感染患病率调查数据集的二次分析。苏格兰所有急性护理医院（n = 45）的所有急性护理住院患者（n = 11，090）。研究发现苏格兰住院患者HAI患病率与年龄增长呈线性关系（P <0.0001）。尿路感染和胃肠道感染是75-84岁和85岁以上年龄组中HAI的最大负担，而在75岁以下住院患者中，泌尿系统感染是最大负担。65岁以上年龄组的导尿率较高（P <0.0001）。重要的是，这项研究表明，在急性医院护理的一系列专业中，65岁以上住院患者的HAI患病率很高。在内科、骨科和外科专业中观察到HAI的患病率增加。HAI是急性住院治疗的一个重要预后指标，我们的分析表明，HAI患病率随年龄的增加而线性增加（P <0.0001）。将干预重点放在预防尿路感染和胃肠道感染上将产生最大的公共卫生效益。为了确保患者安全，对于从事所有急性护理领域工作的人员来说，年龄作为HAI风险因素的重要性再强调也不过分。感染控制医院流行病学2011; 32（8）：763-767
OBJECTIVE. To determine the prevalence of health care-associated infection (HAI) in older people in acute care hospitals, detailing the specific types of HAI and specialties in which these are most prevalent.DESIGN. Secondary analysis of the Scottish National Healthcare Associated Infection Prevalence Survey data set.PATIENTS AND SETTING. All inpatients in acute care (n = 11,090) in all acute care hospitals in Scotland (n = 45).RESULTS. The study found a linear relationship between prevalence of HAI and increasing age (P < .0001) in hospital inpatients in Scotland. Urinary tract infections and gastrointestinal infections represented the largest burden of HAI in the 75-84- and over-85-year age groups, and surgical-site infections represented the largest burden in inpatients under 75 years of age. The prevalence of urinary catheterization was higher in each of the over-65 age groups (P < .0001). Importantly, this study reveals that a high prevalence of HAI in inpatients over the age of 65 years is found across a range of specialties within acute hospital care. An increased prevalence of HAI was observed in medical, orthopedic, and surgical specialties.CONCLUSIONS. HAI is an important outcome indicator of acute inpatient hospital care, and our analysis demonstrates that HAI prevalence increases linearly with increasing age (P < .0001). Focusing interventions on preventing urinary tract infection and gastrointestinal infections would have the biggest public health benefit. To ensure patient safety, the importance of age as a risk factor for HAI cannot be overemphasized to those working in all areas of acute care. Infect Control Hosp Epidemiol 2011; 32(8): 763-767