A Prevalence Survey of Infections in a Combined Acute and Long-Term Care Hospital
A Prevalence Survey of Infections in a Combined Acute and Long-Term Care Hospital
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急性和长期护理联合医院感染流行率调查
DOI：
10.1017/s019594170005918x
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发表时间：
1984
期刊：
影响因子：
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通讯作者：
M. H. Andritz
中科院分区：
文献类型：
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作者：
S. J. Standfast;P. Michelsen;A. Baltch;Raymond P. Smith;E. K. Latham;Ann B. Spellacy;R. Venezia;M. H. Andritz
1979年9月，对奥尔巴尼退伍军人管理局医疗中心572名急诊和长期护理患者进行了感染现患率调查。感染的存在通过患者检查和图表检查来确定。94%的患者尿液标本进行了培养。有临床意义的感染总数为178例，其中117例为医院感染(每100例患者中有20.5例感染)。中级服务(长期医疗)的医院感染率最高，其次是外科和医疗服务。医院感染率最高的部位是每100名患者的尿路(10.7)、皮肤和皮下组织(5.1)和外科伤口(3.0)。医院感染随着年龄和住院时间的增加而增加，这部分解释了中级服务的较高发病率。使用避孕套引流和Foley导尿管的患者显示出同样高的菌尿率。急性护理患者的抗菌药使用率为17%，长期和精神科患者的抗菌药使用率为4%。除斯氏普氏菌尿路感染仅限于中级服务外，急诊和长期护理服务的细菌分离株和药敏结果相似。
Abstract A prevalence survey of infections among 572 acute and long-term care patients in the Albany Veterans Administration Medical Center was conducted in September 1979. Presence of infection was determined by patient examination and chart review. Urine specimens from 94% of patients were cultured. The total number of clinically significant infections was 178; 117 were nosocomial (20.5 per 100 patients). The prevalence rate of nosocomial infections was highest on the Intermediate Service (long-term medical care) followed by the Surgical and Medical Services. Sites with the highest nosocomial infection rates were urinary tract (10.7), skin and subcutaneous tissues (5.1), and surgical wounds (3.0) per 100 patients. Nosocomial infections increased with age and length of hospital stay which partially explained the higher rate on the Intermediate Service. Patients using condom drainage and Foley catheters showed similarly high rates of bacteriuria. Antimicrobial drug use was 17% for acute care patients and 4% for long-term and psychiatry patients. Excepting Providencia stuartii urinary tract infection confined to the Intermediate Service, the bacterial isolates and their antibiotic susceptibilities were similar for the acute and long-term care services.
医院感染和抗生素使用模式的改变。
影响因子：
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作者：
Stevens,GP;Jacobson,JA;Burke,JP
通讯作者：
Burke,JP