Infection and antibiotic usage at Boston City Hospital: changes in prevalence during the decade 1964-1973.
Infection and antibiotic usage at Boston City Hospital: changes in prevalence during the decade 1964-1973.
复制标题
波士顿市医院的感染和抗生素使用：1964-1973 年间流行率的变化。
DOI：
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发表时间：
1974
影响因子：
6.4
通讯作者：
M. Finland
中科院分区：
文献类型：
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作者：
J. Mcgowan;M. Finland
波士顿城市医院从 1964 年到 1973 年每三年进行一次感染流行率和抗菌药物使用情况调查，结果显示社区获得性感染的流行率或与社区获得性感染相关的细菌病原体几乎没有变化。特定地点的医院感染患病率因调查而异，但没有记录到显着下降的趋势。革兰氏阴性杆菌和金黄色葡萄球菌仍然是从医院获得性感染患者中最常分离到的细菌。自 1964 年以来的调查显示，接受抗菌药物治疗的患者比例有所增加，同一患者使用一种以上抗菌药物治疗的比例有所下降。尽管流行率调查存在局限性，但它们可以有效帮助控制医院内的感染；如果医院工作人员了解并利用研究结果作为改善患者治疗和护理的指南，则其价值会得到提高。
Surveys of prevalence of infection and usage of antimicrobial agents, conducted at Boston City Hospital at three-year intervals from 1964 to 1973, have shown little change in either prevalence of, or bacterial pathogens associated with, community-acquired infection. Prevalence of nosocomial infection at specific sites has varied from survey to survey, but no significant downward trends have been documented. Gram-negative bacilli and Staphylococcus aureus continue to be the bacteria isolated most frequently from patients with hospital-acquired infection. The surveys since 1964 have shown an increased proportion of patients receiving antimicrobial agents and decreasing use of therapy with more than one antimicrobial agent in the same patient. Despite the limitations of surveys of prevalence, they can be a useful aid in the control of infections within hospitals; their value is enhanced by the extent to which the staff of the hospital is kept informed of and utilizes the findings as a guide to improving the therapy and care of the patients.