THE EFFICACY OF INFECTION SURVEILLANCE AND CONTROL PROGRAMS IN PREVENTING NOSOCOMIAL INFECTIONS IN UNITED-STATES HOSPITALS
THE EFFICACY OF INFECTION SURVEILLANCE AND CONTROL PROGRAMS IN PREVENTING NOSOCOMIAL INFECTIONS IN UNITED-STATES HOSPITALS
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DOI：
10.1093/oxfordjournals.aje.a113990
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发表时间：
1985-01-01
影响因子：
5
通讯作者：
HOOTON, TM
中科院分区：
文献类型：
--
作者：
HALEY, RW;CULVER, DH;HOOTON, TM
在美国综合医院的代表性样本中，在控制了医院及其患者的其他特征后，1970年至1975年至1976年期间，建立强化感染监测和控制计划与医院尿路感染、手术伤口感染、肺炎和菌血症的发生率下降密切相关。有效方案的基本组成部分包括进行有组织的监测和控制活动，并有一个训练有素的，有效的感染控制医生，每250张病床一名感染控制护士，以及向执业外科医生报告感染率的系统。这些项目将医院的感染率降低了32%。然而，由于相对较少的医院有非常有效的计划，在20世纪70年代中期，全国约200万医院感染中只有6%得到了预防，剩下的26%可以通过普遍采用这些计划来预防。在没有有效计划的医院中，从1970年到1976年，总体感染率增加了18%。
In a representative sample of USA general hospitals, the establishment of intensive infection surveillance and control programs was strongly associated with reductions in rates of nosocomial urinary tract infection, surgical wound infection, pneumonia, and bacteremia between 1970 and 1975-1976, after controlling for other characteristics of the hospitals and their patients. Essential components of effective programs included conducting organized surveillance and control activities and having a trained, effectual infection control physician, an infection control nurse per 250 beds, and a system for reporting infection rates to practicing surgeons. Programs with these components reduced their hospitals'' infection rates by 32%. Since relatively few hospitals had very effective programs, however, only 6% of the nation''s approximately 2 million nosocomial infections were being prevented in the mid-1970s, leaving another 26% to be prevented by universal adoption of these programs. Among hospitals without effective programs, the overall infection rate increased by 18% from 1970 to 1976.