Prevalence of nursing home-associated infections in the department of Veterans Affairs nursing home care units
Prevalence of nursing home-associated infections in the department of Veterans Affairs nursing home care units
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DOI：
10.1016/j.ajic.2007.06.008
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发表时间：
2008-04-01
影响因子：
4.9
通讯作者：
Roselle, Gary
中科院分区：
文献类型：
--
作者：
Tsan, Linda;Davis, Chester;Roselle, Gary
背景：退伍军人事务部 (VA) 是美国最大的长期护理单一提供者。 VA 疗养院护理单位 (NHCU) 居民中疗养院相关感染 (NHAI) 的患病率尚不清楚。方法：2005 年 11 月 9 日，在 VA 的 133 个 NHCU 中，使用疾病控制和预防中心对医疗保健相关感染的修订定义，对 NHAI 进行了基于网络的点患病率调查。结果：在 11,475 名 NHCU 居民的总人口中，591 人至少感染过1 NHAI 的点患病率为 5.2%。尿路感染、无症状菌尿、肺炎、皮肤感染、胃肠炎和软组织感染最为常见，占所有 NHAI 的 72%。共有 2817 名居民（24.5%）拥有 1 个或更多留置装置。在这 2817 名拥有留置装置的居民中，309 名 (11.0%) 患有 1 次或以上 NHAI。相比之下，没有留置装置的居民中 NHAI 的患病率为 3.3%。留置导尿管、经皮胃造口管、静脉外周导管、经外周插入中心导管和耻骨上导尿管最为常见，占所有使用器械的 79.3%。结论：VA NHCU 拥有有效的感染监测和控制计划，NHAI 点患病率为 5.2%。
Background: The Department of Veterans Affairs (VA) is the largest single provider of long-term care in the United States. The prevalence of nursing home-associated infections (NHAIs) among residents of VA nursing home care units (NHCUs) is not known.Methods: A Web-based point prevalence survey of NHAIs using modified Centers for Disease Control and Prevention definitions for health care-associated infections was conducted in the VA's 133 NHCUs on November 9, 2005.Results: From a total population of 11,475 NHCU residents, 591 had at least 1 NHAI for a point prevalence rate of 5.2%. Urinary tract infection, asymptomatic bacteriuria, pneumonia, skin infection, gastroenteritis, and soft tissue infection were most prevalent, constituting 72 % of all NHAIs. A total of 2817 residents (24.5 %) had 1 or more indwelling device. Of these 2817 residents with an indwelling device(s), 309 (11.0 %) had 1 or more NHAI. In contrast, the prevalence of NHAIs in residents without an indwelling device was 3.3 %. Indwelling urinary catheter, percutaneous gastrostomy tube, intravenous peripheral line, peripherally inserted central catheter, and suprapubic urinary catheter were most common, accounting for 79.3 % of all devices used.Conclusion: There are effective infection surveillance and control programs in VA NHCUs with a point prevalence of NHAIs of 5.2%.