Infections and infection control among residents of eight rural Wisconsin nursing homes.
Infections and infection control among residents of eight rural Wisconsin nursing homes.
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威斯康星州八个农村疗养院居民的感染和感染控制。
DOI：
10.1001/archinte.1986.00360220141024
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发表时间：
1986
影响因子：
--
通讯作者：
P. J. Peterson
中科院分区：
文献类型：
--
作者：
W. Scheckler;P. J. Peterson
在1984年和1985年期间，在威斯康星州的8个农村非专有疗养院进行了初步的患病率调查和连续6个月的全面前瞻性监测，这些疗养院由同一社区的8家非营利性医院管理。本研究的目的是了解护理院住院病人的感染情况及护理院的感染控制措施。最初的患病率调查分析了八个养老院的所有403名居民的记录。居民的平均年龄为83.4岁，患有3.4种慢性病。在这次初步调查中，52名居民（12.9%）被发现有56个活动性感染的所有类型。在连续六个月的全面监测，在八个养老院，265例急性感染事件被发现的总发病率为10.7感染每100个居民月。在整个研究中，按部位、病原体或发病月份划分的感染集群非常罕见。从感染中恢复的微生物的药敏试验未能揭示任何临床重要的耐药模式。由于疗养院在许多方面与医院不同，因此需要对疗养院及其居民进行适当修改的定义和感染控制策略。
During 1984 and 1985, an initial prevalence survey and six consecutive months of comprehensive prospective surveillance were conducted in eight rural Wisconsin nonproprietary nursing homes managed by eight nonprofit hospitals in the same communities. Our purpose was to define the infections in the residents and the infection control programs in the nursing homes. The initial prevalence survey analyzed the records of all 403 residents of the eight nursing homes. The average resident was 83.4 years old and had 3.4 chronic diseases noted on the chart. During this initial survey, 52 (12.9%) of the residents were found to have 56 active infections of all types. During six consecutive months of comprehensive surveillance in the eight nursing homes, 265 episodes of acute infection were found for an overall incidence of 10.7 infections per 100 resident months. Clusters of infection by site, pathogen, or month of onset were quite uncommon throughout the study. Susceptibility testing of organisms recovered from infections failed to reveal any clinically important resistance patterns. Because nursing homes are different in many respects from hospitals, appropriately modified definitions and infection control strategies are required for nursing homes and their residents.