手术部位感染：致病菌及后果（翻译有奖）

潮水

美国医院感染控制杂志2010年第2期
Surgical site infections: Causative pathogens and associated outcomes
  American Journal of Infection Control
Volume 38, Issue 2, March 2010, Pages 112-120
Background
Surgical site infections (SSIs) are associated with substantial morbidity, mortality, and cost. Few studies have examined the causative pathogens, mortality, and economic burden among patients rehospitalized for SSIs.

Methods
From 2003 to 2007, 8302 patients were readmitted to 97 US hospitals with a culture-confirmed SSI. We analyzed the causative pathogens and their associations with in-hospital mortality, length of stay (LOS), and cost.

Results
The proportion of methicillin-resistant Staphylococcus aureus (MRSA) significantly increased among culture-positive SSI patients during the study period (16.1% to 20.6%, respectively, P < .0001). MRSA (compared with other) infections had higher raw mortality rates (1.4% vs 0.8%, respectively, P = .03), longer LOS (median, 6 vs 5 days, respectively, P < .0001), and higher hospital costs ($7036 vs $6134, respectively, P < .0001). The MRSA infection risk-adjusted attributable LOS increase was 0.93 days (95% confidence interval [CI]: 0.65-1.21; P < .0001), and cost increase was $1157 (95% CI: $641-$1644; P < .0001). Other significant independent risk factors increasing cost and LOS included illness severity, transfer from another health care facility, previous admission (<30 days), and other polymicrobial infections (P < .05).

Conclusion
SSIs caused by MRSA increased significantly and were independently associated with economic burden. Admission illness severity, transfer from another health care setting, and recent hospitalization were associated with higher mortality, increased LOS, and cost.

Key Words: Surgical site infection; outcomes research; methicillin-resistant Staphylococcus aureus; hospital mortality; hospital length of stay; hospital costs

老朽

外科手术部位感染：致病菌及相关成果
美国感染控制杂志
38卷第2期，2010年3月，页112-120
背景
外科手术部位感染（SSI）就是都与大量发病率，死亡率和成本。一些研究探讨了致病病原体，死亡率之间的SSI的rehospitalized患者的经济负担。
方法
从2003年到2007年，8302例，入院，97家美国医院的文化确认的小型工业。我们分析了致病菌及其协会与住院死亡率，住院天数（洛杉矶），和成本。
结果
甲氧比例的金黄色葡萄球菌（MRSA）的显着增加，在培养阳性的小型工业患者在研究期间（16.1％，20.6％，P均<.0001）。葡萄球菌（相对于其他）感染有较高的原料死亡率（1.4％和0.8％，P均= 0.03），更长的洛杉矶（中位数，6队5天，P均<.0001），
医院的费用较高（七千零三十六美元队六一三四美元，P均<.0001）。 MRSA感染的风险调整后的增加是由于洛杉矶为0.93天（95％置信区间[CI]：0.65-1.21; P<0.001），和成本的增加为1157年（95％CI为：$ 641 - 1644美元; P<.0001） 。其他重要的独立危险因素增加的成本，洛杉矶，包括疾病的严重性，从另一个健康转让核证机关
重新设施，以前入学（<30天），以及其他polymicrobial感染（P<0.05）。
结论
SSI的葡萄球菌引起的显着增加，分别独立地与有关的经济负担。入学疾病的严重性，从另一个健康护理的环境转移，最近住院均与高死亡率，提高洛杉矶和成本。
关键词：外科手术部位感染，结果研究，耐甲氧西林金黄色葡萄球菌，医院死亡率，医院的住院时间;住院费用

直译，有的地方我看着都不合适，仅供参考，期待高手修改斧正!

控制感染

回复 2# 老朽
老朽版主您的英文好棒滴!向您学习!

过年

翻译的好棒啊，值得好好学习。