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儿科杂志报道了美国在2007-2012年期间的院感监测数据，由于参与的医院多，标准统一，时间较长，因此具有一定参考对照意义。
附件为全文，供各位同道参考之用。
以下为该文的摘要：
BACKGROUND: Health care–associated infections (HAIs) are harmful
and costly and can result in substantial morbidity for hospitalized
children; however, little is known about national trends in HAIs in
neonatal and pediatric populations. Our objective was to determine
the incidence of HAIs among a large sample of hospitals in the United
States caring for critically ill children from 2007 to 2012.
METHODS: In this cohort study, we included NICUs and PICUs located in
hospitals reporting data to the Centers for Disease Control and Prevention’s
National Healthcare Safety Network for central line–associated
bloodstream infections (CLABSIs), ventilator-associated pneumonias,
and catheter-associated urinary tract infections. We used a timeseries
design to evaluate changes in HAI rates.
RESULTS: A total of 173 US hospitals provided data from NICUs, and 64
provided data from PICUs. From 2007 to 2012, rates of CLABSIs decreased
in NICUs from 4.9 to 1.5 per 1000 central-line days
(incidence rate ratio (IRR) per quarter = 0.96, 95% confidence
interval 0.94–0.97) and in PICUs from 4.7 to 1.0 per 1000 centralline
days (IRR per quarter = 0.96 [0.94–0.98]). Rates of ventilatorassociated
pneumonias decreased in NICUs from 1.6 to 0.6 per 1000
ventilator days (IRR per quarter = 0.97 [0.93–0.99]) and PICUs from 1.9
to 0.7 per 1000 ventilator-days (IRR per quarter = 0.95 [0.92–0.98]).
Rates of catheter-associated urinary tract infections did not change
significantly in PICUs.
CONCLUSIONS: Between 2007 and 2012 there were substantial reductions
in HAIs among hospitalized neonates and children. Pediatrics
2014;134:1–8
Health Care Associated Infections A[PMIDY25201802].pdf
(1.05 MB, 下载次数: 25)
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发表于 2015-7-29 17:03
发表于 2015-7-31 01:25
发表于 2015-8-14 07:59
