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Prevalence of hospital infection and antibiotic use at a University Medical Center in Hong Kong
一所香港医疗大学中心医院感染的流行和抗生素使用
Journal of Hospital Infection, Volume 65, Issue 4, April 2007, Pages 341-347
M.K. Lee, C.S. Chiu, V.C. Chow, R.K. Lam and R.W. Lai
Hospital infection prevalence surveys were performed in our 1400-bed University medical centre in Hong Kong from 1985 to 1988. We investigated the rates of four major hospital-acquired infections (HAIs) (pneumonia, symptomatic urinary tract infection, surgical site infection and laboratory-confirmed bloodstream infection) in order to identify current distribution and any changes after 15 years.
对香港1985年至1988年1400张床的大学医疗中心进行医院感染调查,我们调查了4种主要的医院获得性感染率(肺炎、泌尿道感染、手术部位感染和经实验室证实的血流感染),以便确认当前的状态及15年后的变迁。
A one-day point prevalence study was performed on 7 September 2005. All inpatients were surveyed for HAIs, community-acquired infections (CAIs), risk factors, pathogenic isolates and antibiotics prescribed. Infections were diagnosed according to Centers for Disease Control and Prevention (CDC) criteria.
在2005年9月7日进行了一项横断面流行病学研究,对所有住院病人的医院获得性感染、社区获得性感染、危险因素、病原体和抗生素处方进行了调查,根据疾病预防控制中心的标准诊断感染。
In total, 1021 patients were surveyed; of these, 41 had 42 HAIs (4% prevalence) and 389 (38%) were receiving antibiotics. The commonest HAI was pneumonia (1.4%) followed by bloodstream infection (0.9%) and symptomatic urinary tract infection (0.8%). The prevalence of postoperative surgical site infection was 5.6%.
最后,调查了1021名患者,其中41人有42人次(4%)和389人(38%)接受了抗生素治疗,人数最多的医院获得性感染是肺炎(1.4%),其次是血流感染(0.9%)以及泌尿道感染(0.8%),手术部位感染是5.6%。
The nosocomial prevalence rate was highest in the Intensive Care Unit, followed by the Pediatric and Neonatal Intensive Care Units, Children's Cancer Centre/Bone Marrow Transplant Unit and Orthopaedics with Traumatology.
院内感染率在ICU中最高,其次是儿科和新生儿监护室,儿童肿瘤中心/骨髓移植室和有创性整形。
Meticillin-resistant Staphylococcus aureus and Pseudomonas aeruginosa were the commonest pathogens. The rates are significantly lower than previously and reflect the increased resources for infection control made available following the outbreak of severe acute respiratory syndrome (SARS).
MRSA和铜绿假单胞菌是最长见的病原微生物。感染率比以前显著降低。表明在SARS爆发以后,增加感染控制的投资是可行的。
[ 本帖最后由 依依 于 2007-10-15 11:09 编辑 ] |