2005年芬兰急诊医院内医院感染情况的国家调查

David

Journal of Hospital Infection online 25 April 2008
Article in Press, Corrected Proof  
Healthcare-associated infections in Finnish acute care hospitals: a national prevalence survey, 2005
2005年芬兰急诊医院内医院感染情况的国家调查
O. Lyytikäinena, , , M. Kanervaa, b, N. Agthea, T. Möttönena, P. Ruutua and the Finnish Prevalence Survey Study Groupc

aNational Public Health Institute, Helsinki, Finland

bHelsinki University Central Hospital, Helsinki, Finland


Received 20 August 2007;  accepted 6 March 2008.  Available online 25 April 2008.

Summary
The objectives of the first national prevalence survey on healthcare-associated infections (HAIs) in Finland were to assess the extent of HAI, distribution of HAI types, causative organisms, prevalence of predisposing factors and use of antimicrobial agents. The voluntary survey was performed during February–March 2005 in 30 hospitals, including tertiary and secondary care hospitals and 10 (25%) other acute care hospitals in the country. The overall prevalence of HAI was 8.5% (703/8234). Surgical site infection was the most common HAI (29%), followed by urinary tract infection (19%) and primary bloodstream infection or clinical sepsis (17%). HAI prevalence was higher in males, among intensive care and surgical patients, and increased with age and severity of underlying illness. The most common causative organisms, identified in 56% (398/703) of patients with HAIs, were Escherichia coli (13%), Staphylococcus aureus (10%) and Enterococcus faecalis (9%). HAIs caused by multi-resistant microbes were rare (N = 6). A total of 122 patients were treated in contact isolation due to the carriage of multi-resistant microbes. At the time of the survey, 19% of patients had a urinary catheter, 6% central venous line and 1% were ventilated. Antimicrobial treatment was given to 39% of patients. These results can be used for prioritising infection control measures and planning more detailed incidence surveillance of HAI. The survey was a useful tool to increase the awareness of HAI in participating hospitals and to train infection control staff in diagnosing HAIs.

Keywords: Healthcare-associated infection; Prevalence; National

绿茵场

handshake 国家级别的调查，获得的数据（8.5%的发病率还是比较普遍的）应该很科学，值得一读！
谢谢David的分享。:handshake