J Hosp Infect: 国外最新医院感染调查研究

细菌耐药

J Hosp Infect. 2012 Mar;80(3):217-23. Epub 2012 Jan 9.
Prevalence survey of healthcare-associated infections in Argentina; comparison with England, Wales, Northern Ireland and South Africa.
Durlach R, McIlvenny G, Newcombe RG, Reid G, Doherty L, Freuler C, Rodríguez V, Duse AG, Smyth ET.
SourceHospital Alemán, Buenos Aires, Argentina; Instituto Técnico de Acreditación de Establecimientos de Salud (ITAES), Buenos Aires, Argentina.

Abstract
BACKGROUND: Prevalence surveillance methodology is the systematic observation of the occurrence and distribution of healthcare-associated infections (HCAIs) so that appropriate actions can be taken.

AIM: The objectives of a prevalence survey with an international validated methodology were to determine the prevalence of HCAIs for the first time in Argentina, and to provide data which could be used for international benchmarking.

METHODS: In 2008, an HCAI prevalence survey was carried out in 39 hospitals in seven of 23 provinces in Argentina, with methodology identical to that employed by the Hospital Infection Society in the third prevalence survey of HCAIs in acute hospitals in the British Isles. Data collected were processed and analysed at the Northern Ireland Healthcare-Associated Infection Surveillance Centre at Belfast.

FINDINGS: A total of 4249 patients were surveyed; 480 of these had at least one HCAI, resulting in a prevalence of 11.3% of patients. Male prevalence was 13.6% and female 9.0%. The most common HCAIs were pneumonia (3.3%), urinary tract infection (3.1%), surgical site infection (2.9%), primary bloodstream infection (1.5%), and soft tissue infections (1.2%). Among the 1027 patients who underwent surgery, the prevalence of surgical site infection was 10.2%. The prevalence of meticillin-resistant Staphylococcus aureus was 1.1%, accounting for 10.0% of all HCAI isolates. The results for Argentina show higher HCAI rates compared with corresponding findings for England, Wales, Northern Ireland and South Africa.

CONCLUSION: This survey will contribute to the prioritization of resources and help to inform Departments of Health and hospitals in the continuing effort to reduce HCAIs.

细菌耐药

患者的临床信息和基本资料

细菌耐药

这张表显示的是医院感染的类型

细菌耐药

医院感染相关的危险因素

wjllulu

医院感染诊断本来就很模糊，有些很难确诊。表中这么高的感染率，且以泌尿道感染很多，那需要跟进多少微生物标本检验啊，在国内目前很少做到。

调查39间医院的4249名患者，每间医院才100多一点病人？可能他们的医院很小，很少病人。

听.讲

老师怎么不发整篇文章上来呢？

sebastienkitty

HAP，尤其是VAP特别值得关注

cxx80_0

看来要在学习一下英语了

xingxing1988

想看看具体的感染调查研究方法都有哪些啊

细菌耐药

wjllulu 发表于 2012-2-27 08:40

                               
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医院感染诊断本来就很模糊，有些很难确诊。表中这么高的感染率，且以泌尿道感染很多，那需要跟进多少微生物 ...

与国内的规模相比，国外医院的床位数确实比较小的。500张床位的医院在美国的非常大的医院了，不过人家的微生物标本送检量却比国内几千张床位的医院标本量还要多的。

鬼才

细菌耐药 发表于 2012-7-8 22:17

                               
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与国内的规模相比，国外医院的床位数确实比较小的。500张床位的医院在美国的非常大的医院了，不过人家的微 ...

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鑫磊牛

加强学习  提高认识

鬼才

细菌耐药 发表于 2012-7-8 22:17

                               
登录/注册后可看大图

与国内的规模相比，国外医院的床位数确实比较小的。500张床位的医院在美国的非常大的医院了，不过人家的微 ...

微生物检验是感控工作的脊梁，从中外送检比率的差距中，我们该反思什么？现在大家都强调说感控工作的重点在哪里？微生物检验工作没跟上，是否我们的感控工作偏离了正确的航线？这一问题值得我们深思！我们如何做好中国的感控工作，如果我们放弃了微生物学检验这一基石工作，中国的感控工作还谈什么提高呢？对微生物学检验是我们该引起重视的时候了。中国的感控人不是没事可做，而是大部分同仁没抓住要点。