J Hosp Infect: 台湾1981-2007医院感染变迁分析

细菌耐药

J Hosp Infect. 2010 Oct;76(2):143-9.

Secular trends of healthcare-associated infections at a teaching hospital in Taiwan, 1981-2007.

Chuang YC, Chen YC, Chang SC, Sun CC, Chang YY, Chen ML, Hsu LY, Wang JT.

SourceDepartment of Internal Medicine, National Taiwan University Hospital, Yun-Lin Branch, Yun-Lin, Taiwan.

Abstract
The National Taiwan University Hospital (NTUH) adopted international guidelines for surveillance and control of healthcare-associated infection (HCAI) in 1981. This report describes the secular trends in HCAI at the NTUH over the past 27 years according to site of infection, aetiological agents and control measures. Clinical and microbiological data were collected by infection prevention and control nurses using a standardised case-record form. Specific control programmes were implemented and/or intensified as needed. Poisson or negative binomial regression analysis was used to quantify time trends of the incidence of HCAI. The annual number of discharges increased from 25 074 to 91 234 with a parallel increase in the Charlson comorbidity index. Active HCAI surveillance and periodic feedback were associated with a marked decrease in surgical site infections from 1981 to 2007 (2.5 vs 0.5 episodes per 100 procedures, P<0.0001). On the other hand, there was a 4.8-fold increase in bloodstream infections (BSIs) (0.39 vs 1.88 episodes per 100 discharges, P<0.0001). The average annual increase of pathogen-specific HCAI incidence during 1981-2007 was 11.4% for meticillin-resistant Staphylococcus aureus (MRSA), 75.4% for extensively drug-resistant A. baumannii (XDRAB), and 7.5% for Candida albicans (P<0.0001, respectively). The infection prevention and control programme was upgraded in 2004 by implementing annual, intensive, project-based control programmes, and decreases in rates of HCAI, BSI, MRSA and XDRAB were observed. This long term study demonstrates the need to couple surveillance of HCAI with focused control programmes. Hospitals must invest in adequate manpower to accomplish these goals.

蓝鱼o_0

文献很好。可否抽时间能给大家一个简单的introduction或者TRANSLATION，这样可能广大会员阅读起来更容易些

细菌耐药

蓝鱼o_0 发表于 2012-3-2 17:59

                               
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文献很好。可否抽时间能给大家一个简单的introduction或者TRANSLATION，这样可能广大会员阅读起来更容易些

说实话，我现在还是更希望鼓励大家直接看英文原版资料，什么东西都想着要翻译成中文，学习的步伐就慢了。当然，个别的资料，如国外的指南等，由SIFIC组织人员翻译一下也是非常必要的。

蓝鱼o_0

细菌耐药 发表于 2012-3-2 23:04

                               
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说实话，我现在还是更希望鼓励大家直接看英文原版资料，什么东西都想着要翻译成中文，学习的步伐就慢了。 ...

希望由您带动啊。呵呵。把这个版块搞好。

细菌耐药

蓝鱼o_0 发表于 2012-3-3 00:33

                               
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希望由您带动啊。呵呵。把这个版块搞好。

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