頁籤選單縮合
題 名 | 南部某區域醫院1995至1998年院內感染資料分析=Surveillance of Nosocomial Infection at a Regional Hospital in Southern Taiwan from 1995 to 1998 |
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作 者 | 簡素娥; 郭國基; 黃情川; 林水龍; | 書刊名 | 院內感染控制雜誌 |
卷 期 | 10:3 2000.06[民89.06] |
頁 次 | 頁165-172 |
分類號 | 419.38 |
關鍵詞 | 院內感染; 感染率; Nosocomial infection; Infection rate; |
語 文 | 中文(Chinese) |
中文摘要 | 院內感染的發生會影響病人療程與治癒率,及關係醫療成本並反應醫療品質,且因年代、醫院的性質及區域的不同而有所差異。為了瞭解院內感染病原菌變化,我們針對一區域醫院由 1995 至 1998 年的院內感染資料加以整理分析。該院病床數為 405 床,四年來總出院人數為 25,585 人次。依院內感染定義收案,院內感染人次共 1,045 人次,平均感染率為4.08%。各部位院內感染前五名依次為:呼吸道感染 30.9%、泌尿道感染 25.7%、外科傷口感染14.3%、皮膚皮下感染 13.9%、血流感染10.4%。院內感染致病菌以革蘭氏陰性菌最多佔 58.3%、革蘭氏陽性菌佔 35.2%、黴菌佔 6.5%。院內感染菌種排名前五名依序為:Staphylo-coccus aureus 25.2% 佔第一位、其它依次 Pseudomonas aeruginosa 20.1%、Escherichia coli 7.8% 、Acinetobacter baumannii 6.5%、Candida spp. 6.5%、Klebsiella pneumoniae 6.2%等。而 A. baumannii有逐年上升趨勢,尤其在呼吸道感染中躍升第三位,所幸尚未發生群突發事件,我們已特別注意並加強監測。 |
英文摘要 | We analyzed the nosocomial infection surveillance data from 1995 to 1998 in a 405-bed regional hospital in southern Taiwan according to the definitions described by the Centers for Disease Control and Prevention. The total number of patients discharged during the four years was 25,585. There were 1,045 episodes of nosocomial infections. The infection rate was 4.08% (number of infections/ number of discharges), or 4.04o/00 (number of infections/ number of patient-days). The infection rates were 3.00/00 in regular wards and 26.01? in intensive care units. The infection sites included respiratory tract (30.9%), urinary tract (25.7%), surgical wound (14.3%), skin and adjacent tissues (13.9%), and blood stream (10.4%). The causative pathogens were gram-negative bacteria (58.3%), gram-positive bacteria (38.2%) and fungi (6.5%). The commonly seen individual pathogens were Staphylococcus aureus (25.2%), Pseudomonas aeruginosa (20.1%), Escherichia coli (7.8%), Acinetobacter baumannii (6.5%), Candida spp. (6.5%) and Klebsiella pneumoniae (6.2%). There were 42.9% oxacillin-resistant S. aureus among all the S. aureus isolates. A. baumannii infection rate was the eighth in frequency in 1995, but gradually rose to the third in 1998, especially involving the respiratory tract; whereas the infection rate of Candida spp, decreased from the third to ninth during the same period. We have been implementing regulations to do cultures before prescription of antibiotics over the past several years with significant improvement in the culture rate. Similar efforts in enforcing aseptic techniques may reduce the nosoco-mial infection rates. |
本系統中英文摘要資訊取自各篇刊載內容。