頁籤選單縮合
題名 | 某醫學中心1985年至1996年院內感染致病菌之變遷與分析=Secular Trends of Nosocomial Infections in a Medical Center from 1985 to 1996 |
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作者 | 林春珠; 盧柏樑; 黃高彬; 蔡季君; 陳彥旭; 李怡慧; 黃樹樺; 吳淑萍; 吳淑卉; 陳田柏; | 書刊名 | 院內感染控制雜誌 |
卷期 | 10:5 2000.10[民89.10] |
頁次 | 頁301-312 |
分類號 | 419.38 |
關鍵詞 | 院內感染; 感染部位; 致病菌之變遷; Nosocomial infections; Infections site; Pathogens; |
語文 | 中文(Chinese) |
中文摘要 | 為瞭解南臺灣醫學中心院內感染部位及致病菌之變遷,我們收集1985-1990年和1991-1996年前後各6年間在某醫學中心罹患院內感染病患之資料進行分析。平均院內感染率在前後兩時期由 4.5% 降至 3.4%。院內感染之致病菌在前後兩時期均以嗜氧性革蘭氏陰性菌為最多,約佔四分之三,而嗜氧性革蘭氏陽性菌和黴菌所佔之比例有增加之情形,厭氧菌則明顯下降。 Pseudomonas aeruqinosa 在兩個時期都是最常見之嗜氧性革蘭氏陰性菌。相較於 1985-1990 年之院內感染致病菌,在 1991-1996 年Enterobacter cloacae 之感染有增加之情形,而 K. pneumoniae所佔之比率則減少。而嗜氧性革蘭氏陽性菌則由 Enterococcus species 在 1985-1990 年最常見之情形改變為 Staphylococcus aureus 在 1991-1996 年最常見。在感染部位方面,下呼吸道感染 (前後時期; 30.9%vs 37.8%)及血流感染 (前後時期; 2.1% vs 9.0%)皆有增加之情形,值得特別注意。本文報告某南部醫學中心之院內感染之部位及常見菌種在不同時期的流行病學,提供醫護人員臨床上的參考。(感控雜誌2000:10:301-12) |
英文摘要 | We retrospectively collected and analyzed clinical and microbiological data of nosocomial infections in a medical center in southern Taiwan from 1985 to I996. Results between two 6-year periods, 1985-1990 and 1991-1996, were compared. The overall nosocomial infection rates of the hospital in the two time spans decreased from 4.5 to3.4%. Aerobic gram-negative bacteria accounted for three quarters of nosocomial pathogens and was the most common in both intervals. Comparing these two periods of time, the infections due to aerobic gram-positive bacteria and fungi increased, from 18.8 to 24.1% andfrom 0.7 to 2.2%, respectively, and that of anaerobes decreased, from 5.3 to 1.0%. Pseudomonas aeruginosa remained as the most common nosocomial gram-negative bacteria, occupying approximately one quar- ter of all the pathogens in both time spans. The infection due to Enterobacter cloacae emerged in the latter 6-year to 2.7%; and the incidence of the Klebsiella pneumoniae infections decreased from 10.9 to 7.6%. Enterocooccus species comprised 5.1 and 5.3% of infections during these periods of time, respectively. They were the most common gram-positive pathogen during the first 6-year, however, during the second term, Staphylococcus aureus replaced the leading role with 11.1%. The frequency of the lower respiratory infection increased from 30.9 to 37.4%, whereas that of the urinary tract infection decreased from 32.5 to 23.7%. Further monitoring of the infections is needed to comprehend the significance of the changes. (Noso- com Infect Control J 2000;10:301-12) |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。