頁籤選單縮合
題 名 | 臺灣北部某地區教學醫院院內感染調查分析=Survey of Nosocomial Infections at a Local Teaching Hospital in Northern Taiwan |
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作 者 | 林金絲; 黃忠智; 饒淳英; 樊美知; 葉玉蓉; 許詩典; | 書刊名 | 院內感染控制雜誌 |
卷 期 | 10:5 2000.10[民89.10] |
頁 次 | 頁313-325 |
分類號 | 419.38 |
關鍵詞 | 地區教學醫院; 院內感染; 感染管制措施; Local teaching hospital; Nosocomial infection; Infection control; |
語 文 | 中文(Chinese) |
中文摘要 | 本院是位於臺灣北部,擁有 190 床的地區教學醫院,平均佔床率為92%。為了瞭解本院過去四年院內感染變化趨勢,以作為修定院內感染相關管制措施之重要參考依據。根據美國疾病管制中心 1988 年及 1992 年所頒佈之院內感染定義收案,結果從 1996 年至 1999 年,全院住院人次為59,067人次,其中 922 人次發生院內感染,發生率為 1.56%。各單位暨科別發生率以加護中心 ( 12.8?)最高,其次是內科和外科,分別為2.7?和2.6?。感染部位以泌尿道4.8?居高,血流和呼吸道分居第二、三,分別為 3.4?和2.9?。吏要院內感染致病菌是以金黃色葡萄球菌(13.3%)、大腸桿菌(12,0%)和綠膿桿菌(11.4%)為主。由黴菌和大腸桿菌所引起的泌尿道感染、綠膿桿菌和靜止桿菌所導致的呼吸道感染、金黃色葡萄球菌和表皮葡萄球菌所造成的血流感染,以及金黃色葡萄球菌所引發的外科部位感染個案,近年來有增加趨勢,值得深入探討。調查亦顯示在所有院內感染個案中,未培養率平均為12%,且最近三年來已逐漸下降,與其他同性質和大型教學醫院比較,也是重要差異。針對上述調查結果分析,本院感管會已擬定相關研究計畫和感染管制措施。藉此有效控制院內感染。(感控雜誌2000;10:313-25) |
英文摘要 | Our hospital is located in northern part of Taiwan with 190 bed capacity. We retrospectively analyzed cases of nosocomial infections from 1996 to 1999. Cases were collected to the definitions set up by the US Centers of Disease Control and Prevention published in 1988 and 1992. There was a total of 59,067 discharged patients reviewed, of which 922 cases acquired nosocomial infections, with the incidence of 1.56%. Of the various hospital units, the general intensive care unit had the highest incidence of I2.8?. the internal medical service came next with 2 7?, the surgical service the third with 2.6?. Urinary tract (4.8?) and the blood stream (3.4?) were the two most common nosocomial infection sites. The major pathogens found were Staphylococcus aureus (3.3%), Escherichia coil (12.0%) and Pseudomonas aeruginosa (11.4%). The proportions of cases with the urinary tract infections caused by fungi and E. coli, those with respiratory tract infections caused by P. aeruginosa and Acinetobacter baumannii, cases with blood stream infections caused by S. aureus and S. epider-midis, as well as those with skin and soft tissue infections caused by S. sureus increased gradually every year. Cultures were not done prior to the administration of antibiotics in only 12% of the infected patients. The low non-culture rate at our hospital was a notable difference from those reported by other regional hospitals in Taiwan. From above data, we have carried out specific investigations and designed some effective control measures to further reduce nosocomial infections in our hospital. (Nosocom Infect Control J 2000;10:313-25) |
本系統中英文摘要資訊取自各篇刊載內容。