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題 名 | 某區域醫院五年院內感染資料分析=A Five-Year Study of Nosocomical Infection at a Regional Hospital |
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作 者 | 李淑華; 張藏能; 沈淑惠; 黃建賢; 張友馨; | 書刊名 | 院內感染控制雜誌 |
卷 期 | 11:3 2001.06[民90.06] |
頁 次 | 頁159-168 |
分類號 | 419.38 |
關鍵詞 | 院內感染; 感染率; 感染部位; 感染病原菌; Nosocomical infection; Infectious rate; Site; Pathogens; Regional hospital; |
語 文 | 中文(Chinese) |
中文摘要 | 某區域醫院於1994年至1998年合計有155,839人次住院,總住院人日數為1,107,381,這期間共有2,986位病人發生4,475次院內感染,平均發生率為2.9%,發生密度為4.0?。共分離出5,881株病原菌;常見部位感染依序為泌尿道感染(1.4?)血流感染(1.2?)、呼吸道感染(0.50?)、外科部位感染(0.5?)。院內感染病原菌以革蘭氏陰性菌為最多佔62.2%、革蘭氏陽性菌佔21.9%、黴菌佔11.8%、其他菌佔3.6%,培養出單株病原菌者有69.7%,多株病原菌者有27.0%,未作培養或末培養出致病菌者佔有3.3%;院內感染病源菌前五名依序為Pseu-domonas aeruginosa(11.9%),fungi(11.8%),Staphylococcus aureus(9.7%),Escherichia coli(9.4%),Enterobactor cloacao (7.9%),其中methicillin-resistant Staphyococcus aureus、fungi及Acineto-bacter spp.有增加之趨勢,是相當值得重視。加護病房與一般病房之院內感染率分別為9.7%及2.1%;加護病房中得到院內感染的病人中,使用侵入性導管的機會比一般病房病人來的高,具有統計學上的差別(P值<0.001)。值得重視的是加護病房不僅感染率高且重複多次感染的病人比例佔了39.8%之多,要如何降低加護病房之感染率是醫院同仁所需共同努力的。(感控雜誌2001;11:159-68) |
英文摘要 | We retrospectively analyzed the surveillance data of nosocomial infections at a regional hospital in Taipei from 1994 till 1998. There were 155,839 admissions, or a total of 1,107,381 hospitalized-days. 4,475 episodes of nosocomial infections developed in 2,986 patients, thus the incidence rate was 2.9 % and the incidence density was 4.0?. The major infection sites were urinary tract (1.38?), blood stream (1.19?), respiratory tract (0.47?), and surgical site (0.46?). Of these patients, 3,119 (69.7%) had single pathogen, 1,209 (27.0%) had multiple pathogens, and 147 (3.3%) had neither culture nor no pathogen. A total of 5,581 isolates were cultured, most of them were Gram-negmive bacteria (62.2%), followed by Gram-positive bacteria (21.9%) and fungi (11.8%). The most frequently isolated pathogens were Pseudomonas aeruginosa (11.9%), fungi (11.8%), Staphylococcus aureus (9.7%), Escherichia coli (9.4%), and Enterobacter cloacae (7.9%). The proportion for methicillin-resistant Staphylococcus aureus, fungi and Acinetobacter spp. has increased yearly. The infection rates for intensive care unit and regular ward were 9.7% and 2.1% respectively. Among patients who had nosocomial respiratory tract infection in the intensive care unit had received more invasive procedures than regular wards' patients (p<0.001). 39.8% of the nosocomially infected cases in ICU were infected at least twice. (Nosocom Infect Control d 2001: 11:159-68) |
本系統中英文摘要資訊取自各篇刊載內容。