查詢結果分析
相關文獻
- 內外科加護病房菌血症十年流行病學調查
- A Nosocomial Outbreak of Candida Parapsilosis Fungaemia in a Neonatal Intensive Care Unit
- 某醫學中心成人加護病房八年來院內菌血症之探討
- 某醫學中心加護病房原發性菌血症危險因子之探討
- 某醫學中心新生兒加護病房院內感染Enterobacter Species菌血症流行病學調查
- 新生兒加護病房的院內感染
- Nosocomial Klebsiella pneumoniae Bacteremia: Clinical Features and Antimicrobial Susceptibilities of Isolates
- Nosocomial Gram-Negative Bacteremia in Critically Ill Patients: Epidemiologic Characteristics and Prognostic Factors in 147 Episodes
- Acinetobacter Calcoaceticus-Baumannii Complex Bacteremia:Analysis of 82 Cases
- 加護病房病患呼吸道院內感染改善方案之評價
頁籤選單縮合
題 名 | 內外科加護病房菌血症十年流行病學調查=Epidemiology of Bacteremia during Ten Years in Adult Intensive Care Unit |
---|---|
作 者 | 陳瑛瑛; 林滿; 林明瀅; 王復德; | 書刊名 | 院內感染控制雜誌 |
卷 期 | 11:3 2001.06[民90.06] |
頁 次 | 頁148-158 |
分類號 | 419.38 |
關鍵詞 | 加護病房; 院內感染; 菌血症; Intensive care unit; Bacteremia; Nosocomial infection; |
語 文 | 中文(Chinese) |
中文摘要 | 本研究之目的為瞭解內外科加護病房之院內菌血症發生率之變化以及菌種之變遷。採回溯性研究法,係以某醫學中心成人內外科加護病房從1990 年至 1999 年期間所有菌血症病患為對象。結果顯示,共發生 604次院內菌血症,平均粗感染率為 6.2% ,1990年至 1994 年菌血症由 8.3% 逐年下降至 4.3%,1995 年為 6.7% ,爾後維持在 5.6% 至 7.1% 之間,但經卡方趨勢分析各年度間發生菌血症之比率並無顯著差異。所有菌血症中,有 91.4% 原發性菌血症,其中導管相關菌血症佔 9。3% (56/604)。總共分離 687 菌株,分別經卡方趨勢分析各年度間菌種分離率的差異,除了革蘭氏陽性菌的分離率在統計上無顯著意義外,革蘭氏陰性菌 (p值0.002)和黴菌 (p值0.021) 在各年度的分離率至少有一年度以上與 1990年比較具統計上顯著差異。最常分離的菌種為每千人 Staphtlococcus aureus 13.3次、Candida albicans 6.5次、 Pseudomonas aeruginosa6.2次、Acinetobacter baumannii 5.6次以及 Enterococcus spp. 和Burkholderia cepacia 各4.8次。結論:1990 年加護病房菌血症的發生並未呈現顯著下降或增加之趨勢;而 Staphylococcoua aureus 在院內致病菌株中佔著重要的地位,是臨床照護預防菌血症發生之首要目標。(感控雜誌2001;11:148-58) |
英文摘要 | This study was aimed to examine the pathogens involved in the nosoco- mial bacteremia in a adult intensive care unit (ICU). The study was carried out retrospectively, by reviewing the records of all patients who had bacteremia from 1990 till 1999 in the ICU at a medical center. There was a total of 604 cases. The annual infection rate displayed a downward trend between 1990 and 1994 from 8.3% to 4.3%; then maintained between 5.6% and 7.2% thereafter. By Chi-square test for trend, there was no statistical difference among the annual infection rates. The average crude infection rate was 6.2%. The primary bacteremia accounted for 91.4% of all, and catheter- related infection made up 9.3% of these (56/604). A total of 687 strains of bacteria was isolated. The Gram-positive bacteria accounted for 218 or 31.7%, of which 130 strains were Staphylococcus aureus (18.9%). There were 358 strains (52.1%) of Gram-negative bacilli, of which Pseudomonas aeruginosa (60 isolates or 8.7%), Acinetobacter baumannii (55 isolates or 8.0%), and burkholderia cepacia (47 isolates or 6.8%3 were frequently encountered. There were 111 strains of fungi (16.2%), of which Candida albicans (63 isolates or 9.2%) was the principal one. There were no significant difference in the order of frequencies among these pathogens during these years. (Nosocom Infect Control d 2001;11:148-58) |
本系統中英文摘要資訊取自各篇刊載內容。