查詢結果分析
相關文獻
- 兒科及新生兒加護病房院內感染監測試用「院內感染疫情監測系統」軟體
- 極低出生體重早產兒造成腦性麻痺的危險因子之探討
- Home Oxygen Therapy for Chronic Lung Disease in Very Low-Birth-Weight Infants
- 新生兒加護病房的院內感染
- Influence of Perinatal Factors on Limit of Viability in Extremely Low Birth Weight Infants
- 懷孕週數與低出生體重及極低出生體重嬰兒盛行率之研究
- Transient Hypothyroxinemia of Very Low Birth Weight Infants
- Thyroid Function in the Sick Very Low-Birth-Weight Infants
- 「院內感染疫情監測系統」電腦軟體簡介
- Comparison of Intensive Care of Injured Children between Pediatric-based and Non-pediatric-based Intensive Care Units in a University Hospital in Taiwan
頁籤選單縮合
題 名 | 兒科及新生兒加護病房院內感染監測試用「院內感染疫情監測系統」軟體=Application of "Nosocomial Infection Surveillance System" in Pediatric and Neonatal Intensive Care Units |
---|---|
作 者 | 姜秀子; 邱南昌; 李聰明; 莊意芬; 黃富源; | 書刊名 | 院內感染控制雜誌 |
卷 期 | 9:1 1999.02[民88.02] |
頁 次 | 頁9-18 |
分類號 | 419.38 |
關鍵詞 | 院內感染疫情監測系統; 兒科加護病房; 新生兒加護病房; 低出生體重; Nosocomial infection surveillance; Pediatric intensive care unit; Neonatal intensive care unit; Low birth weight; |
語 文 | 中文(Chinese) |
中文摘要 | 衛生署參照美國疾病管制中心之全國院內感染監測系統(National Nosocomial Infection Surveillance System)調查方式,在國內推行「加強加護中心院內感染監測」試辦計劃,已試行於成人加護中心。本研究乃將其試用於兒科及新生兒加護病房,希望對兒科之院內感控工作有所幫助,亦可做為將來修改該監測系統的參考依據。研究期間自1997年1月1日至12月31日止,共收集146人次院內感染資料。新生兒加護病房之病人又依其出生體重區分為四組:(1)小於或等於1,000gm、(2)1,001-1,500gm、(3)1,501-2,500gm、(4)大於2,500gm。各組平均住院日數之中位數介於6.3至43.7天之間。多次院內感染患者佔所有感染病人的百分比介於10.5至39.1%。經平均住院日數調整後感染率介於每千人日3.8至6.1例之間。感染部位以血流最多,其次為眼耳鼻喉及口腔和下呼吸道感染。各侵入性裝置使用率最高為呼吸器,其相關之呼吸道感染率介於每千人日1.1至3.9例之間;其次為中心靜脈導管,其相關之血流感染率介於每千人日2.3至8.0例之間;導尿管使用率及其相關感染率則都很低。菌種以Staphylococcus aureus, E. coli最常見。新生兒加護病房中共107人次院內感染,有4.7%來自母體感染。和成人比較,兒科病患各侵入性裝置的相關感染率及平均住院日數並未有明顯的差異,但低出生體重是院內感染的重要危險因子。關於此套監測軟體除能幫助我們更深入瞭解危險因子外也能做合理化之比較。不過在兒科使用方面仍有限制,此點有待未來版本之修定。 |
英文摘要 | A software of "Nosocomial Infection Surveillance System" sponsored by the Department of Health, R.O.C. was applied to our pediatric intensive care unit (PICU) and neonatal intensive care unit (NICU) in order to evaluate its applicability in the units. From January 1st to December 31st, 1997, 146 nosocomial infections were found in PICU and NICU. The patients in NICU based on their birth weight were divided into four groups: 1) ≦1,000gm, 2) 1,001-1,500gm, 3) 1,501-2,500gm, and 4) >2,500gm. The median of average length of stay in these groups were ranged from 6.3 to 43.7 days. Lower birth weight groups had significantly longer length of hospitalization. The infection rates, adjusted by the average length of stay, ranged from 2.9 to 10.4 infections per 1,000 patient-days. Blood stream was the most common infection site. Ventilator was the most frequently used specific invasive device, its associated pneumonia ranged from 1.1 to 3.9 per 1,000 ventilator-days. Compared with the adults, indwelling urinary catheters were much less used, so were their associated infections. The most common pathogens were Stapylococcus aureus and Escherichia coli. Only 4.7% of the infections were maternally acquired. This software can find out more precisely the risk factors of nosocomial infections. However, further adjustment maybe needed before its nationwide usage. |
本系統中英文摘要資訊取自各篇刊載內容。