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頁籤選單縮合
題名 | Surveillance of Nosocomial Infections in Intensive Care Unit Setting=重症加護病房院內感染之發生率調查 |
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作者 | 許文祥; 許詩典; 黃淑茹; 羅瑞瑜; 廖浩欽; 廖訓禎; Khor, Boon-siang; Hsu, Shih-tien; Huang, Shu-ju; Lo, Jui-yu; Liao, How-chin; Liaw, Shiumn-jen; |
期刊 | 中華民國重症醫學雜誌 |
出版日期 | 20060000 |
卷期 | 7:3 民95 |
頁次 | 頁96-100 |
分類號 | 419.38 |
語文 | eng |
關鍵詞 | 發生率; 院內感染; 重症加護病房; Incidence; Nosocomial infections; Intensive care unit; |
中文摘要 | 目的:分析及了解重症加護病房院内感染之流行病學及細菌分佈。 材料及方法:研究設計以醫院範圍為基礎之前瞻性調查;自2002年1月至2004年12月,凡住進重症加護病房之病患皆為研究對象。 結果:一共有3170病患人次於研究期間入住重症加護病房,院内感染發生率平均為17.7%,最常見之院内感染部位別依次為下呼吸道感染(8.4%),泌尿道感染(4.2%),血流感染(2.7%),皮膚或軟體組織感染(1.3%)和手術部位感染(0.6%)。最常見之院内感染部位別依次菌種分佈依序為綠膿桿菌(16.1%)、oxacillin抗藥性金黃色葡萄球菌(15.8%)、靜止桿菌(14.3%)、大腸桿菌(8.1%)和克雷柏氏肺炎桿菌(6.7%)。 結論:本研究報告有助於了解重症加護病房院内感染的情況及細菌分布,進而建立有效之感染管制措施,以降低因院内感染而導致之併發症及死亡率。另外,因院内感染之細菌多屬抗藥性菌種,因此應適當管理抗生素的使用,避免更多的多重抗藥性細菌衍生及擴散。 |
英文摘要 | Objective: To understand the incidence of nosocomial infections as well as the frequency of microbiological isolates in an ICU setting. Method and Materials: Hospital-based prospective surveillance study of all patients admitted to general ICU at Li-Shin Hospital between January 2002 and December 2004. Result: A total of 3170 patients were admitted during the study period. The incidence of NI was 17.7%. The most frequent episodes of NI were lower respiratory tract infection (8.4%), followed by urinary tract infection (4.2%), bloodstream infection (2.7%), skin and/or soft tissue infection (1.3%), and surgical site infection (0.6%), respectively. A total of 676 isolates of microorganisms were identified. The most frequently isolated microorganisms were Pseudomonas aeroginosa (16.1%), followed by Oxacillin-resistant staphylococcus aureus (15.8%), Acinetobacter baumanii (14.3%), E. coli (8.1%), and Klebsiella pneumoniae (6.7%). Conclusion: This study suggests the knowledge of the incidence and distribution of nosocomial infection allows the targeting and implementation of preventive strategies for reducing morbidity and mortality related to NI in an ICU setting. In addition, ICU-acquired infection is often associated with microbiological isolates of resistant organisms. Antibiotics controlled policy is a critical step in preventing the production and spread of these microorganisms. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。