頁籤選單縮合
題名 | 中部某教學醫院1991-1995年院內感染之分析=Nosocomial Infection Surveillance at One Teaching Hospital in Central Taiwan, 1991 till 1995 |
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作者 | 黃美麗; 楊祖光; 廖淑真; 林麗珍; | 書刊名 | 院內感染控制雜誌 |
卷期 | 7:4 1997.08[民86.08] |
頁次 | 頁215-221 |
分類號 | 419.38 |
關鍵詞 | 院內感染; 感染率; 感染部位; 院內感染菌種; Nosocomial infection; Infection rate; Infection site; Nosocomial pathogens; |
語文 | 中文(Chinese) |
中文摘要 | 院內感染因醫院住院病患之性質、醫院工作人員的學養、素質、工作態度外、醫院規模大小及所在地區而不同。為了瞭解院內感染病原菌之變化,我們針對病床數為880床中部某教學醫院從1991∼1995五年間之院內感染資料結果加以分析。該院5年總出院人次為 156,797人次,其中5,503人次証實為院內感染案例,依據院內感染定義收案為院內感染個案,平均感染率為3.5%,各部位院內感染前四名依次為:泌尿道感染37.5%、下呼吸道感染20.6%、菌血症15.2%、外科傷口感染7.8%。院內感染致病菌以嗜氧性革蘭氏陰性菌為最多佔61.4%,嗜氧性革蘭氏陽性菌次之佔20.6%,黴菌佔16%、厭氧菌佔2.0%。院內感染菌種排名前四名為:Pseudomonas aeruginosa 19.4%、Staphylococcus aureus 11.8%、Escherichia coli 12.2%、Candia albicans 8.5%。而S. aureus,(MRSA)有逐年增加的趨勢,值得重視及作為未來改善之指標。 |
英文摘要 | At Changhwa Christian Hospital, the infection control committee was established in 1987 and the hospital-wide nosocomial infection surveillance started by an infection control practitioner. Here we report the result of our data collected according to the criteria set up by the Centers for Disease Control and Prevention (USA) between January, 1991 till December, 1995. There were a total of 5,503 hospital-acquired infections among 156,797 hospitalizations, with an average incidence of 3.5%. The urinary tract had the highest infectin rate of 37.46%, followed by lower respiratory tract infections (20.58%), bacteremia (15.2%), surgical wound infections (7.8%), skin infections (4.6%) and others (11.3%). Of the isolated pathogens, Gram-negative bacteria consisted of 61.4%, Gram-positives 20.6%, fungi 16%, and anaerobes 2%. Psedomonas aeruginosa (19.4%), Escherichia coli (12.2%), Staphylococcus aureus (11.8%), and Candida albicans (8.5%) were the most frequently encountered. Of the 1978 urinary tract isolates, E.coli was the most common, 17.2%. P.aeruginosa consisted of 41.8% of the 1,123 respiratory isolates. Of 899 isolates from the blood, there were 191 S.aureus (21.2%); among them, 69 (36.1%) were methicillin resistant (MRSA). MRSA showed rapid increase in recent years and require attention. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。