Nosocomial infections among patients in a long-term care facility: Spectrum, prevalence, and risk factors

作者: Usha Setia , Isabel Servant , Patricia Lorenz

DOI: 10.1016/0196-6553(85)90083-5

关键词: Urinary systemLong-term careSkin infectionIntensive care medicineObstructive lung diseaseInternal medicineFecesPneumococcal vaccineSepsisMedicineUrinePublic Health, Environmental and Occupational HealthHealth policyEpidemiologyInfectious Diseases

摘要: During a 6-month period data were collected on 460 patients residing the long-term care division of this 1200-bed county hospital. The purpose was to determine prevalence and spectrum identify risk factors for skin infections, urinary tract respiratory sepsis. Overall, nosocomial infections among 12%. Patients with had an average 2.8 diagnoses their underlying disease compared without who only 1.8 diagnoses. Specific identified. Skin more common in nonambulatory, diabetic, malnourished, incontinent urine feces, whereas smokers or chronic obstructive lung not received pneumococcal vaccine. Thirteen percent indwelling catheter symptomatic 100% asymptomatic bacteriuria.

参考文章(9)
Robert W. Haley, Thomas M. Hooton, David H. Culver, Richie C. Stanley, T.Grace Emori, C.David Hardison, Dana Quade, Richard H. Shachtman, Dennis R. Schaberg, Babu V. Shah, Gary D. Schatz, Nosocomial infections in U.S. hospitals, 1975–1976 The American Journal of Medicine. ,vol. 70, pp. 947- 959 ,(1981) , 10.1016/0002-9343(81)90561-1
Michael R. Britt, Infection Control in Small Hospitals JAMA. ,vol. 236, pp. 1700- 1703 ,(1976) , 10.1001/JAMA.1976.03270160022022
Fredrick T. Sherman, Victor Tucci, Leslie S. Libow, Henry D. Isenberg, Nosocomial urinary-tract infections in a skilled nursing facility. Journal of the American Geriatrics Society. ,vol. 28, pp. 456- 461 ,(1980) , 10.1111/J.1532-5415.1980.TB01119.X
Richard A. Garibaldi, Susan Brodine, Sego Matsumiya, Infections among patients in nursing homes: policies, prevalence, problems. The New England Journal of Medicine. ,vol. 305, pp. 731- 735 ,(1981) , 10.1056/NEJM198109243051304
Margaret H. Magnussen, Susanne S. Robb, Nosocomial infections in a long-term care facility American Journal of Infection Control. ,vol. 8, pp. 12- 17 ,(1980) , 10.1016/S0196-6553(80)80073-3
Surgeon General, Healthy people : the Surgeon General's report on health promotion and disease prevention U.S. Dept. of Health, Education, and Welfare, Public Health Service, Office of the Assistant Secretary for Health and Surgeon General , for sale by the Supt. of Docs., U.S. Govt. Print. Off.. ,(1979)
Snydman Dr, Cohen Ed, Schilling Cr, Hierholzer Wj, Nosocomial infections in skilled nursing facilities: a preliminary survey. Public Health Reports. ,vol. 94, pp. 162- ,(1979)
Jules L. Gladstone, Sandor A. Friedman, Bacteriuria in the Aged: A Study of its Prevalence and Predisposing Lesions in a Chronically Ill Population The Journal of Urology. ,vol. 106, pp. 745- 749 ,(1971) , 10.1016/S0022-5347(17)61388-0
Michael R Britt, John P Burke, Ada G Nordquist, James N Wilfert, Charles B Smith, Infection control in small hospitals. Prevalence surveys in 18 institutions JAMA: The Journal of the American Medical Association. ,vol. 236, pp. 1700- 1703 ,(1976) , 10.1001/JAMA.236.15.1700