Filimon Raluca, Iacob E
Spitalul Clinic de Recuperare, Iaşi.
Rev Med Chir Soc Med Nat Iasi. 2007 Jan-Mar;111(1):255-7.
The nosocomial infections remain a major public health problem. The descriptive study has been performed on a sample of 37541 patients hospitalized in the sanitary during 2004-2005. The aim of the study was to evaluate the declared and real incidence of nosocomial infections, to evaluate the risk factors and the etiological agents involved in their occurrence.
The tracking of nosocomial infections (IN) was of an active nature. We have used the definition of clinical cases according to Ord. 994/2004; and have also taken into consideration the CDC criteria's of identifying these infections.
The results show a low incidence of the IN (0.08%), under the values declared in the literature; among these, the urinary tract infections are on first place (48.38%), followed by the superficial surgical-site infections (29.03%), respiratory tract infections (11.13%) and skin infections (6.45%). The pathogen agents involved were Proteus spp. alone or in combination with Klebsiella spp., in the urinary tract infections; in the superficial surgical-site infections we found Staphylococcus and Proteus (33.34%).
医院感染仍然是一个重大的公共卫生问题。对2004 - 2005年期间在该医疗机构住院的37541例患者样本进行了描述性研究。该研究的目的是评估医院感染的申报发病率和实际发病率,评估其发生的危险因素和病原体。
医院感染(IN)的追踪是主动进行的。我们采用了根据第994/2004号法令的临床病例定义;并且还考虑了疾病控制与预防中心(CDC)识别这些感染的标准。
结果显示医院感染的发病率较低(0.08%),低于文献中公布的值;其中,尿路感染位居首位(48.38%),其次是浅表手术部位感染(29.03%)、呼吸道感染(11.13%)和皮肤感染(6.45%)。在尿路感染中涉及的病原体是变形杆菌属单独或与克雷伯菌属联合;在浅表手术部位感染中我们发现葡萄球菌和变形杆菌(33.34%)。