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印度北部一家三级护理医院内科重症监护病房医院感染的流行病学研究

Epidemiology of nosocomial infections in medicine intensive care unit at a tertiary care hospital in northern India.

作者信息

Habibi Shabina, Wig Naveet, Agarwal Sunil, Sharma Surendra K, Lodha Rakesh, Pandey Ravindra M, Kapil Arti

机构信息

Department of Medicine, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110029, India.

出版信息

Trop Doct. 2008 Oct;38(4):233-5. doi: 10.1258/td.2008.070395.

DOI:10.1258/td.2008.070395
PMID:18820195
Abstract

This prospective observational study describes the rates of nosocomial infections (NI), the sites of infection, the pathogens involved, their antibiogram and the risk factors at a tertiary care hospital in northern India. In 62 of the 182 enrolled patients 95 episodes of NI were recorded (incidence rate 28.6/1000 person days): pneumonia (77%); urinary tract infection (24%) and blood stream infection (24%). All isolates of Acinetobacter, Pseudomonas and Klebsiella and 83.3% of Escherichia coli were resistant to the third generation cephalosporins. An increased duration of the time spent in intensive care units and days of intervention were associated with incident NI.

摘要

这项前瞻性观察性研究描述了印度北部一家三级护理医院的医院感染(NI)发生率、感染部位、相关病原体、它们的抗菌谱以及危险因素。在182名登记患者中的62名患者身上记录到了95次医院感染发作(发病率为28.6/1000人日):肺炎(77%);尿路感染(24%)和血流感染(24%)。不动杆菌、假单胞菌和克雷伯菌的所有分离株以及83.3%的大肠杆菌对第三代头孢菌素耐药。在重症监护病房停留时间的延长和干预天数与医院感染的发生有关。

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