Gastmeier P, Brunkhorst F, Schrappe M, Kern W, Geffers C
Institut für Hygiene und Umweltmedizin, Charité-Universitätsmedizin, Berlin.
Dtsch Med Wochenschr. 2010 May;135(3):91-3. doi: 10.1055/s-0029-1244823. Epub 2010 Jan 14.
About 400,000-600,000 nosocomial infections occur in German hospitals every year. It is difficult to calculate the percentage of them that can be prevented. It is even more difficult to estimate the number of deaths caused by avoidable nosocomial infections. But the percentage of preventable nosocomial infections has recently been calculated from data of recent studies in Germany. The data of two independently performed large epidemiological studies (the intervention study NIDEP 2 and the prevalence study of SepNET) were used to estimate the number of preventable death cases caused by nosocomial infections. About 80 000 to 180 000 nosocomial infections are avoidable annually in Germany. The number of deaths caused by nosocomial infections can be estimated between 1500 and 4500 from results of both studies. While the available data do not allow a precise estimation of the number of nosocomial infections, their avoidance and the associated deaths. However, the data presented describe the size of the problem in Germany.
德国医院每年发生约40万至60万起医院感染。很难计算其中可预防的感染所占的百分比。更难以估计可避免的医院感染导致的死亡人数。但最近已根据德国近期研究的数据计算出可预防的医院感染的百分比。两项独立进行的大型流行病学研究(干预研究NIDEP 2和SepNET患病率研究)的数据被用于估计医院感染导致的可预防死亡病例数。在德国,每年约有8万至18万起医院感染是可以避免的。根据两项研究的结果,医院感染导致的死亡人数估计在1500至4500人之间。虽然现有数据无法精确估计医院感染的数量、其可避免性及相关死亡人数。然而,所呈现的数据描述了德国这一问题的规模。