Health Protection Scotland, Glasgow, UK.
J Hosp Infect. 2010 Dec;76(4):308-10. doi: 10.1016/j.jhin.2010.05.010. Epub 2010 Oct 23.
A national point prevalence survey of healthcare-associated infection (HCAI) in all acute hospitals, including intensive care units (ICUs), was carried out in Scotland from October 2005 to October 2006. The survey measured the prevalence of HCAIs to determine the burden on ICU resources. HCAI prevalence in ICUs was compared with HCAI prevalence in patients outside ICU. The prevalence of HCAI in ICU patients was 27.1%, significantly higher than HCAI prevalence in patients outside ICU, which was 9.3%. The prevalence of specific infections, namely pneumonia and lower respiratory tract, bloodstream and surgical site infections, was also significantly higher in ICU patients compared with non-ICU patients. These results highlight the burden on ICU resources from all HCAIs, regardless of site of infection. High HCAI prevalence in Scottish ICUs has major implications for patient safety and ICU resources and emphasises the need for continuing strong collaboration between intensivists and infection control teams.
一项针对苏格兰所有急症医院（包括重症监护病房[ICU]）的医疗保健相关性感染（HCAI）的全国性时点患病率调查，于 2005 年 10 月至 2006 年 10 月进行。该调查旨在测量 HCAI 的患病率，以确定 ICU 资源的负担。ICU 患者的 HCAI 患病率与 ICU 外患者的 HCAI 患病率进行了比较。ICU 患者 HCAI 的患病率为 27.1%，明显高于 ICU 外患者的 HCAI 患病率（9.3%）。ICU 患者的特定感染（即肺炎和下呼吸道、血流和手术部位感染）的患病率也明显高于非 ICU 患者。这些结果突出了所有 HCAI 对 ICU 资源的负担，而不论感染部位如何。苏格兰 ICU 中 HCAI 的高患病率对患者安全和 ICU 资源产生了重大影响，并强调了重症监护医生和感染控制团队之间持续紧密合作的必要性。
