儿科寄宿护理机构中的医院感染。

Nosocomial infections in a pediatric residential care facility.

机构信息

Department of Community and Preventive Medicine, University of Rochester, Rochester, NY, USA.

出版信息

Am J Infect Control. 2012 Aug;40(6):502-6. doi: 10.1016/j.ajic.2011.08.007. Epub 2011 Nov 4.

DOI:10.1016/j.ajic.2011.08.007

PMID:22055458

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3663583/

Abstract

BACKGROUND

Nosocomial infections have rarely been characterized in pediatric residential care facilities. The purpose of this study is to assess the frequency of and risk factors for infectious diseases in pediatric residential care facilities over a 1-year period and to contrast them with other pediatric extended care facilities.

METHODS

A retrospective chart review was performed at a pediatric residential care facility dedicated exclusively to children with severe physical and mental disabilities. Incidence rates of infection were collected on a census of 109 residents from January 1 through December 31, 2009. Infectious diseases were classified using ICD-9-CM codes. PubMed, Web of Science, and Cumulative Index to Nursing and Allied Health Literature (CINAHL) databases were searched to identify similar studies.

RESULTS

In 2009, the overall incidence rate of infection was 6.21 per 1,000 resident-days of care, with the most frequent being streptococcal or staphylococcal skin infections (1.11 per 1,000 resident-days) and the least frequent being conjunctivitis (0.16 per 1,000 resident-days). Extensive literature reviews yielded 2 published studies that evaluated infections in pediatric extended care facilities; these studies exhibited distinct prevalences of infectious diseases when compared with the current study.

CONCLUSION

Studies examining nosocomial infections should not consider pediatric extended care facilities as 1 single entity given the heterogeneity among these facilities.

摘要

背景

医院感染在儿科寄宿护理机构中很少被描述。本研究的目的是评估在一年期间儿科寄宿护理机构中传染病的频率和危险因素，并将其与其他儿科扩展护理设施进行对比。

方法

对一家专门为严重身体和精神残疾儿童服务的儿科寄宿护理机构进行回顾性图表审查。2009 年 1 月 1 日至 12 月 31 日，对 109 名居民进行了普查，以收集感染发生率。传染病使用 ICD-9-CM 代码进行分类。在 PubMed、Web of Science 和 Cumulative Index to Nursing and Allied Health Literature（CINAHL）数据库中进行了检索，以确定类似的研究。

结果

2009 年，感染的总发生率为每千名居民护理日 6.21 例，最常见的是链球菌或葡萄球菌皮肤感染（每千名居民护理日 1.11 例），最不常见的是结膜炎（每千名居民护理日 0.16 例）。广泛的文献综述得出了 2 项评估儿科扩展护理设施中感染的已发表研究；与当前研究相比，这些研究显示出传染病的明显不同流行率。