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住院时间作为医院感染其他危险因素的效应修饰因素。

Hospital stay length as an effect modifier of other risk factors for nosocomial infection.

作者信息

Delgado-Rodríguez M, Bueno-Cavanillas A, López-Gigosos R, de Dios Luna-Castillo J, Guillén-Solvas J, Moreno-Abril O, Rodríguez-Tuñas B, Cueto-Espinar A, Rodríguez-Contreras R, Gálvez-Vargas R

机构信息

Department of Social and Preventive Medicine, University Hospital of Granada, Facultad de Medicina Avda, Spain.

出版信息

Eur J Epidemiol. 1990 Mar;6(1):34-9. doi: 10.1007/BF00155546.

DOI:10.1007/BF00155546
PMID:2344874
Abstract

This paper addresses the problem of hospital stay length as a risk factor for nosocomial infection and as a modifier of the effect of other risk factors for hospital infection. Patients were selected form two cross-sectional studies done in two different seasons of 1986. Risk of infection rose fairly steadily as hospital stay length increased (correlation coefficient: 0.83, p less than 0.01). Several risk factors (operation, underlying disease, and age) were analyzed on the basis of 1) raw data and 2) data stratified by length of stay. The results showed that hospital stay length is a strong modifier of the remaining risk factors, generally reducing, their effect on the development of hospital infection as length of stay increases.

摘要

本文探讨了住院时间作为医院感染风险因素以及作为其他医院感染风险因素效应调节因素的问题。患者选自1986年两个不同季节进行的两项横断面研究。随着住院时间的增加,感染风险相当稳定地上升(相关系数:0.83,p<0.01)。基于1)原始数据和2)按住院时间分层的数据,分析了几个风险因素(手术、基础疾病和年龄)。结果表明,住院时间是其余风险因素的一个强有力的调节因素,一般来说,随着住院时间的增加,其对医院感染发生的影响会降低。

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本文引用的文献

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The prevalence survey as an infection surveillance method in an acute and long-term care institution.在急性和长期护理机构中,将患病率调查作为一种感染监测方法。
Am J Infect Control. 1981 Aug;9(3):76-81. doi: 10.1016/s0196-6553(81)80066-1.
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Incidence and prevalence as used in the analysis of the occurrence of nosocomial infections.医院感染发生率和现患率在医院感染发生情况分析中的应用。
Am J Epidemiol. 1981 Jan;113(1):1-11. doi: 10.1093/oxfordjournals.aje.a113058.
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Multivariate analysis of determinants of postoperative wound infection: a possible basis for intervention.
老年胃癌患者的院内结局及其危险因素:基于大型综合机构的研究
Eur Geriatr Med. 2024 Dec;15(6):1909-1927. doi: 10.1007/s41999-024-01059-x. Epub 2024 Sep 21.
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Is day-case surgery feasible for laser endoscopic enucleation of the prostate? A systematic review.日间手术行前列腺激光剜除术是否可行?系统评价。
World J Urol. 2023 Nov;41(11):2949-2958. doi: 10.1007/s00345-023-04594-7. Epub 2023 Sep 10.
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Trends in () Bacteremia during the COVID-19 Pandemic: A Systematic Review.COVID-19大流行期间()菌血症的趋势:一项系统综述。
Antibiotics (Basel). 2023 Feb 18;12(2):409. doi: 10.3390/antibiotics12020409.
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Risk of bacteremia in hospitalised patients with inflammatory bowel disease: a 9-year cohort study.炎症性肠病住院患者发生菌血症的风险:一项9年队列研究。
United European Gastroenterol J. 2020 Mar;8(2):195-203. doi: 10.1177/2050640619874524. Epub 2019 Sep 5.
9
Postoperative adverse outcomes among physicians receiving major surgeries: A nationwide retrospective cohort study.接受大手术的医生术后不良结局:一项全国性回顾性队列研究。
Medicine (Baltimore). 2016 Sep;95(39):e4946. doi: 10.1097/MD.0000000000004946.
10
Assessing control bundles for Clostridium difficile: a review and mathematical model.艰难梭菌控制束评估:综述与数学模型
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术后伤口感染决定因素的多变量分析:一种可能的干预依据。
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4
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5
Interpretation and estimation of summary ratios under heterogeneity.异质性下汇总比率的解释与估计。
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MMWR CDC Surveill Summ. 1983;32(4):1SS-16SS.
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Prevalence of nosocomial infection and infection control in Denmark.丹麦医院感染的患病率及感染控制
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The role of susceptibility bias in epidemiologic research.
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