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印度北部一家三级护理医院创伤中心重症监护病房医院获得性感染的现患率调查

Point-Prevalence Survey for the Hospital-Acquired Infections in Intensive Care Units of Trauma Center in a Tertiary Care Hospital of Northern India.

作者信息

Boora Sandeep, Singh Parul, Verma Arun, Chauhan Ashok, Lathwal Amit, Mathur Purva

机构信息

Hospital Administration, JPN Apex Trauma Center, All India Institute of Medical Sciences, New Delhi, India.

Departments of Microbiology, JPN Apex Trauma Center, All India Institute of Medical Sciences, New Delhi, India.

出版信息

J Lab Physicians. 2021 Jul 14;14(2):115-118. doi: 10.1055/s-0041-1731946. eCollection 2022 Jun.

Abstract

The burden of hospital-acquired infections (HAIs) is all assumption based, and the true burden remains unknown in most countries, particularly in the developing countries where healthcare facilities are suboptimal and knowledge is limited.  This cross-sectional study was conducted at the trauma center of a tertiary care institute from August to September 2019, to assess the burden of HAI and antibiotic resistance pattern of HAI. The total sample size in our study was 105. Our objective was to estimate the point prevalence of HAI and study the associated factors in a tertiary care hospital.  In this study, the point prevalence of HAI was five to six times higher when compared with that of developed countries. Gram-negative organisms were the predominant bacteria; with the most common among them.  Point-prevalence survey is an important objective of the antimicrobial stewardship program; it will be helpful in controlling antimicrobial resistance and this tool plays a significant role in hospital settings. Our study is quite pertinent to assess the point prevalence of HAI. It will help in knowing the current prevalence and pattern of the HAI. Therefore, as healthcare administrators, we can further decrease the HAI for better patient outcomes in the future.

摘要

医院获得性感染(HAIs)的负担完全基于假设,在大多数国家,尤其是在医疗设施欠佳且知识有限的发展中国家,其真实负担仍不为人知。 这项横断面研究于2019年8月至9月在一家三级医疗机构的创伤中心进行,旨在评估医院获得性感染的负担以及医院获得性感染的抗生素耐药模式。我们研究的总样本量为105。我们的目标是估计一家三级医院中医院获得性感染的现患率,并研究相关因素。 在这项研究中,医院获得性感染的现患率与发达国家相比高出五到六倍。革兰氏阴性菌是主要细菌,其中最常见。 现患率调查是抗菌药物管理计划的一个重要目标;它有助于控制抗菌药物耐药性,并且这个工具在医院环境中发挥着重要作用。我们的研究对于评估医院获得性感染的现患率非常相关。它将有助于了解医院获得性感染的当前患病率和模式。因此,作为医疗管理者,我们可以在未来进一步降低医院获得性感染,以实现更好的患者治疗效果。

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