Mantero E, Panizzon G, Tacchella A, Rovida S, Fabbri A, Calza G, Bertolini A, Jannuzzi C
Pediatr Med Chir. 1986 Sep-Oct;8(5):715-20.
The incidence of nosocomial infections (NI) and the related risk factors in a Department of Pediatric Cardiovascular Surgery were studied, during a 6 months period. 155 successive admissions were considered. Nosocomial infections were 17 (11%), nosocomial colonizations 18 (11.6%). The most important risk factors for nosocomial infections were: age, cyanosis, duration of hospitalization, hospitalization in Intensive Care Unit and central venous catheter only as a risk factor for sepsis. The most important risk factors for nosocomial colonizations were: tracheal intubation and central venous catheter. In 4 cases the NI was related to nosocomial colonization (2 sepsis, 1 pneumonia, 1 wound infection). The most frequently isolated microorganisms were Pseudomonas aeruginosa and Staphylococcus spp. The Authors found that a longer than 5 days period of antibiotic prophylaxis did not reduce the incidence of nosocomial infections.
在6个月的时间里，对一家小儿心血管外科的医院感染（NI）发生率及相关危险因素进行了研究。共考虑了155例连续入院病例。医院感染有17例（11%），医院定植有18例（11.6%）。医院感染最重要的危险因素为：年龄、发绀、住院时间、入住重症监护病房以及仅作为败血症危险因素的中心静脉导管。医院定植最重要的危险因素为：气管插管和中心静脉导管。4例医院感染与医院定植有关（2例败血症、1例肺炎、1例伤口感染）。最常分离出的微生物是铜绿假单胞菌和葡萄球菌属。作者发现，超过5天的抗生素预防期并未降低医院感染的发生率。
