医院感染率的分析及意义
Analysis and significance of nosocomial infection rates.
作者信息
Mulholland S G, Creed J, Dierauf L A, Bruun J N, Blakemore W S
出版信息
Ann Surg. 1974 Dec;180(6):827-30. doi: 10.1097/00000658-197412000-00005.
An analysis of the systems of nosocomial infection reporting utilized in a 332 bed, urban, referral-type hospital demonstrated that physician reporting was much less reliable than a well-planned surveillance system coordinated by an infection control nurse. During 12 months' experience with the most recently devloped system, the average monthly rate of nosocomial infection was 10.7%. A prevalence survey gave a rate of 14.4%. The efficiency of reporting was close to 100% when the infection control nurse spent 100% of her time on surveillance. With a reduction in surveillance time to 75%, the efficiency of reporting fell to about 75%.
对一家拥有332张床位的城市转诊型医院所采用的医院感染报告系统进行的分析表明，医生报告的可靠性远低于由感染控制护士协调的精心规划的监测系统。在使用最新开发系统的12个月经验中，医院感染的平均月发生率为10.7%。一项现患率调查得出的发生率为14.4%。当感染控制护士将100%的时间用于监测时，报告效率接近100%。当监测时间减少到75%时，报告效率降至约75%。
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