Robinson G V, Tegtmeier B R, Zaia J A
Infect Control. 1984 Jun;5(6):289-94. doi: 10.1017/s0195941700060355.
This report describes the results of a prospective study of nosocomial infection in 7,714 patients hospitalized during a 24-month period at a cancer treatment center. An overall nosocomial infection rate of 9.3% was observed with site-specific infection rates of 2.6% for urinary tract, 1.9% for surgical wound, 2.2% for bacteremia and 1.9% for respiratory tract infection. Within specific patient groups, the overall nosocomial infection rates observed were: 8.2% in medical patients, 14.9% in surgical patients and 1.5% in pediatric patients. Despite the markedly elevated nosocomial infection rate in surgical patients (P less than 0.001), surgical wound infection rates were not unlike those observed in general hospitals: clean-2.4%, clean contaminated-5.8%, contaminated-13.2%, and dirty-11.8%. These observations provide evidence that institutions which provide medical care predominantly for cancer patients can expect to observe higher nosocomial infection rates than general care hospitals.
本报告描述了对一家癌症治疗中心在24个月期间住院的7714例患者进行的医院感染前瞻性研究结果。观察到总体医院感染率为9.3%，其中尿路感染率为2.6%，手术伤口感染率为1.9%，菌血症感染率为2.2%，呼吸道感染率为1.9%。在特定患者群体中，观察到的总体医院感染率分别为：内科患者8.2%，外科患者14.9%，儿科患者1.5%。尽管外科患者的医院感染率显著升高（P小于0.001），但其手术伤口感染率与综合医院观察到的情况并无不同：清洁伤口为2.4%，清洁-污染伤口为5.8%，污染伤口为13.2%，感染伤口为11.8%。这些观察结果表明，主要为癌症患者提供医疗服务的机构，其医院感染率可能高于综合医院。
