Kam K M, Mak W P
Institute of Pathology, Hong Kong Government, Sai Ying Pun Polyclinic.
J Hosp Infect. 1993 Feb;23(2):143-51. doi: 10.1016/0195-6701(93)90018-u.
A territory-wide prevalence survey of hospital infection in 10 Hong Kong hospitals was carried out in January 1987 using a standard protocol. Out of 9848 patients included in the survey, 2542 (25.8%) had infection, of which 844 (8.6%) were acquired in hospital and 1746 (17.7%) in the community. Although in North American studies there are higher rates of hospital-acquired infection in tertiary-referral and university-affiliated hospitals than in community hospitals, this was not found to be the case in Hong Kong. Factors contributing to the high rate of hospital-acquired infection in Hong Kong include the proportion of high-risk patients, the frequency of inter-hospital transfers, the crowdedness of wards and the education level of staff. In Hong Kong, hospital-acquired infections are important in large, as well as in small, hospitals.
1987年1月,采用标准方案在香港10家医院开展了一项全港范围的医院感染患病率调查。在纳入调查的9848例患者中,2542例(25.8%)发生感染,其中844例(8.6%)为医院获得性感染,1746例(17.7%)为社区获得性感染。尽管北美研究表明,三级转诊医院和大学附属医院的医院获得性感染率高于社区医院,但在香港并未发现这种情况。导致香港医院获得性感染率高的因素包括高危患者比例、医院间转运频率、病房拥挤程度以及工作人员的教育水平。在香港,医院获得性感染在大型医院和小型医院中都很重要。