Denys D, Martens P, Mullie A, Lust P
Department of Anesthesia and Intensive Care, A.Z. St.-Jan, Bruges, Belgium.
Acta Anaesthesiol Belg. 1993;44(3):111-8.
EURO.NIS, is conceived as a multicentric, prospective evaluation of the real incidence of pneumonia in I.C.U.'s all over Western Europe. As one of the 29 Belgian participants in this study, we performed the registration as required by the standard protocol, but also investigated our local incidence of nosocomial pneumonia in more detail. All patients hospitalized in the ICU for more than 24 hours during a survey period of 1 month are included. Recorded at the end of the first 24 hours are sex, year of birth, clinical classification, risk factors, severity score; at discharge from the ICU are recorded: mechanical ventilation and humidification equipment, sedation and relaxation, gastrointestinal bleeding prophylaxis and SDD, data on pneumonia and outcome; finally three days after discharge are clinical signs of pneumonia and survival status recorded. The overall European incidence rate of pneumonias acquired in the ICU's is 11.8%; the incidence rate in the Belgium ICU's is 10.2% and as for Bruges it is 12.8%. The incidence rate of deaths associated with pneumonia is respectively 3.5%, 3% and 3.2%. These results warrant further study of causes and prevention of nosocomial infections in our ICU.
欧洲医院感染监测系统（EURO.NIS）旨在对西欧各地重症监护病房（ICU）肺炎的实际发病率进行多中心前瞻性评估。作为该研究的29名比利时参与者之一，我们按照标准方案要求进行了登记，同时还更详细地调查了我们当地医院获得性肺炎的发病率。纳入在1个月的调查期内在ICU住院超过24小时的所有患者。在最初24小时结束时记录的信息包括性别、出生年份、临床分类、危险因素、严重程度评分；在从ICU出院时记录：机械通气和加湿设备、镇静和放松、预防胃肠道出血和选择性消化道去污（SDD）、肺炎数据和结局；最后在出院三天后记录肺炎的临床体征和生存状态。在ICU获得性肺炎的总体欧洲发病率为11.8%；比利时ICU的发病率为10.2%，布鲁日为12.8%。与肺炎相关的死亡率分别为3.5%、3%和3.2%。这些结果值得我们对ICU医院感染的原因和预防进行进一步研究。
