Schifman R B, Howanitz P J
Department of Pathology, University of Arizona, Tucson.
Arch Pathol Lab Med. 1994 Feb;118(2):115-9.
We report nosocomial infection surveillance methods and hospital infection rates in 512 institutions obtained from a Q-Probes study of the College of American Pathologists, Northfield, Ill. The results showed that nosocomial infection surveillance procedures were well standardized. Use of microbiology reports was the most common case-finding method (97.3%), followed by review of the patient's medical record (86.1%). The median number of full-time equivalents per 100 occupied beds utilized for infection control services was 0.64, and these full-time equivalents spent 40% of their time on surveillance activities. A computer was used in 81% of institutions to assist in conducting surveillance, although this usage was not associated with decreased surveillance time or personnel required. This study provided data on total and site-specific infection rates for a wide range of small to large hospitals. When stratified into subgroups (based on teaching status and hospital size), infections rates in this study were comparable with those of the National Nosocomial Infection Surveillance program, and showed a trend of increasing rates of nosocomial bloodstream and surgical wound infections.
我们报告了从伊利诺伊州诺斯菲尔德市美国病理学家学会的一项Q-调查研究中获取的512家机构的医院感染监测方法和医院感染率。结果显示，医院感染监测程序得到了很好的标准化。使用微生物学报告是最常见的病例发现方法（97.3%），其次是查阅患者病历（86.1%）。每100张占用床位用于感染控制服务的全职等效人员中位数为0.64，这些全职等效人员将40%的时间用于监测活动。81%的机构使用计算机协助进行监测，尽管这种使用与监测时间的减少或所需人员数量无关。这项研究提供了各类大小医院的总体和特定部位感染率数据。当按亚组分层（基于教学状况和医院规模）时，本研究中的感染率与国家医院感染监测项目的感染率相当，并显示出医院血流感染和手术伤口感染率上升的趋势。
