Gastmeier P, Hentschel J, de Veer I, Obladen M, Rüden H
Institute for Hygiene, Free University Berlin.
J Hosp Infect. 1998 Jan;38(1):51-60. doi: 10.1016/s0195-6701(98)90174-8.
Agreement on criteria for defining nosocomial infections is essential when surveillance is intended for quality assurance. The CDC criteria for patients < 12 months old were compared with locally developed criteria for neonates in a 10-month study of nosocomial infections in a Berlin University hospital. Six hundred and seventy-seven neonates were observed prospectively for 11,936 patient days. The overall nosocomial infection incidence rate was 13.2%. Because of the observed strength of agreement between the CDC and local criteria for central line-associated primary bloodstream infections and for ventilator-associated pneumonias (recommended by the NNIS system for inter-hospital comparisons) and the preference of the clinicians for the local criteria, we decided to use the latter for an ongoing surveillance system which nonetheless would retain the possibility for comparison with NNIS-data.
当监测旨在确保质量时，就医院感染定义标准达成一致至关重要。在柏林一家大学医院进行的为期10个月的医院感染研究中，将美国疾病控制与预防中心（CDC）针对12个月以下患者的标准与当地制定的新生儿标准进行了比较。对677名新生儿进行了为期11936个患者日的前瞻性观察。医院感染总体发病率为13.2%。由于观察到CDC标准与当地标准在中心静脉导管相关原发性血流感染和呼吸机相关性肺炎方面的一致性较强（这是美国国家医院感染监测系统（NNIS）推荐用于医院间比较的），且临床医生更倾向于当地标准，我们决定在持续的监测系统中使用后者，不过该系统仍保留与NNIS数据进行比较的可能性。
