INCIDENCE AND IMPACT OF INFECTION IN A NURSING-HOME CARE UNIT

被引：57

作者：

JACOBSON, C

STRAUSBAUGH, LJ

机构：

来源：

AMERICAN JOURNAL OF INFECTION CONTROL | 1990年 / 18卷 / 03期

关键词：

D O I：

10.1016/0196-6553(90)90180-Z

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

In this study we examined the frequency of infection and its consequences in a Veterans Administration medical center nursing home care unit during its first 9 months of operation. A total of 231 patients were enrolled and were followed up for an average stay of 115 days. Sixty-nine infections occurred in 50 patients and yielded a period prevalence rate of 22% and an infection incidence rate of 2.6 infections per 1000 days of patient care. Symptomatic urinary tract infections, pneumonia, and skin and soft tissue infections accounted for 41%, 32%, and 17% of the infections, respectively. Staphylococci, streptococci, and aerobic gram-negative bacilli were the most common bacterial isolates. Thirty-four episodes of infection (49%) required administration of parenteral antibiotics in the nursing home care unit, and 21 episodes (30%) necessitated transfer to the acute care hospital for management. Infection caused one death and contributed to the death of 4 of the 55 other patients who died during the study period. © 1990.

引用

页码：151 / 159

页数：9

共 22 条

[1]

Magnussen, Robb, Nosocomial infections in a long-term care facility, Am J Infect Control, 8, pp. 12-17, (1980)

[2]

Farber, Brennen, Puntereri, Et al., A prospective study of nosocomial in a chronic care facility, J Am Geriatr Soc, 32, pp. 499-502, (1984)

[3]

Gambert, Duthie, Priefer, Et al., Bacterial infections in a hospital-based skilled nursing facility, J Chron Dis, 35, pp. 781-786, (1982)

[4]

Franson, Duthie, Cooper, Et al., Prevalence survey of infections and their predisposing factors at a hospital-based nursing home care unit, J Am Geriatr Soc, 34, pp. 95-100, (1986)

[5]

Standfast, Michelsen, Baltch, Et al., A prevalence survey of infections in a combined acute and long-term care hospital, Infect Control, 5, pp. 177-184, (1984)

[6]

National Nosocomial Inspection Study: site definitions manual, (1975)

[7]

Smith, Consensus conference on nosocomial infections in long-term care facilities, Am J Infect Control, 15, pp. 97-100, (1987)

[8]

Jackson, Fierer, Infections and infection risk in residents of long-term care facilities: a review of the literature 1970–1984, Am J Infect Control, 13, pp. 63-77, (1985)

[9]

Garibaldi, Brodine, Matsumiya, Infections among patients in nursing homes policies prevalence and problems, New England Journal of Medicine, 305, pp. 731-735, (1981)

[10]

Scheckler, Peterson, Infections and infection control among residents of eight rural Wisconsin nursing homes, Arch Intern Med, 146, pp. 1981-1984, (1986)

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