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为了解公立医院病人的感染分布,1983年意大利组织了全国普查。共调查了全国130所医院中的34,577名急性病人:6668人(占19.3%)在普查时正处感染活动期,其中医院内感染(Hospital-Acquired Infection, HAI)有2361人(6.8%),社区内获得的感染(Community-Acquired Infection CAI)有4307人(12.5%)。HAI中最多见的是泌尿系感染(占30.2%),而CAI中最常见的感染部位是呼吸道(下呼吸道35.7%,上呼吸道9.1%)。HAI最常见于重症监护病房(ICU,12.4%)、老年病人(11.6%)、矫形外科病人(8.2%)和外科病房(7.6%)。在占9.4%的插管病人中有10.4%发生泌尿系感染,而相比之下未插管病人中仅有2.6%发生泌尿系感染。35.5%的病人在普查日中,接受抗菌素治疗。
To understand the distribution of infections in public hospital patients, Italy organized a national census in 1983. A total of 34,577 acute patients in the country’s 130 hospitals were surveyed: 6,668 (19.3%) were active during the census, including 2,361 (6.8%) of hospital-acquired infections (HAI). There were 4307 (12.5%) Community-Acquired Infection (CAI) infections in the community. The most common HAI is urinary tract infection (30.2%), and the most common site of infection in CAI is the respiratory tract (35.7% in the lower respiratory tract and 9.1% in the upper respiratory tract). HAI is most common in intensive care units (ICU, 12.4%), elderly patients (11.6%), orthopedic patients (8.2%), and surgical wards (7.6%). 10.4% of intubated patients accounted for 10.4% of urinary tract infections, compared with 2.6% of unintubated patients with urinary tract infections. 35.5% of patients received antibiotic treatment during the census day.