Traduction en anglais : A prevalence survey of nosocomial infections in intensive care units.
In a large, multicenter survey in 1994, the prevalence of nosocomial infections in German hospitals was examined, predominant pathogens were identified, and possible risk factors evaluated.
In this paper the results from the intensive care units (ICUs) are presented.
Seventy-two representative hospitals in Germany were selected by randomisation and divided into four different groups according to their size (<200 beds ; 200-400 beds ; 400-600 beds ;>600 beds).
During 10 months four especially trained doctors documented the patients clinical and laboratory data and possible endogenous and exogenous risk factors for nosocomial infections.
For better evaluation, they discussed the cases with the responsible senior officers and health care workers and visited the patients.
Diagnosis of nosocomial infection was based on CDC criteria.
In 515 patients in 89 ICUs, 78 hospital-acquired infections were documented (15.3%). The most common were pneumonia (5.9%), bronchitis (2.7%), urinary tract infections (2.4%), and septicaemia (2.2%). Possible exogenous risk factors included :
peripheral venous catheters (65.6%) ;
catheterisation of the urinary tract (64.5%) ;
central venous catheters (60.4%) ;
gastric tubes (38.0%) ;
wound drainage (28.6%) and artificial ventilation (27.6%). The most frequent concomitant diseases were cardiovascular (61.9%), diabetes (20.2%), malignancies (18.8%), pre-existing infections (15.3%), and chronic respiratory disease (14.0%). (...)
Mots-clés Pascal : Infection nosocomiale, Complication, Unité soin intensif, Hôpital, Enquête, Allemagne, Europe, Epidémiologie, Prévalence, Homme
Mots-clés Pascal anglais : Nosocomial infection, Complication, Intensive care unit, Hospital, Survey, Germany, Europe, Epidemiology, Prevalence, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0130307
Code Inist : 002B27B10. Création : 21/05/1997.