A prospective study of nosocomial infections in cardiac surgery patients in China.
A prospective survey of postoperative nosocomial infections (NI) in cardiac surgery was carried out in a cardiovascular specialty hospital in Beijing, China. During the period from December 1986 to December 1987, 1208 cardiovascular surgery patients were surveyed for NI. The overall incidence of NI was found to be 7.5%. The incidence of lower respiratory tract and wound infections were 4.5% and 2.9%, respectively. These two kinds of infection accounted for 78.1% of the total infections. After effective control measures were taken at the end of the first 6 months (December 1986 to May 1987) of the study, the incidence fell from 10.6% to 5.1% in the next 7-month period (June to December 1987). The pathogens causing NI were mostly gram-negative bacteria, and they were mainly opportunistic. The contribution of fungal infection was significant in the hospitals. The majority of the pathogenic isolates were highly resistant to the antibiotics commonly used in the hospital.
Li
L Y
LY
Institute of Epidemiology and Microbiology, Chinese Academy of Preventive Medicine, Beijing.
Wang
S Q
SQ
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D006348:Cardiac Surgical Procedures; D002648:Child; D002675:Child, Preschool; D002681:China / Q000453:epidemiology; D003428:Cross Infection / Q000453:epidemiology* / Q000382:microbiology / Q000517:prevention & control / Q000601:surgery; D004352:Drug Resistance, Microbial; D004926:Escherichia coli; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D011446:Prospective Studies; D011550:Pseudomonas aeruginosa; D012307:Risk Factors; D012737:Sex Factors; D013212:Staphylococcus epidermidis