[Registration and prevention of hospital infections in a general hospital].
Active surveillance in a 270-beds general hospital in the period 1984-1988 yielded 1,547 episodes of hospital-acquired infections among 26,079 patients admitted, i.e. 5.9 infections per 100 admissions (5.1 infections/1,000 days in the hospital). Infections of the urinary tract (3.0/100 admissions), surgical wounds (1.0%), the respiratory tract (0.8%) and bloodstream infections (0.5%) predominated. The incidence of infections was highest among patients of 75 years and older (13.0%), lowest in the age group 1-14 years (1.2%). Escherichia coli, Staphylococcus aureus, enterococci and coagulase-negative staphylococci were isolated most frequently. Specific measures to limit the occurrence of urinary tract infection resulted in a decline in the rate of hospital-acquired infections, from 7.6% in 1984 to 4.9% in 1988 (35.5%). We conclude that active surveillance of hospital-acquired infections contributes to our awareness of these infections and provides the basis for preventive action. (Micro)computers constitute important aids for these activities.
Verbrugh
H A
HA
Diakonessenhuis, Medisch Microbiologisch Laboratorium, Utrecht.
Mintjes-de Groot
A J
AJ
Verkooyen
R P
RP
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D002648:Child; D002675:Child, Preschool; D003365:Costs and Cost Analysis; D003428:Cross Infection / Q000191:economics / Q000453:epidemiology* / Q000517:prevention & control; D005260:Female; D006751:Hospital Information Systems; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D009426:Netherlands / Q000453:epidemiology; D012042:Registries
Registratie en preventie van ziekenhuisinfecties in een algemeen ziekenhuis.