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首页> 外文期刊>International Journal of Infection Control >Surveillance of infections in nursing homes in the Netherlands, how to come from information to action
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Surveillance of infections in nursing homes in the Netherlands, how to come from information to action

机译：荷兰养老院中的感染监测，如何从信息到行动

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The SNIV network is a national surveillance system involving nursing homes on a voluntary base. The aim of the SNIV network is to provide systematic year-round surveillance data on the incidence of infections in nursing homes for local interventions and national policymaking and for the development of infection control guidelines. The network was designed as a sentinel active surveillance network involving nurse practitioners and/or elderly care physicians who report weekly on incident infectious diseases (gastro-enteritis, influenza-like illness, probable pneumonia and the addition of urinary tract infections in 2011) in their nursing home based on clinical definitions. The average weekly incidence per 1000 residents in the years 2009 till 2012 varied by year: gastro-enteritis: 3.8, 4.6, 3.7, 2.5; influenza-like illness: 1.6, 0.4, 0.5, 1.8; probable pneumonia: 3.6, 3.7, 2.9, 3.5; urinary tract infections: 8.0, 9.6 per 1000 resident weeks in 2011 and 2012. Gastro-enteritis most frequently occurred in local outbreaks and incidence peaked in winter. Incidence of influenza-like illness only showed a seasonal pattern in 2009 due to absence of infections with A(H1N1) influenza virus in nursing home residents. The results from our nationwide on-going weekly surveillance into the incidence of infections in nursing homes show that systematic surveillance in nursing homes is feasible. These data provides insight into seasonal patterns and risk factors for infection needed to guide infection control efforts and form the basis for comparisons between institutions and within regions. Furthermore, these data provide a solid baseline when studying the effectiveness of intervention strategies in the nursing home setting.
机译：SNIV网络是一个全国性的监视系统，涉及自愿基础上的疗养院。 SNIV网络的目的是提供有关疗养院感染发生率的全年系统监测数据，以用于地方干预和国家政策制定以及制定感染控制指南。该网络被设计为哨兵主动监视网络，由护士从业人员和/或老年护理医生组成，他们每周报告其事件中的传染病（胃肠炎，类流感，可能的肺炎和2011年增加的尿路感染）。根据临床定义的疗养院。从2009年到2012年，每千名居民的平均每周发病率因年份而异：胃肠炎：3.8、4.6、3.7、2.5;流感样疾病：1.6、0.4、0.5、1.8;可能的肺炎：3.6、3.7、2.9、3.5;尿路感染：2011年和2012年每千居民周发生8.0、9.6。肠胃炎最常见于局部暴发，冬季发病率最高。由于养老院居民未感染A（H1N1）流感病毒，类流感的发病率仅在2009年呈季节性变化。我们在全国范围内对疗养院感染发生率进行每周一次监视的结果表明，对疗养院进行系统监视是可行的。这些数据提供了对季节性模式和感染危险因素的洞察力，以指导感染控制工作，并为机构之间和地区内部进行比较奠定了基础。此外，这些数据为研究疗养院环境中干预策略的有效性提供了坚实的基础。

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