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>Analiza uporabe antimikrobnih lijekova i mikrobioloških nalaza kao metoda praćenja prevalencije bolničkih infekcija u kliničkoj bolnici Analysis use of antimicrobial drugs and microbiology findings as a method for hospital infection prevalence in a clinical hospital
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Analiza uporabe antimikrobnih lijekova i mikrobioloških nalaza kao metoda praćenja prevalencije bolničkih infekcija u kliničkoj bolnici Analysis use of antimicrobial drugs and microbiology findings as a method for hospital infection prevalence in a clinical hospital
A standardised methodology for a combined point prevalence survey (PPS) on healthcare-associated infections (HAI) and antimicrobial use, developed by the European Centre for Disease Prevention and Control (ECDC) was used in this analysis.udVariables were collected at the University Hospital Centre Zagreb Croatia from 1 July to 13 July 2010. A patient-based protocol was used.udOut of 1590 surveyed patients, 10,82% had HAI. The highest prevalence of HAI was observed in intensive care units with 42,88%. Urinary tract infection represented the most common type of HAI and presented 33,72% of all HAI. The most commonly isolated microorganisms were Escherichia coli and Pseudomonas aeruginosa.udApplication of antimicrobial use in determining the prevalence of HAI is highly sensitive (83,14%) and low specificity (29,8%) method.udApplication of microbiological findings in determining the prevalence of HAI is low sensitive (59,2%) and low specificity (48,75%), however we must emphasize that the swabs were taken in 75% of cases and were positive in only 59.2%. Application of antimicrobial use and microbiological findings in determining the prevalence of HAI are well sensitive (72,06%) and low specificity (33,67%) methods, but combination of these two methods, significantly contributes the methodology in determining the prevalence of hospital infections and saves time of healthcare workers.
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