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Prévalence des infections nosocomiales dans un hôpital universitaire: distribution, facteurs prédisposants et indices diagnostiques

Frankart, L.
Copin, P.
Alexiou, A.
Henry, N.
Sauvan, V.
Published in Schweizerische medizinische Wochenschrift. 1998, vol. 128, no. 50, p. 1973-1983
Abstract Nosocomial infections are a major challenge for modern medicine and contribute to increased resource use in health care systems. The first hospital-wide prevalence survey of nosocomial infections was conducted at the University of Geneva Hospitals in 1994. At the time of the study, 16.9% of admitted patients had nosocomial infections (168/994). Leading infection sites were: urinary tract (30%), respiratory tract (17%), surgical wounds (12%) and bloodstream (9.6%). Rates of infection varied between hospital wards: intensive care (21%), surgery (19%), rehabilitation (18%), internal medicine (13%). However, the distribution of nosocomial infections varied according to surveillance and attribution rules. Optimal detection of nosocomial infections requires ward surveillance, including revision of microbiology, nursing (Kardex) and medical records; the combination of fever above 38 degrees C, prescription of antimicrobial agent(s), and positive microbiological records suggested the diagnosis of nosocomial infections in 95% of situations. Priorities for infection control were derived from these results.
Keywords AdolescentAdultAgedAged, 80 and overCausalityChildChild, PreschoolCross Infection/diagnosis/ epidemiology/etiologyCross-Sectional StudiesFemaleHospital Departments/statistics & numerical dataHospitals, University/statistics & numerical dataHumansIncidenceInfantMaleMiddle AgedRisk FactorsSwitzerland/epidemiology
PMID: 9888168
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Research group Staphylocoques dorés résistants à la méthicilline et hygiène hospitalière (330)
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FRANKART, L. et al. Prévalence des infections nosocomiales dans un hôpital universitaire: distribution, facteurs prédisposants et indices diagnostiques. In: Schweizerische medizinische Wochenschrift, 1998, vol. 128, n° 50, p. 1973-1983. https://archive-ouverte.unige.ch/unige:9324

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Deposited on : 2010-07-12

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