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Scientific article
French

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

Published inSchweizerische medizinische Wochenschrift, vol. 128, no. 50, p. 1973-1983
Publication date1998
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
  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Causality
  • Child
  • Child, Preschool
  • Cross Infection/diagnosis/ epidemiology/etiology
  • Cross-Sectional Studies
  • Female
  • Hospital Departments/statistics & numerical data
  • Hospitals, University/statistics & numerical data
  • Humans
  • Incidence
  • Infant
  • Male
  • Middle Aged
  • Risk Factors
  • Switzerland/epidemiology
Citation (ISO format)
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.
Identifiers
ISSN of the journal0036-7672
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