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Archive of Oncology 2000;8(3):185-6.
Gorana ∆OSI∆1
Hospital-acquired infections at the
Nataπa LUKI∆2

Institute of Oncology
Sremska Kamenica

1I1INSTITUTE OF PUBLIC HEALTH, DEPARTMENT OF Key words: Hospital infection; Epidemiologic studies; Oncology
EPIDEMIOLOGY, NOVI SAD, YUGOSLAVIA2INSTITUTE OF ONCOLOGY SREMSKA KAMENICA, SREMSKA Archive of Oncology 2000,8(4):185-6Ç2000, Institute of Oncology Sremska Kamenica, Yugoslavia
A hospital infection is an infection acquired ed at the time of survey was 6.63%: 13 infections at the hospital by a patient who was admitted 7. unsuitability of architectural design and were judged to be in 12 patients. 8 infections for the reason other than that infection. The were recorded as being community-acquired interval between admission and onset of symp- (prevalence rate 4.08%) and 5 as hospital toms must be greater than the incubation period Nowadays the greatest problem are hospital acquired (prevalence rate 2.55%). At the Clinic of the infection, otherwise the infection is classi- infections caused by microorganisams that are of the Internal Oncology, the prevalence rate of fied as community-acquired infection (CAI) (1).
normally present in our personal flora but not HAI was 3.03% (2 cases out of 66 patients: The main causes of hospital-acquired infec- pathogenic under normal circumstances. But, phlebitis and upper respiratory tract infection).
inadequate procedures or simply antibiotic ther- On the Clinic of Surgical Oncology the preva- 1. the antibiotic therapy (the antibiotic acts apy may enable them to reproduce, spread and lence rate was 5.45% (3 cases out of 55 patients: not only on the pathogenic microorganism that implant themselves at a site where they may 2 cases of urinary tract infection and a case of is the target of the therapy, but also on the whole operation site infection). At the Clinic of of the patient‘s personal flora which it treats In the world the prevalence rate of hospital Radiology, there were no intrahospital infec- aquired infections is 3,5 - 15% (2-5).
2. the increase in number of hospitalized At the time of the survey 19 patients (9.7%) patients susceptible to infection (old people, When it is difficult to obtain notifications of were receiving antibiotic therapy. In most of the malnurished cancer patients, diabetic subjects, HAI regularly, a sample can be taken on a given cases this was monotherapy, only one patient was treated with two and one with three drugs.
3. the use of increasingly violent tehniques Prevalence study, also known as cross-sec- More than two thirds of patients receiving tional study, was done 8-9 February, 2000 at the antibiotics were recorded as having no infection; Institute of Oncology, Sremska Kamenica. The 3 out of 5 patients (60%) with HAI were receiv- prevalence rate was compiled on the basis of the ing antibiotics, 4 out of 7 patients (57.1%) of 4. the increase in number of people dealing information collected; this corresponds to the those with CAI. The most frequently used drugs with the same patient ( more reservoirs); number of cases of HAI recorded on the given were gentamicin (63.2%), ciprofloxacin (21%), 5. the increase in patients’ movements with- date in relation to the number of patients in the cephalosporins (15.8%), ampicillin (5.3%) and in in the hospital during the hospitalization (oper- department on the same date. This rate has only single cases metronidazole and lincocin. Nine ating room, intensive care unit, medical service, out of 12 (75%) patients with infections were physical rehabilitation units, diagnostic imaging receiving antimicrobial treatment without pre- A total of 311 beds occupied by 196 patients vious microbiological investigation.
6. hospital staff not adequately trained in were surveyed, of whom 135 (69%) were femaleand the rest 61 (31%) were male. The mean age of the surveyd patients was 52,6 years. The lower than rates usually reported in European mean length of stay in hospital prior to the sur- surveys (3-6). The comparisons must be made vey was 11,5 days. 34 patients (17.3%) had uri- with great caution. In this study, the population, Dr Gorana ∆osiÊ, Institute of Public Health, Department of Epidemiology, Futoπka 121, 21000 Novi Sad, Yugoslavia nary catheters, 28 (14.3%) intravenous devices the mean age, as well as prevalence of risc fac- and none was mechanically ventilated at the tors were found to be low and the mean period The manuscript was received: 27. 07. 2000. time of servey. 28 (14.3%) were undergoing from admisson to the point of the survey was chemotherapy and 82 (41.84%) irradiation.
Provisionally accepted: 28. 07. 2000. The overall prevalence of infections detect- This initial survey should not be underesti- Accepted for publication: 01. 08. 2000. Ç 2000, Institute of Oncology Sremska Kamenica,Yugoslavia ∆osiÊ G.
mated as a powerful tool for planning appropri- develop the most effective strategies of action.
3. Nicholls TM, Morris AJ. Nosocomial infection in
ate infection control measures. Cross- sectional Auckland Healthcare hospitals. N Z Med J 1997;110:314-6.
survey should be combined with regulary noti- REFERENCES
4. Valinteliene R, Jurkuvenas V, Jepsen OB. Prevalence of
fications of infections through information col- hospital-acquired infections in a Lithuanian hospital. J HospInfect 1996;34:321-9.
lected by the hospital hygiene nurse or hospital 1. Practical guide to the prevention of hospital-acquired
hygienist or epidemiologist. Incidence rates Vaque J, Rosselo J, Trilla A, Monge V, Garcia Caballero J, should be worked out. Analysis of these various Arribas JL et al. Nosocomial infections in Spain: results of 2. Gastmeier P, Kampf G, Wischnewski N, Haner T,
five nationwide serial prevalence surveys (EPINE Project, rates by the Hospital Hygiene Committee will Schulgen G, Schumacher M et al. Prevalence of nosocomial 1990 to 1994.) Nosocomial Infections Prevalence Study in reveal the true dimensions of the HAI and make infections in representative German hospitals. J Hosp Infect Spain. Infect Control Hosp Epidemiol 1996;17:293-7.
it possible to direct control operations and to In the Archive of Oncology, number 8/3, on the page No. 137, #Heavy metal and arsenic contamination of food available in Novi Sad in the period from 1994 to 1999#, the following title should be put: #Indoor radon survey in Novi Sad#.
We kindly ask the authors and our readers to accept the correction and a sincere apology of the Editorial Board for the unfortunate mistake, which occurred. Ç 2000, Institute of Oncology Sremska Kamenica,Yugoslavia



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