Inpatient care and microbial surveillance during year 2007-2008; retrospective evaluation of hospital-acquired pneumonia (HAP) in General Hospital Pulau Pinang, Malaysia

S. Gillani, Azhar S. Sulaiman, Forouzan Bayat Nejad
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引用次数: 3

Abstract

Patient care is a concerning issue representing the nosocomial infection transmission especially hospital-acquired pneumonia (HAP). This study aims to identify the percentage statistics of HAP among the hospitalised patients of general ward. Also, among the objectives is to investigate the etiological pattern with the prescribed antibiotics in the concomitant treatment. A two-year retrospective cohort analysis was made from January 2007 to December 2008 in General Hospital Pulau Pinang, Malaysia. Results identified the increase rate of HAP and secondary increase rate of mortality with diagnosed pathogen. More profound analysis showed the inappropriate use of antibiotics that can be the possible cause of HAP and lead to future increase in resistance pattern in pathogens. Conclusion has been made on the recommendation of the clinical evidence-based treatment as to reduce the risk of other morbidities in a clause to reduce the spread of nosocomial infections.
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2007-2008年住院治疗和微生物监测;马来西亚槟榔屿总医院医院获得性肺炎(HAP)回顾性评价
患者护理是院内感染尤其是医院获得性肺炎(HAP)传播的重要问题。本研究旨在确定普通病房住院患者患HAP的百分比统计。此外,目的之一是调查病原学模式与规定的抗生素在伴随治疗。从2007年1月至2008年12月,在马来西亚槟榔屿总医院进行了为期两年的回顾性队列分析。结果发现,随着病原菌的出现,HAP发病率增加,致死率增加。更深入的分析表明,抗生素的不当使用可能是导致HAP的可能原因,并导致未来病原体耐药模式的增加。结论建议临床循证治疗,降低其他发病风险,减少院内感染的传播。
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