Patient epidemiology in a level II hospital ICU and how main nosocomial infections affect morbidity and mortality

M Muooz; E Yuste; O Moreno; R Fernandez; R Ramirez

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Patient epidemiology in a level II hospital ICU and how main nosocomial infections affect morbidity and mortality

机译：二级医院ICU的患者流行病学以及主要医院感染如何影响发病率和死亡率

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《Critical care : 》 |2015年第1期| 共页
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M Muooz; E Yuste; O Moreno; R Fernandez; R Ramirez;
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1. A.Martin1,N.Boyle2,J.Cooke3,S.P.Kennelly4,R.Martin5,M.Mulroy6,M.O’Connor7,S.O'Keeffe8,D.O’Neill4OnbehalfoftheIrishSocietyofPhysiciansinGeriatricMedicine.1.BeaumontHospital,Dublin.2.St.Vincent’sUniversityHospital,Dublin.3.UniversityHospitalWaterford.4.TallaghtUniversityHospital,Dublin.5.ConnollyHospital,Dublin.6.OurLadyofLourdesHospital,Drogheda.7.CorkUniversityHospital.8.GalwayUniversityHospital.AbstractResidents in nursing home care have borne a disproprtionate morbidity and mortality in the COVID-19 pandemic in comparison to the general population. Although the high rate of infection, morbidity and mortality in older people living in nursing homes may be attributable to increased levels of frailty and comorbidity in residents, the physical infrastructure and governance structures within nursing homes is also likely to be highly significant. The authors present, on behalf of Irish Society of Physicians in Geriatric Medicine, a position paper on changes that should be implemented to enhance the safety and quality of care for nursing home residents in Ireland. IntroductionResidentsinnursinghomesrepresentagroupwithhighlevelsofdisabilityandco-morbiditywhichrenderthemparticularlyvulnerabletoexternalandinternalstressors1,asexemplifiedbythehighdeathrateinIrishnursinghomesduringtheCOVID-19pandemic.Atthelastcensusin2016were22,762peopleover65yearsofage(3.7%)listedasresidentinnursinghomesinIreland2.Althoughthiswasadecreaseintheproportionoftheolderpopulationinresidentialcarefrom2011itreflectsanactualincreaseof9.4%inpeoplelivinginnursinghomesinthiscountry.Asoursocietyagesitwillbeincreasinglyimportanttoprovidehighqualitycareforthisvulnerablegroup.TheIrishSocietyofPhysiciansinGeriatricMedicine(ISPGM)haspromotedthedevelopmentofimprovedstandardsofcareinresidentialcareforseveraldecadesandwasthefirstIrishprofessionalgrouptoformulateimprovedstandardsofcarein2001,publishedintheIrishMedicalJournal3. [J] . Irish medical journal. . 2020 ,第9期

机译：A.Martin1，N.Boyle2，J.Cooke3，SPKennelly4，R.Martin5，M.Mulroy6，M.O'Connor7，S.O'Keeffe8，D.O'Neill4OnbehalfoftheIrishSocietyofPhysiciansinGeriatricMedicine.1.BeaumontHospital，Dublin.2.St .Vincent'sUniversityHospital，Dublin.3.UniversityHospitalWaterford.4.TallaghtUniversityHospital，Dublin.5.ConnollyHospital，Dublin.6.OurLadyofLourdesHospital，在家庭护理Drogheda.7.CorkUniversityHospital.8.GalwayUniversityHospital.AbstractResidents已经结出一个disproprtionate发病率和死亡率在COVID-19大流行相比于普通人群。虽然感染，发病率和死亡率在生活在养老院的老年人率高可能是由于增加了居民的脆弱性和合并症的水平，养老院内的物理基础设施和治理结构，也可能是非常显著。作者提出，对应该实施，加强安全和医疗质量养老院在爱尔兰的变化代表在老年医学，意见书医生的爱尔兰社会。 IntroductionResidentsinnursinghomesrepresentagroupwithhighlevelsofdisabilityandco-morbiditywhichrenderthemparticularlyvulnerabletoexternalandinternalstressors1，asexemplifiedbythehighdeathrateinIrishnursinghomesduringtheCOVID-19pandemic.Atthelastcensusin2016were22,762peopleover65yearsofage（3.7％）listedasresidentinnursinghomesinIreland2.Althoughthiswasadecreaseintheproportionoftheolderpopulationinresidentialcarefrom2011itreflectsanactualincreaseof9.4％inpeoplelivinginnursinghomesinthiscountry.Asoursocietyagesitwillbeincreasinglyimportanttoprovidehighqualitycareforthisvulnerablegroup.TheIrishSocietyofPhysiciansinGeriatricMedicine（ISPGM）haspromotedthedevelopmentofimprovedstandardsofcareinresidentialcareforseveraldecadesandwasthefirstIrishprofessionalgrouptoformulateimprovedstandardsofcarein2001，publishedintheIrishMedicalJournal3。
2. Nosocomial infections and hospital mortality: a multicentre epidemiology study. [J] . Kaoutar B, Joly C, LHeriteau F, The Journal of hospital infection . 2004 ,第4期

机译：医院感染和医院死亡率：一项多中心流行病学研究。
3. Mortality attributable to nosocomial infection: a cohort of patients with and without nosocomial infection in a French university hospital. [J] . Fabbro-Peray P, Sotto A, Defez C, Infection control and hospital epidemiology . 2007 ,第3期

机译：医院感染引起的死亡率：法国大学医院中有或没有医院感染的队列研究。
4. EPIDEMIOLOGY OF NOSOCOMIAL INFECTIONS [C] . ACVS Veterinary Symposium . 2018

机译：医院感染的流行病学
5. The role of a meticulous oral hygiene program in reducing oral assessment scores, mucosal plaque scores, colonization of dental plaque and exposition to pathogen colonization that may lead to nosocomial respiratory infections in a selected ICU patient population. [D] . Yates, Janice Maureen. 2003

机译：精心的口腔卫生计划在降低口腔评估分数，粘膜斑块分数，牙菌斑定植以及暴露于病原体定植的情况下的作用，在选定的ICU患者人群中可能导致医院内呼吸道感染。
6. Patient epidemiology in a level II hospital ICU and how main nosocomial infections affect morbidity and mortality [O] . M Muñoz, E Yuste, O Moreno, 2015

机译：二级医院ICU的患者流行病学以及主要医院感染如何影响发病率和死亡率
7. Patient epidemiology in a level II hospital ICU and how main nosocomial infections affect morbidity and mortality [O] . 2015

机译：二级医院ICU的患者流行病学以及主要医院感染如何影响发病率和死亡率

Patient epidemiology in a level II hospital ICU and how main nosocomial infections affect morbidity and mortality

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