Abstract:
:Over a three-year period, 3432 nosocomial infections occurred in a university hospital admitting 55,476 patients over a three-year period (6/100 admissions). A single system of surveillance was used, and overall monthly rates varied from 4-9/100 admissions with particularly high rates in the Newborn Intensive Care Unit (24/100). Annual rates greater than or equal to 10/100 admissions were found in major surgical services of Gneral Surgery, Neuro-Surgery, Thoracic Cardiovascular Surgery (TCV), Plastic Surgery and Urology; 1243 urinary tract infections (2.24/100 admissions/ accounted for 36% of the problem. The rate of urinary tract infections after catheterization was 13/100 procedures overall with unusually high rates for patients in Neuro-Surgery (37/100), Orthopedics (23/100), and Plastic Srugery (18/100). There were 524 nosocomial pneumonias (.94/100 admissions), and the rate was especially high (3.7/100) for patients admitted to the TCV service or for those placed on a respirator (3.4/100 patients). Identifying high risk areas and high risk procedures in a hospital is a practical starting point for infection control.
journal_name
Am J Epidemioljournal_title
American journal of epidemiologyauthors
Wenzel RP,Osterman CA,Hunting KJdoi
10.1093/oxfordjournals.aje.a112343subject
Has Abstractpub_date
1976-12-01 00:00:00pages
645-51issue
6eissn
0002-9262issn
1476-6256journal_volume
104pub_type
杂志文章abstract::Previous studies have provided conflicting evidence on whether being a family caregiver is associated with increased or decreased risk for all-cause mortality. This study examined whether 3,503 family caregivers enrolled in the national Reasons for Geographic and Racial Differences in Stroke (REGARDS) Study showed dif...
journal_title:American journal of epidemiology
pub_type: 杂志文章
doi:10.1093/aje/kwt225
更新日期:2013-11-15 00:00:00
abstract::The authors assessed the influence of age, period, and cohort effects on rates of preterm delivery in the United States. Rates of preterm delivery for singleton births (<37 weeks) in seven age groups (15-19, 20-24,., 45-49 years), five periods (1975, 1980, 1985, 1990, 1995), and 11 maternal birth cohorts (1926-1930, 1...
journal_title:American journal of epidemiology
pub_type: 杂志文章
doi:10.1093/aje/154.7.657
更新日期:2001-10-01 00:00:00
abstract::The literature concerning social capital and health has grown exponentially during the past somewhat more than 10 years. The study by Kouvonen et al. (Am J Epidemiol 2008;167:1143-1151) is a longitudinal multilevel analysis of 33,577 public sector employees in Finland. The study shows a significant association between...
journal_title:American journal of epidemiology
pub_type: 评论,杂志文章
doi:10.1093/aje/kwn070
更新日期:2008-05-15 00:00:00
abstract::This study assessed the association between longitudinal patterns of illicit drug use and clinical progression of human immunodeficiency virus (HIV) disease. Confidential computer-based interviews, which addressed illicit drug use and other factors, were completed by HIV-infected participants in Baltimore, Maryland, a...
journal_title:American journal of epidemiology
pub_type: 杂志文章
doi:10.1093/aje/kwj059
更新日期:2006-03-01 00:00:00
abstract::Observational studies and randomized controlled trials of menopausal hormone therapy (HT) and chronic disease risk appear to have divergent results for cardiovascular disease. However, differences may be related to a modifying effect of age, time since menopause, and HT formulation. In the Nurses' Health Study (NHS) (...
journal_title:American journal of epidemiology
pub_type: 杂志文章
doi:10.1093/aje/kwx131
更新日期:2017-09-15 00:00:00
abstract::Because noninstitutionalized senior citizens comprise over 95% of the population 65 years of age and older, their health needs are a major concern. Data regarding infections in this population including the epidemiology, morbidity, and mortality are lacking. The authors recruited a study population of 417 free-living ...
journal_title:American journal of epidemiology
pub_type: 杂志文章
doi:10.1093/oxfordjournals.aje.a117402
更新日期:1995-01-15 00:00:00
abstract::Feline leukemia virus (FeLV)-associated diseases were observed in a household in eastern Connecticut having 134 cats over a period of five and a half years. FeLV-positive cats had a much higher mortality rate (34.6 deaths per 1000 cat-months of follow-up) than did FeLV-negative cats (8.9 deaths per 1000 cat-months of ...
journal_title:American journal of epidemiology
pub_type: 杂志文章
doi:10.1093/oxfordjournals.aje.a112905
更新日期:1980-03-01 00:00:00
abstract::Seventh-Day Adventists in Tromsø showed a coronary risk factor pattern similar to Seventh-Day Adventists in other parts of the world. Compared with non-Seventh-Day Adventists, serum cholesterol was 1.35 mmol/liter (1974) and 0.83 mmol/liter (1979-1980) lower in males and 0.64 mmol/liter (1979-1980) lower in females. B...
journal_title:American journal of epidemiology
pub_type: 杂志文章
doi:10.1093/oxfordjournals.aje.a114162
更新日期:1985-11-01 00:00:00
abstract::To evaluate the impact of body mass index (BMI) (weight (kg)/height (m)(2)) and change in body silhouette on asthma risk, the authors investigated a cohort of women participating in the E3N Cohort Study in France from 1990 to 1993. The authors identified 372 incident cases of asthma among 67229 women aged 40-65 years ...
journal_title:American journal of epidemiology
pub_type: 杂志文章
doi:10.1093/aje/kwg131
更新日期:2003-07-15 00:00:00
abstract::The authors conducted a case-control study to determine whether risk factors for reading disability (RD) differentially affect boys and girls. The study population included all children born between 1976 and 1982 in Olmsted County, Minnesota (n = 5,701). A total of 303 RD cases were identified by using intelligence qu...
journal_title:American journal of epidemiology
pub_type: 杂志文章
doi:10.1093/aje/154.9.787
更新日期:2001-11-01 00:00:00
abstract::Among the major sources of indoor air pollution are combustion by-products from heating and cooking. Concern is increasing that use of polluting heating and cooking sources can increase cancer risk. In Canada, most cooking and heating currently relies on electricity or natural gas, but, in the past, and still in some ...
journal_title:American journal of epidemiology
pub_type: 杂志文章
doi:10.1093/aje/kwk117
更新日期:2007-03-15 00:00:00
abstract::Two six-month randomized, controlled double-blind trials of the efficacy of virucidal nasal tissues in the prevention of natural colds were conducted in Charlottesville, Virginia, between 1983 and 1986. Tissues impregnated with malic and citric acids and sodium lauryl sulfate were used in both trials. Placebo tissues ...
journal_title:American journal of epidemiology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1093/oxfordjournals.aje.a115059
更新日期:1988-11-01 00:00:00
abstract::We examined claims-based approaches for identifying a study population free of coronary heart disease (CHD) using data from 8,937 US blacks and whites enrolled during 2003-2007 in a prospective cohort study linked to Medicare claims. Our goal was to minimize the percentage of persons at study entry with self-reported ...
journal_title:American journal of epidemiology
pub_type: 杂志文章
doi:10.1093/aje/kwv116
更新日期:2015-11-01 00:00:00
abstract::Efficient control of confounding is well recognized as a legitimate motive for restriction, matching, and conditional analysis in case-control studies. Some investigators, however, have advocated use of the same techniques for another purpose: to achieve a balance of "opportunity" or "potential" for past exposure betw...
journal_title:American journal of epidemiology
pub_type: 杂志文章
doi:10.1093/oxfordjournals.aje.a114244
更新日期:1986-02-01 00:00:00
abstract::This paper illustrates how a microcomputer spreadsheet package can be used by epidemiologists to facilitate the computation of multiple logistic regression (MLR) probabilities, as well as odds ratios and associated confidence intervals, given the coefficients of the MLR model. By formatting a spreadsheet, data entry i...
journal_title:American journal of epidemiology
pub_type: 杂志文章
doi:10.1093/oxfordjournals.aje.a114150
更新日期:1985-10-01 00:00:00
abstract::Evidence that chronic hypoxia precedes death from sudden infant death syndrome (SIDS) is mounting. Prolonged exposure to moderate levels of pollutants could be a contributing factor to hypoxia. Levels of carbon monoxide (CO), sulphur dioxide (SO2), nitrogen dioxide (NO2) and hydrocarbons (HC) are highest in the winter...
journal_title:American journal of epidemiology
pub_type: 杂志文章
doi:10.1093/oxfordjournals.aje.a113141
更新日期:1981-06-01 00:00:00
abstract::Using 1973-2000 mesothelioma incidence data released by the Surveillance, Epidemiology, and End Results Program in April 2003, the authors estimated the parameters of a birth-cohort and age model to determine whether previously reported patterns of mesothelioma in the United States have changed. Compared with analyses...
journal_title:American journal of epidemiology
pub_type: 杂志文章
doi:10.1093/aje/kwh025
更新日期:2004-01-15 00:00:00
abstract::A nested case-control hospital study and a midwife-based community cohort study were conducted in Central Sudan during 1989 and 1990 to assess the contribution of mesoendemic malaria to low birth weight. Malarial infection was determined by maternal history, parasitology, and histopathology. There were significant ass...
journal_title:American journal of epidemiology
pub_type: 杂志文章
doi:10.1093/oxfordjournals.aje.a116861
更新日期:1993-09-01 00:00:00
abstract::The incidence of clinically recognized coronary heart disease and its relation to risk factors have been studied for 596 sibships in the Framingham Heart Study cohort. Only the 186 pairs of brothers were considered in the multivariate analysis, since the rate of coronary heart disease in women is low. Multiple logisti...
journal_title:American journal of epidemiology
pub_type: 杂志文章
doi:10.1093/oxfordjournals.aje.a113293
更新日期:1982-02-01 00:00:00
abstract::Outbreaks of respiratory tract illnesses (RTI) in adult humans during October and November 1975 at McMurdo Station, Antarctica, were investigated by viral isolation and serologic procedures. The recovery of viral agents was enhanced by use of cell cultures in the field. Recoveries of parainfluenzaviruses types 1 and 3...
journal_title:American journal of epidemiology
pub_type: 杂志文章
doi:10.1093/oxfordjournals.aje.a112857
更新日期:1979-12-01 00:00:00
abstract::Evidence of recent or ongoing Campylobacter jejuni infection has been found in approximately one out of every four cases of Guillain-Barré syndrome (GBS). It is increasingly accepted that C. jejuni infection is an important causal factor for GBS. However, the likelihood of GBS' occurring following an episode of C. jej...
journal_title:American journal of epidemiology
pub_type: 杂志文章
doi:10.1093/aje/153.6.610
更新日期:2001-03-15 00:00:00
abstract::Familial resemblance in the blood pressure response to sodium restriction in normotensive persons was investigated. Forty-four families of identical twin children participated in a sodium restriction (less than or equal to 75 meq/day) protocol for a period of 12 weeks. Subjects were residents of central Indiana, and t...
journal_title:American journal of epidemiology
pub_type: 杂志文章
doi:10.1093/oxfordjournals.aje.a114719
更新日期:1987-11-01 00:00:00
abstract::The objective of this study was to assess the validity of prevalent and incident self-reported diabetes compared with multiple reference definitions and to assess the reliability (repeatability) of a self-reported diagnosis of diabetes. Data from 10,321 participants in the Atherosclerosis Risk in Communities (ARIC) St...
journal_title:American journal of epidemiology
pub_type: 杂志文章,多中心研究
doi:10.1093/aje/kws156
更新日期:2012-10-15 00:00:00
abstract::The loss of CD4 lymphocytes is known to be an important component of human immunodeficiency virus type 1 (HIV-1) pathogenesis. It remains unclear, however, whether the importance of the CD4 lymphocyte count is such that individuals who have been infected for widely different lengths of time, but for whom the CD4 lymph...
journal_title:American journal of epidemiology
pub_type: 杂志文章
doi:10.1093/oxfordjournals.aje.a116789
更新日期:1993-11-15 00:00:00
abstract::Under- and overreporting of energy intake in relation to body mass index (BMI, kg/m2) were examined by using 24-hour urinary sodium and potassium as biomarkers. The data were obtained from 2,124 men and 1,998 women aged 25-74 years who participated in the 1981-1984 Belgian Interuniversity Research on Nutrition and Hea...
journal_title:American journal of epidemiology
pub_type: 杂志文章
doi:10.1093/aje/152.5.453
更新日期:2000-09-01 00:00:00
abstract::Lung Health Study participants were smokers aged 35-60 years with mild lung function impairment who participated in a 5-year, 10-center (nine in the United States, one in Canada) clinical trial in 1986-1994. The authors compared the relation of randomized treatment assignments and of smoking history during the study w...
journal_title:American journal of epidemiology
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1093/aje/kwg083
更新日期:2003-06-01 00:00:00
abstract::There has been a steep increase in the number of meta-analyses of genome-wide association (GWA) studies aimed at identifying genetic variants with increasingly smaller effects, but pressure to publish findings of new genetic associations has limited the time available for careful consideration of all of their methodol...
journal_title:American journal of epidemiology
pub_type: 杂志文章,评审
doi:10.1093/aje/kwr385
更新日期:2012-04-15 00:00:00
abstract::A cross-sectional study of the 979 nonsmoking women and men aged 20-29 years who participated in the Toronto Nutrigenomics and Health Study from 2004 to 2008 was conducted to determine the prevalence of serum ascorbic acid (vitamin C) deficiency and its association with markers of chronic disease in a population of yo...
journal_title:American journal of epidemiology
pub_type: 杂志文章
doi:10.1093/aje/kwp156
更新日期:2009-08-15 00:00:00
abstract::Previous reports have shown that peptic ulcer mortality follows birth cohorts. To the authors' knowledge, temporal variation in ulcer incidence has not been studied. Therefore, they present incidence data for a defined area of western Norway where 1,312 patients born between 1845 and 1975 were treated for ulcer perfor...
journal_title:American journal of epidemiology
pub_type: 杂志文章
doi:10.1093/oxfordjournals.aje.a117519
更新日期:1995-05-01 00:00:00
abstract::Death rarely results from only one cause, and it can be caused by a variety of factors. Multiple cause-of-death data files can list as many as 20 contributing causes of death in addition to the reported underlying cause of death. Analysis of multiple cause-of-death data can provide information on associations between ...
journal_title:American journal of epidemiology
pub_type: 杂志文章
doi:10.1093/aje/kwm037
更新日期:2007-07-01 00:00:00