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Zdravstvena zaštita
2003, vol. 32, br. 1, str. 63-72
jezik rada: srpski
vrsta rada: naučni članak
objavljeno: 02/06/2007
Epidemiološki nadzor nad bolničkim infekcijama u beogradu - rezultati i perspektive
aGradski zavod za zaštitu zdravlja Beograd
bInstitut za zaštitu zdravlja Srbije 'dr Milan Jovanović-Batut', Beograd

Sažetak

(ne postoji na srpskom)
Hospital infections are the major concern of public health. Their existence has been acknowledged by many developed countries, which carry out programs for their follow – up and control. The data on frequency and characteristics of hospital infections have been obtained through epidemiological surveillance and prevalence studies. The paper shows results of continuous epidemiological surveillance over hospital infections and outbreaks. The surveillance was performed by the Department of Epidemiology, Institute of Public Health of Belgrade and was based on the study of prevalence of hospital infections in some of the Belgrade hospitals. Between 1987 and 2000, there were 172 hospital outbreaks, with 5, 177 cases in the Belgrade hospitals. Greatest number of those was registered in the following wards: pediatric and neonates’ – 36 (13,2%); surgical (general surgery, gynecology and obstetrics, oncology) – 28 (16%); and rehabilitation – 25 (14,53%). Infections primarily occurred through contact (48,25%); were airborne (36,62%) or alimentary – in 25 outbreaks (14,37%). Most frequent etiology of outbreaks was bacterial (52.32%) followed by viral one (37,20%). Bacterial causes of outbreaks were: Salmonellae, Shigella sonnei, E. coli, Streptococcus haemoliticus, Staphylococcus aureus. Viral outbreaks were caused by: Varicella, Influenza, Morbilli, Adenovirus, Hepatitis A and B and Rubella. The prevalence study of hospital infections was carried out in 1999 in the four hospitals of Belgrade. The investigation covered 2,159 patients (30%) of the total number of persons covered by National Prevalence Study – 7,115. The M: F relationship of admitted patients was 1:1,4 (or 884 males : 1,276 females). Greatest percentage of hospitalized patients was in wards of internal medicine – 33,0% (713), general surgery – 17,6% (381) and neonatology – 12,5% (270). Results of the study have shown that the prevalence of cases with hospitally – acquired infections was 7,3% (157/2.159). Comparison of the wards showed greatest prevalence of those infections in neonatology (20.7%); orthopedics (12.7%); obstetrics (12,2%) and general surgery (8,7%). In relation to anatomical localization, most frequent are infections of the operation site (23.3%) and urinary system (12.9%). Microbiological confirmation of hospitally – acquired infections was performed for 68.9% (133/193) of them. Most frequently isolated causative agents were Klebsiella sp., Pseudomonas aeruginosa and Staphylococcus aureus.

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