“…These two indicators better reflect the activity of the hospital, whereas the proportion of S aureus resistant to methicillin is less reliable because it is too dependent on the patient population of the hospital and its policy for laboratory specimen collection. [29][30][31][32] In addition, French hospitals were slow to cal-culate incidence rates per admission and per patient-day; only 42% and 37% of them, respectively, calculated these denominators in 1995. Even if we observed an increase in the use of these two denominators in 1998, the proportion of S aureus resistant to methicillin remained the indicator most commonly used by French hospitals.…”
This first national survey showed that French hospitals probably were not optimally prepared to control and prevent MRSA infections, since they were slow to respond to the growing problem.
“…These two indicators better reflect the activity of the hospital, whereas the proportion of S aureus resistant to methicillin is less reliable because it is too dependent on the patient population of the hospital and its policy for laboratory specimen collection. [29][30][31][32] In addition, French hospitals were slow to cal-culate incidence rates per admission and per patient-day; only 42% and 37% of them, respectively, calculated these denominators in 1995. Even if we observed an increase in the use of these two denominators in 1998, the proportion of S aureus resistant to methicillin remained the indicator most commonly used by French hospitals.…”
This first national survey showed that French hospitals probably were not optimally prepared to control and prevent MRSA infections, since they were slow to respond to the growing problem.
“…16,17 Así, destacó la frecuencia de infecciones relacionadas con la instalación de líneas vasculares (venoclisis y catéteres de silastic). A ese respecto, se han realizado diversos análisis y llevado a cabo acciones, siendo relevante el seguimiento de 700 venoclisis instaladas, con una frecuencia de 7.4%, cuyos factores de riesgo más importantes fueron la permanencia del catéter (teflón) por más de 48 horas (RM= 7.43), la destreza de la persona que colocó el catéter (RM= 5.23) y la existencia de una infección previa (RM= 3.72).…”
“…Frente a brotes de NIH, en especial en las UCI, se debe identificar la etiología en muestras clínicamente representativas y su patrón de re-sistencia, a fin de evaluar las estrategias de prevención [222][223][224]. No son útiles los cultivos de vigilancia sistemáticos a equipos de tratamiento respiratorio, pruebas de función pulmonar o anestesia inhalatoria 89 (EB).…”
Section: Estrategias No Farmacológicasunclassified
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