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Infections and Antibiotic Use in a Large Private Hospital, January 1971: Comparisons Among Hospitals Serving Different Populations

Infections and Antibiotic Use in a Large Private Hospital, January 1971: Comparisons Among... Abstract In a survey of infections and antibiotic usage at the Latter-day Saints Hospital in January 1971, 10.6% of the patients had community-acquired infections and 8.5% had infections acquired in the hospital. At Boston City Hospital in 1970 these prevalence ratios were 20.6% and 12.0%, respectively. Although all types of infections were more prevalent at Boston City Hospital, the greatest difference was noted in the prevalences of community-acquired infections. Gram-negative bacilli accounted for 60% or more of all bacterial isolates from nosocomial infections at both hospitals. The less frequent use of percutaneous intravenous catheters at the Latter-day Saints Hospital was attributed to intravenous therapy teams. Use of antimicrobial agents was similar in both hospitals. Prevalence surveys are useful in comparative studies of hospitals only if observer bias is reduced by identical methods of study. References 1. Feingold DS: Hospital-acquired infections. New Eng J Med 283:1384-1391, 1970.Crossref 2. Rogers DE: The changing pattern of life-threatening microbial disease. New Eng J Med 261:677-683, 1959.Crossref 3. Eickhoff TC, Brachman PS, Bennett JV, et al: Surveillance of nosocomial infections in community hospitals: I. Surveillance methods, effectiveness, and initial results. J Infect Dis 120:305-317, 1969.Crossref 4. Finland M, Jones WF Jr: Staphylococcal infections currently encountered in a large municipal hospital: Some problems in evaluating antimicrobial therapy in such infections. Ann NY Acad Sci 65:191-205, 1956.Crossref 5. Kislak JW, Eickhoff TC, Finland M: Hospital-acquired infections and antibiotic usage in the Boston City Hospital—January, 1964. New Eng J Med 271:834-835, 1964.Crossref 6. Barrett FF, Casey JI, Finland M: Infections and antibiotic use among patients at Boston City Hospital, February, 1967. New Eng J Med 278:5-9, 1968.Crossref 7. Adler JL, Burke JP, Finland M: Infection and antibiotic usage at Boston City Hospital, January 1970. Arch Intern Med 127:460-465, 1971.Crossref 8. Adler JL, Shulman JA: Nosocomial infection and antibiotic usage at Grady Memorial Hospital: A prevalence survey. Southern Med J 63:102-105, 1970.Crossref 9. Thoburn R, Fekety FR Jr, Cluff LE, et al: Infections acquired by hospitalized patients. Arch Intern Med 121:1-10, 1968.Crossref 10. Scheckler WE, Bennett JV: Antibiotic usage in seven community hospitals. JAMA 213:264-267,1970.Crossref 11. Norman JC: Medicine in the ghetto. New Eng J Med 281:1271-1275, 1969.Crossref 12. Kass EH: Infectious diseases and social change. J Infect Dis 123:110-114, 1971.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Infections and Antibiotic Use in a Large Private Hospital, January 1971: Comparisons Among Hospitals Serving Different Populations

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References (14)

Publisher
American Medical Association
Copyright
Copyright © 1972 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1972.03650020083015
Publisher site
See Article on Publisher Site

Abstract

Abstract In a survey of infections and antibiotic usage at the Latter-day Saints Hospital in January 1971, 10.6% of the patients had community-acquired infections and 8.5% had infections acquired in the hospital. At Boston City Hospital in 1970 these prevalence ratios were 20.6% and 12.0%, respectively. Although all types of infections were more prevalent at Boston City Hospital, the greatest difference was noted in the prevalences of community-acquired infections. Gram-negative bacilli accounted for 60% or more of all bacterial isolates from nosocomial infections at both hospitals. The less frequent use of percutaneous intravenous catheters at the Latter-day Saints Hospital was attributed to intravenous therapy teams. Use of antimicrobial agents was similar in both hospitals. Prevalence surveys are useful in comparative studies of hospitals only if observer bias is reduced by identical methods of study. References 1. Feingold DS: Hospital-acquired infections. New Eng J Med 283:1384-1391, 1970.Crossref 2. Rogers DE: The changing pattern of life-threatening microbial disease. New Eng J Med 261:677-683, 1959.Crossref 3. Eickhoff TC, Brachman PS, Bennett JV, et al: Surveillance of nosocomial infections in community hospitals: I. Surveillance methods, effectiveness, and initial results. J Infect Dis 120:305-317, 1969.Crossref 4. Finland M, Jones WF Jr: Staphylococcal infections currently encountered in a large municipal hospital: Some problems in evaluating antimicrobial therapy in such infections. Ann NY Acad Sci 65:191-205, 1956.Crossref 5. Kislak JW, Eickhoff TC, Finland M: Hospital-acquired infections and antibiotic usage in the Boston City Hospital—January, 1964. New Eng J Med 271:834-835, 1964.Crossref 6. Barrett FF, Casey JI, Finland M: Infections and antibiotic use among patients at Boston City Hospital, February, 1967. New Eng J Med 278:5-9, 1968.Crossref 7. Adler JL, Burke JP, Finland M: Infection and antibiotic usage at Boston City Hospital, January 1970. Arch Intern Med 127:460-465, 1971.Crossref 8. Adler JL, Shulman JA: Nosocomial infection and antibiotic usage at Grady Memorial Hospital: A prevalence survey. Southern Med J 63:102-105, 1970.Crossref 9. Thoburn R, Fekety FR Jr, Cluff LE, et al: Infections acquired by hospitalized patients. Arch Intern Med 121:1-10, 1968.Crossref 10. Scheckler WE, Bennett JV: Antibiotic usage in seven community hospitals. JAMA 213:264-267,1970.Crossref 11. Norman JC: Medicine in the ghetto. New Eng J Med 281:1271-1275, 1969.Crossref 12. Kass EH: Infectious diseases and social change. J Infect Dis 123:110-114, 1971.Crossref

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Aug 1, 1972

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