Post on 24-Dec-2015
description
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REFERAT
Nosocomial Bacteremia in Perspective : A Community
– Wide Study
Pembimbing:
Dr. dr. Bambang Arianto, Sp.B
Disusun oleh:
Ridia Alvi Fitria
201310401011074
SMF BEDAH RSU HAJI SURABAYA
UNIVERSITAS MUHAMMADIYAH MALANG
FAKULTAS KEDOKTERAN
2015
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AbstractProspective surveillance of 1,527 episodes of bacteremia in four major hospitals serving a community of 300.000 revealed striking differences among the hospital
The rate of community-acquired bacteremia ranged from 1,9 to 6,9 per 1000 discharges
The rate of nosocomial bacteremia ranged from 0,9 to 9,8 per 1000 discharges
Nosocomial bacteremias were less frequent at two community non-teaching hospitals than at two teaching hospitals
Eric R. Brenner and Charles S. Bryan. 2015. Nosocomial Bacteremia in Perspective : A Community - Wide Study. Cambrige. Infection Control Volume 2. (http://journals.cambrige.org/abstract_S01959941700055107 , diakses pada 3 Februari 2014)
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Introduction
Eric R. Brenner and Charles S. Bryan. 2015. Nosocomial Bacteremia in Perspective : A Community - Wide Study. Cambrige. Infection Control Volume 2. (http://journals.cambrige.org/abstract_S01959941700055107 , diakses pada 3 Februari 2014)
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Methods
Eric R. Brenner and Charles S. Bryan. 2015. Nosocomial Bacteremia in Perspective : A Community - Wide Study. Cambrige. Infection Control Volume 2. (http://journals.cambrige.org/abstract_S01959941700055107 , diakses pada 3 Februari 2014)
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Methods
•if the first positive blood culture for that pathogen was obtained prior to the third hospital day
Community-acquired
bacteremia
•if the first positive blood culture was obtained prior on or after the third hospital day
Nosocomial bacteremia
Eric R. Brenner and Charles S. Bryan. 2015. Nosocomial Bacteremia in Perspective : A Community - Wide Study. Cambrige. Infection Control Volume 2. (http://journals.cambrige.org/abstract_S01959941700055107 , diakses pada 3 Februari 2014)
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Methods
Deaths were considered to have been related to the bacteremia if they occurred within seven days of the last positive blood culture and if there was no more obvious
explanation for death in the hospital record
Eric R. Brenner and Charles S. Bryan. 2015. Nosocomial Bacteremia in Perspective : A Community - Wide Study. Cambrige. Infection Control Volume 2. (http://journals.cambrige.org/abstract_S01959941700055107 , diakses pada 3 Februari 2014)
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RESULTS
Eric R. Brenner and Charles S. Bryan. 2015. Nosocomial Bacteremia in Perspective : A Community - Wide Study. Cambrige. Infection Control Volume 2. (http://journals.cambrige.org/abstract_S01959941700055107 , diakses pada 3 Februari 2014)
8Eric R. Brenner and Charles S. Bryan. 2015. Nosocomial Bacteremia in Perspective : A Community - Wide Study. Cambrige. Infection Control Volume 2. (http://journals.cambrige.org/abstract_S01959941700055107 , diakses pada 3 Februari 2014)
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Hos. A59%
Hos. B8%
Hos. C8%
Hos. D25%
Nosocomial Bacteremias
Eric R. Brenner and Charles S. Bryan. 2015. Nosocomial Bacteremia in Perspective : A Community - Wide Study. Cambrige. Infection Control Volume 2. (http://journals.cambrige.org/abstract_S01959941700055107 , diakses pada 3 Februari 2014)
Hos. A55%
Hos. B6%
Hos. C3%
Hos. D37%
Deaths Attributed to Nosocomial Bacteremia
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Hos. A61%Hos. B
8%
Hos. C16%
Hos. D14%
Community-Aquired Bacteremias
Eric R. Brenner and Charles S. Bryan. 2015. Nosocomial Bacteremia in Perspective : A Community - Wide Study. Cambrige. Infection Control Volume 2. (http://journals.cambrige.org/abstract_S01959941700055107 , diakses pada 3 Februari 2014)
Hos. A67%
Hos. B6%
Hos. C8%
Hos. D19%
Deaths Attribute to Community-Aquired Bacteremia
11Eric R. Brenner and Charles S. Bryan. 2015. Nosocomial Bacteremia in Perspective : A Community - Wide Study. Cambrige. Infection Control Volume 2. (http://journals.cambrige.org/abstract_S01959941700055107 , diakses pada 3 Februari 2014)
12Eric R. Brenner and Charles S. Bryan. 2015. Nosocomial Bacteremia in Perspective : A Community - Wide Study. Cambrige. Infection Control Volume 2. (http://journals.cambrige.org/abstract_S01959941700055107 , diakses pada 3 Februari 2014)
13Eric R. Brenner and Charles S. Bryan. 2015. Nosocomial Bacteremia in Perspective : A Community - Wide Study. Cambrige. Infection Control Volume 2. (http://journals.cambrige.org/abstract_S01959941700055107 , diakses pada 3 Februari 2014)
14Eric R. Brenner and Charles S. Bryan. 2015. Nosocomial Bacteremia in Perspective : A Community - Wide Study. Cambrige. Infection Control Volume 2. (http://journals.cambrige.org/abstract_S01959941700055107 , diakses pada 3 Februari 2014)
15Eric R. Brenner and Charles S. Bryan. 2015. Nosocomial Bacteremia in Perspective : A Community - Wide Study. Cambrige. Infection Control Volume 2. (http://journals.cambrige.org/abstract_S01959941700055107 , diakses pada 3 Februari 2014)
16Eric R. Brenner and Charles S. Bryan. 2015. Nosocomial Bacteremia in Perspective : A Community - Wide Study. Cambrige. Infection Control Volume 2. (http://journals.cambrige.org/abstract_S01959941700055107 , diakses pada 3 Februari 2014)
17Eric R. Brenner and Charles S. Bryan. 2015. Nosocomial Bacteremia in Perspective : A Community - Wide Study. Cambrige. Infection Control Volume 2. (http://journals.cambrige.org/abstract_S01959941700055107 , diakses pada 3 Februari 2014)
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Discussion
The two teaching hospitals experienced both higher rates
of nosocomial bacteremias and greater diversities of
microorganisms
Nosocomial bacteremia and deaths attributed to
bacteremia nosocomial infection were much less
common at the two community non teaching
hospital
Eric R. Brenner and Charles S. Bryan. 2015. Nosocomial Bacteremia in Perspective : A Community - Wide Study. Cambrige. Infection Control Volume 2. (http://journals.cambrige.org/abstract_S01959941700055107 , diakses pada 3 Februari 2014)
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Discussion
The National Nosocomial Infection Study (NNIS) indicates that community hospitals, as a group, have a lower incidence of “primary” bacteremia than do municipal, Federal or university hospital
Eric R. Brenner and Charles S. Bryan. 2015. Nosocomial Bacteremia in Perspective : A Community - Wide Study. Cambrige. Infection Control Volume 2. (http://journals.cambrige.org/abstract_S01959941700055107 , diakses pada 3 Februari 2014)
20Eric R. Brenner and Charles S. Bryan. 2015. Nosocomial Bacteremia in Perspective : A Community - Wide Study. Cambrige. Infection Control Volume 2. (http://journals.cambrige.org/abstract_S01959941700055107 , diakses pada 3 Februari 2014)
Eric R. Brenner and Charles S. Bryan. 2015. Nosocomial Bacteremia in Perspective : A Community - Wide Study. Cambrige. Infection Control Volume 2. (http://journals.cambrige.org/abstract_S01959941700055107 , diakses pada 3 Februari 2014)
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