Nosocomial infections in Germany. Their epidemiology in old and new Federal Länder

Deutsche medizinische Wochenschrift
H RüdenM Schumacher

Abstract

To determine the prevalence rate of nosocomial infections in different parts of Germany. The study involved 14,966 patients (45.9% medical, 35.9% surgical, 14.7% obstetrical/gynaecological and 3.5% intensive care) in 72 randomly chosen German hospitals (59 in the old [i.e. previously West German] and 13 in the new [i.e. East German] Federal Lands). Using the CDC criteria for the diagnosis of nosocomial infections specially trained doctors determined whether the infection was in fact nosocomial. There was a 3.5% prevalence rate of nosocomial infections in the entire population (95% confidence interval 3.1-3.9%). In view of the chosen methods and the in part incorrect indication of microbiological diagnosis in the included hospital, this rate of nosocomial infection is likely to be a minimum number. The prevalence rate for the most important nosocomial infections was lower in the new Lands of Federal Germany than the older ones (total prevalence of 2.7 vs 3.6%). The difference is mainly due to the less frequent employment of various devices (e.g. peripheral vascular catheters), rather than different hygienic standards in their use. The lower prevalence rate of nosocomial infections in the new Lands, because fewer devices are empl...Continue Reading

Citations

Nov 5, 2003·International Journal of Food Microbiology·F H Kayser
Nov 27, 2010·Epidemiology and Infection·E C AlexopoulosE Jelastopulu
Jul 23, 2013·The Journal of Antimicrobial Chemotherapy·Sonja HansenMichael Behnke
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Feb 2, 1999·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·D PittetA Widmer
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Dec 23, 2017·Deutsches Ärzteblatt International·Michael BehnkeBrar Piening
Oct 18, 2013·Deutsches Ärzteblatt International·Tobias Welte

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