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Changing Patterns of Hospital Infections and Antibiotic UsePrevalence Surveys in a Community Hospital
Gregory P. Stevens, MD;
Jay A. Jacobson, MD;
John P. Burke, MD
Arch Intern Med. 1981;141(5):587-592.
Abstract
• The results of a physician-performed prevalence survey of infections and antibiotic use at the Salt Lake City LDS Hospital in 1979 were compared with those from a previous survey in 1971. The overall prevalences and types of infections found in the two surveys were similar. Although Gram-negative bacilli accounted for 60% or more of all bacterial isolates from hospital-acquired infections in both surveys, Gram-negative bacilli other than Escherichia coli were more prevalent in the 1979 survey. An anticipated increase in numbers of critically ill patients resulting from our hospital's evolution as a regional tertiary care center was reflected by more patients with multiple sites of infection, with vascular or urinary catheters, and who were receiving multiple antibiotics. Use of antimicrobial agents increased from 23% to 37% of all surveyed patients and was attributed mainly to wider use of cephalosporins for prophylaxis in surgical patients.
(Arch Intern Med 1981;141:587-592)
Author Affiliations
From the Division of Infectious Disease, Department of Medicine, LDS Hospital and the University of Utah College of Medicine, Salt Lake City.
Footnotes
Accepted for publication June 28, 1980.
Reprint requests to Division of Infectious Disease, LDS Hospital, 325 Eighth Ave, Salt Lake City, UT 84143 (Dr Burke).
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