Commonground
Senior Moderator
November 28, 2009
Hospital overload is the cause of infections lead to hospital. Photo: VT
(Labor) - hospital infections (NKBV) is a burden and challenges for the health care system in Vietnam.
Some data are launched at the conference implementing Circular 18/2009 - the Health Ministry and World Health Organization and held on November 27 showed that VN has about a year more than 600,000 cases of illness caused NKBV extended time in the hospital from 9-24 days. Three types of infections (NK) is the most common are: respiratory NK, NK and NK gastrointestinal surgery wound ...
Infections from other causes of
According to experts, NKBV mainly caused by different types of microorganisms such as bacteria, fungi and viruses. These microorganisms may develop within the patient's hospitalization or later.
This made the hospital (BV) becoming a place full of danger. NKBV rate problems in the whole country is recognized in a recent survey of 70-10%. In particular, units, scientific care and treatment of active accounts for most rate. Incidence in the area since last 20-40% of patients per day.
Scientific surgery anesthesia in resuscitation of BV Nhan Dan Gia Dinh City, the survey noted the rate of ventilation pneumonia BV is 60%. In particular, the rate of pneumonia by about 50% of Klebsiella pneumoniae, pneumonia due to E. coli accounts for nearly 27%, pneumonia after surgery due to Pseudomonas aeruginosa bacteria caused 20%.
More than 93% of samples talks isolates of multi drug-resistant bacteria, resistant to antibiotic treatment before antibiotics map. Pneumonia after surgery is one of the most heavily complications, the third of infectious complications after surgery (after primary infection and wound infection surgery).
Rate of pneumonia after surgery varies from 9% - 40%, in which mortality is 30% - 46%, depending on the nature of the surgery. Doctor Huynh Van Binh - Scientific surgery anesthesia resuscitation BV People Gia Dinh City - said, there are many risk factors related to pneumonia after surgery, in which mechanical ventilation after surgery is one of the causes most common.
Also in Cho Ray Hospital, noted by Dr. Le Thi Anh Thu-BS and colleagues about the status of infection also showed BV BV pneumonia is the most common cause (accounting for 45%), followed by surgery wound infections (21%), primary infection (13%), skin infections (11%), septicemia (10%). The bacteria isolated most include Klebsiella spp, and Klebsiella pneumoniae, Pseudomonas aeruginosa and Pseudomonas spp, Acinetobacter Baumannii and E. coli and Escherichia spp.
... and subjective
NKBV long as the average hospitalization time of patients from 9.4 to 24.3 days and increase the average cost of treatment from 2 to 32.3 million. Dr. Pham Duc Category - Deputy Director of Department of Management Clinic - medical treatment, Ministry of Health - said that not only NKBV heavy consequences in terms of clinical, economic, but also causes the bacterial species appear Multi drug resistance.
The abuse of antibiotics are common in developing countries also cause more serious level of drug-resistant strains of bacteria BV. Surveying the situation in NKBV 23 BV in the area by City Health Department had conducted showed that the rate is 5.65% NKBV. Bacteria Gram (-) is the leading cause NKBV root causes, mainly: Kleb (24.39%), Ecoli (17.6 %)...
A fact now be considered cause to rise as NKBV overload BV. In City, Cho Ray Hospital, Children's 1, 2 ... to the line BV districts are all in serious overload. Peak, many patients have to lie on a bed huddle together, sometimes the surgery room at the same operation done with 2-3 different diseases, which also makes the patient territory result in infection after surgery.
A survey on 473 BV in the country in 2008 showed that only 42.6% of BV have scientific control infections. The science is only concentrated in the central level (95.5%) and BV provincial / TP (90.1%). There are still 15.7% of BV districts "white" scientific control NK. In addition, human resources staff for the control of NK still missing in the State, just weak.
Jean Marc Oliv? - WHO Representative in Vietnam - said in the BV ratio NKBV districts in Vietnam is quite high: 7.8%. If there are efforts can reduce this rate. Control efforts are NKBV the whole community and not only the health sector.
http://translate.googleusercontent....le.com&usg=ALkJrhjmi9K44z9u0LLgTjrjDUW-Az0HCA
Hospital overload is the cause of infections lead to hospital. Photo: VT
(Labor) - hospital infections (NKBV) is a burden and challenges for the health care system in Vietnam.
Some data are launched at the conference implementing Circular 18/2009 - the Health Ministry and World Health Organization and held on November 27 showed that VN has about a year more than 600,000 cases of illness caused NKBV extended time in the hospital from 9-24 days. Three types of infections (NK) is the most common are: respiratory NK, NK and NK gastrointestinal surgery wound ...
Infections from other causes of
According to experts, NKBV mainly caused by different types of microorganisms such as bacteria, fungi and viruses. These microorganisms may develop within the patient's hospitalization or later.
This made the hospital (BV) becoming a place full of danger. NKBV rate problems in the whole country is recognized in a recent survey of 70-10%. In particular, units, scientific care and treatment of active accounts for most rate. Incidence in the area since last 20-40% of patients per day.
Scientific surgery anesthesia in resuscitation of BV Nhan Dan Gia Dinh City, the survey noted the rate of ventilation pneumonia BV is 60%. In particular, the rate of pneumonia by about 50% of Klebsiella pneumoniae, pneumonia due to E. coli accounts for nearly 27%, pneumonia after surgery due to Pseudomonas aeruginosa bacteria caused 20%.
More than 93% of samples talks isolates of multi drug-resistant bacteria, resistant to antibiotic treatment before antibiotics map. Pneumonia after surgery is one of the most heavily complications, the third of infectious complications after surgery (after primary infection and wound infection surgery).
Rate of pneumonia after surgery varies from 9% - 40%, in which mortality is 30% - 46%, depending on the nature of the surgery. Doctor Huynh Van Binh - Scientific surgery anesthesia resuscitation BV People Gia Dinh City - said, there are many risk factors related to pneumonia after surgery, in which mechanical ventilation after surgery is one of the causes most common.
Also in Cho Ray Hospital, noted by Dr. Le Thi Anh Thu-BS and colleagues about the status of infection also showed BV BV pneumonia is the most common cause (accounting for 45%), followed by surgery wound infections (21%), primary infection (13%), skin infections (11%), septicemia (10%). The bacteria isolated most include Klebsiella spp, and Klebsiella pneumoniae, Pseudomonas aeruginosa and Pseudomonas spp, Acinetobacter Baumannii and E. coli and Escherichia spp.
... and subjective
NKBV long as the average hospitalization time of patients from 9.4 to 24.3 days and increase the average cost of treatment from 2 to 32.3 million. Dr. Pham Duc Category - Deputy Director of Department of Management Clinic - medical treatment, Ministry of Health - said that not only NKBV heavy consequences in terms of clinical, economic, but also causes the bacterial species appear Multi drug resistance.
The abuse of antibiotics are common in developing countries also cause more serious level of drug-resistant strains of bacteria BV. Surveying the situation in NKBV 23 BV in the area by City Health Department had conducted showed that the rate is 5.65% NKBV. Bacteria Gram (-) is the leading cause NKBV root causes, mainly: Kleb (24.39%), Ecoli (17.6 %)...
A fact now be considered cause to rise as NKBV overload BV. In City, Cho Ray Hospital, Children's 1, 2 ... to the line BV districts are all in serious overload. Peak, many patients have to lie on a bed huddle together, sometimes the surgery room at the same operation done with 2-3 different diseases, which also makes the patient territory result in infection after surgery.
A survey on 473 BV in the country in 2008 showed that only 42.6% of BV have scientific control infections. The science is only concentrated in the central level (95.5%) and BV provincial / TP (90.1%). There are still 15.7% of BV districts "white" scientific control NK. In addition, human resources staff for the control of NK still missing in the State, just weak.
Jean Marc Oliv? - WHO Representative in Vietnam - said in the BV ratio NKBV districts in Vietnam is quite high: 7.8%. If there are efforts can reduce this rate. Control efforts are NKBV the whole community and not only the health sector.
http://translate.googleusercontent....le.com&usg=ALkJrhjmi9K44z9u0LLgTjrjDUW-Az0HCA