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December 1978

Nosocomial Infections in a Community Hospital

Author Affiliations

From the Department of Family Medicine and Practice, University of Wisconsin Center.for Health Sciences, Madison, and the Environment and Infection Control Committee of the St Mary's Hospital Medical Center, Madison.

Arch Intern Med. 1978;138(12):1792-1794. doi:10.1001/archinte.1978.03630370022013

Of 78,057 patients discharged from a community hospital from 1972 through 1976, nosocomial infections developed in 3.58%. Nosocomial infections of all types were 13.2 times more frequent for patients with rapidly fatal underlying illness and 3.4 times more frequent for patients with ultimately fatal underlying illness than in cases of nonfatal underlying illness. Outbreaks of epidemics or clusters of infections caused by the same organism were distinctly uncommon. These outbreaks accounted for only 49 of the 2,798 nosocomial infections found. No distinct trends, either increases or decreases, of infection rates by pathogen, site of infection, or service were noted during the study period. Sensitivity of the common pathogens to antibiotics also remained stable.

(Arch Intern Med 138:1792-1794, 1978)