Obligatory notification of the hospital infections was prescribed by the Hungarian Ministry of Health in 1973 for the whole country. 12 infectious diseases and disease groups - occurring chiefly as hospital infections - are to be noted (postoperative wound suppurations and gas gangrene, febrile and infectious complications after delivery, generalized sepsis, pneumonia and enteritis after instrument interventions, pneumonia and enteritis in infants under 1 year, recurring twice or more, varicella, pyoderma, infections of the urogenital tract following urogenital instrument interventions, post-injection infiltration and abscess, as well as thrombophlebitis following instrumental interventions); further are 'classic' infectious diseases, as hepatitis, dysenteria, salmonellosis and dyspepsia coli, if their hospital origin may be presumed with great probability. On the basis of the data reported in the years 1973-1975, it has been found by the author that the noted proportion of morbidity and mortality corresponded to 8-15% of the real data. The assessments based on voluntary information furnished probably reliable data, serving as bases of the comparison. The majority of the iatrogenous infectious diseases occurred in the surgical wards, in the intensive care units and in the pediatric wards; therefore, prevention is to be striven for firstly in these wards. The iatrogenous morbidity in the medical departments and the infectious wards corresponded to 1/7 - 1/10 of the above mentioned data. The most frequently occurring hospital infections were postoperative wound suppuration, infectious manifestations following delivery and abortion, urogenital infection after catheterization, post-injection abscess, pneumonia and enteritis. The highest rate of mortality was found after pneumonia, generalized sepsis and dyspepsia coli. The most frequent occurrence of complications in the surgical departments was the postoperative wound suppuration (52.4%), leading in 54.5% to iatrogenous death, mostly in consequence of generalized sepsis. The most frequent infectious manifestation in pediatric wards was enteritis and pneumonia, in the intensive care units pneumonia and urogenital infection after catheterization, and in the medical and infectious departments pneumonia, as well as hepatitis and enteritis.
|Number of pages||9|
|Publication status||Published - Jan 1 1979|
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