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本文复习最近13年间30例院内感染的心内膜炎病人的流行病学、临床特点、微生物学和转归,并与148例院外感染的心内膜炎患者比较。院内感染的心内膜炎诊断采用Von Reyn标准,本次入院前8周曾经手术操作,心内膜炎与之直接有关,或入院48小时后出现心内膜炎症状,或者二者均有者。169例病人发生178次心内膜炎,其中30例(17％)为院内感染。一年约3.3万病人住院,
This review reviewed the epidemiology, clinical features, microbiology, and outcome of 30 nosocomial endocarditis patients who had nosocomial infections in recent 13 years and compared them with 148 patients with endocarditis who were nosocomial infections. Von Reyn criteria were used for the diagnosis of nosocomial infective endocarditis. Surgical procedures were performed 8 weeks prior to admission, with endocarditis directly associated with or with endocarditis symptoms 48 hours after admission, or both . 178 endocarditis occurred in 169 patients, 30 of which (17%) were nosocomial infections. About 33,000 patients a year hospitalization,