{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T14:50:35Z","timestamp":1790693435456,"version":"4.1.0"},"reference-count":31,"publisher":"Cambridge University Press (CUP)","issue":"5","license":[{"start":{"date-parts":[[2015,1,2]],"date-time":"2015-01-02T00:00:00Z","timestamp":1420156800000},"content-version":"unspecified","delay-in-days":4629,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Infect. Control Hosp. Epidemiol."],"published-print":{"date-parts":[[2002,5]]},"abstract":"<jats:sec id=\"S0195941700082461_abs1\"><jats:title>Objectives:<\/jats:title><jats:p>To describe the patterns of nosocomial infections in patients with traumatic injuries and to compare the associations between injury severity, derived from various severity scoring systems, and subsequent nosocomial infections.<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700082461_abs2\"><jats:title>Design:<\/jats:title><jats:p>Prospective observational study.<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700082461_abs3\"><jats:title>Setting:<\/jats:title><jats:p>A 750-bed university hospital serving as a medical school and referral center for the southern part of Thailand.<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700082461_abs4\"><jats:title>Participants:<\/jats:title><jats:p>All trauma patients admitted to the hospital for more than 3 days during 1996 to 1999 were eligible for this study.<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700082461_abs5\"><jats:title>Methods:<\/jats:title><jats:p>The severity of injuries was measured in terms of injury severity score (ISS), revised trauma score (RTS), new injury severity score (NISS), and trauma injury severity score (TRISS). Infections acquired during hospitalization were categorized using Centers for Disease Control and Prevention criteria. The association between severity of injury and nosocomial infection was examined with Poisson regression models.<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700082461_abs6\"><jats:title>Results:<\/jats:title><jats:p>There were 222 nosocomial infections identified among 146 patients, yielding an infection rate of 0.8 infections per 100 patient-days. Surgical-site infection was the most common site-specific infection, accounting for 31.1% of all infections. The incidence of intravenous catheter\u2013related bloodstream infection was 1.6 infections per 100 catheter-days. The bladder catheter\u2013related urinary tract infection rate was 2.8 infections per 100 catheter-days. The rate of ventilator-associated pneumonia was 3.2 infections per 100 ventilator-days. The incidence of infection correlated well with injury severity. The infection incidence rate ratios for one severity category increment of ISS, NISS, RTS, and TRISS were 1.65 (95% confidence interval [CI<jats:sub>95<\/jats:sub>, 1.42 to 1.92), 1.79 (CI<jats:sub>95<\/jats:sub>, 1.55 to 2.05), 1.64 (CI<jats:sub>95<\/jats:sub>, 1.43 to 1.88), and 1.32 (CI<jats:sub>95<\/jats:sub>, 1.14 to 1.52), respectively.<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700082461_abs7\"><jats:title>Conclusions:<\/jats:title><jats:p>Surgical-site infection was the most common site-specific nosocomial infection. The NISS might be the most appropriate severity scoring system for adjustment of infection rates in trauma patients.<\/jats:p><\/jats:sec>","DOI":"10.1086\/502047","type":"journal-article","created":{"date-parts":[[2006,2,17]],"date-time":"2006-02-17T21:22:48Z","timestamp":1140211368000},"page":"268-273","source":"Crossref","is-referenced-by-count":36,"title":["Trauma Severity Scoring Systems as Predictors of Nosocomial Infection"],"prefix":"10.1017","volume":"23","author":[{"given":"Silom","family":"Jamulitrat","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Montha Na","family":"Narong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Somchit","family":"Thongpiyapoom","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2015,1,2]]},"reference":[{"key":"S0195941700082461_ref030","doi-asserted-by":"publisher","DOI":"10.1007\/BF00155546"},{"key":"S0195941700082461_ref008","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-197403000-00001"},{"key":"S0195941700082461_ref006","doi-asserted-by":"publisher","DOI":"10.1007\/s002689900071"},{"key":"S0195941700082461_ref029","first-page":"497","volume-title":"Applied Regression Analysis and Other Multivariate Methods","author":"Kleinbaum","year":"1988"},{"key":"S0195941700082461_ref016","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-6553(99)70085-4"},{"key":"S0195941700082461_ref004","first-page":"347","article-title":"Nosocomial infections in severely traumatized patients: magnitude of problem, pathogenesis, prevention and therapy","volume":"38","author":"van Saene","year":"1987","journal-title":"Acta Anaesthesiol Belg"},{"key":"S0195941700082461_ref017","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198905000-00005"},{"key":"S0195941700082461_ref027","volume-title":"The Abbreviated Injury Scale, 1990 revision","year":"1990"},{"key":"S0195941700082461_ref009","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-198905000-00017"},{"key":"S0195941700082461_ref001","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1995.03530080055041"},{"key":"S0195941700082461_ref011","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199712000-00009"},{"key":"S0195941700082461_ref024","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199211000-00010"},{"key":"S0195941700082461_ref015","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-6553(96)90036-X"},{"key":"S0195941700082461_ref005","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199802000-00018"},{"key":"S0195941700082461_ref031","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199005000-00003"},{"key":"S0195941700082461_ref012","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199804000-00003"},{"key":"S0195941700082461_ref014","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199502000-00006"},{"key":"S0195941700082461_ref021","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.134.9.935"},{"key":"S0195941700082461_ref019","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199911000-00018"},{"key":"S0195941700082461_ref025","doi-asserted-by":"publisher","DOI":"10.1016\/0196-6553(88)90053-3"},{"key":"S0195941700082461_ref013","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(88)80713-X"},{"key":"S0195941700082461_ref022","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1993.01420140048008"},{"key":"S0195941700082461_ref010","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-198704000-00005"},{"key":"S0195941700082461_ref007","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(05)81206-1"},{"key":"S0195941700082461_ref028","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199501000-00024"},{"key":"S0195941700082461_ref003","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(05)81208-5"},{"key":"S0195941700082461_ref002","doi-asserted-by":"crossref","first-page":"987","DOI":"10.1177\/000313489906501019","article-title":"Nosocomial infections in the surgical intensive care unit: a difference between trauma and surgical patients","volume":"65","author":"Wallace","year":"1999","journal-title":"Am Surg"},{"key":"S0195941700082461_ref023","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-200001000-00003"},{"key":"S0195941700082461_ref018","doi-asserted-by":"publisher","DOI":"10.1007\/BF01716192"},{"key":"S0195941700082461_ref020","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1991.01410250105017"},{"key":"S0195941700082461_ref026","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-6553(05)80201-9"}],"container-title":["Infection Control &amp; 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