Farr Barry M, Bellingan Geoffrey
The William S Jordan Jr Professor of Medicine and Epidemiology, University of Virginia Health System, Charlottesville, Virginia, USA.
Crit Care. 2004 Jun;8(3):153-6. doi: 10.1186/cc2817. Epub 2004 Feb 19.
Antibiotic-resistant bacteria are an increasingly common problem in intensive care units (ICUs), and they are capable of impacting on patient outcome, the ICU's budget and bed availability. This issue, coupled with recent outbreaks of illnesses that pose a direct risk to ICU staff (such as SARS [severe acute respiratory syndrome]), has led to renewed emphasis on infection control measures and practitioners in the ICU. Infection control measures frequently cause clinicians to practice in a more time consuming way. As a result it is not surprising that ensuring compliance with these measures is not always easy, particularly when their benefit is not immediately obvious. In this issue of Critical Care, two experts face off over the need to isolate patients infected with methicillin-resistant Staphylococcus aureus.
耐抗生素细菌在重症监护病房（ICU）中是一个日益常见的问题，它们能够影响患者的治疗结果、ICU的预算和床位供应。这个问题，再加上近期爆发的对ICU工作人员构成直接风险的疾病（如严重急性呼吸综合征[SARS]），使得人们重新重视ICU的感染控制措施和从业者。感染控制措施常常使临床医生的工作方式更加耗时。因此，确保遵守这些措施并非总是易事也就不足为奇了，尤其是当这些措施的益处并非立竿见影时。在本期《重症监护》中，两位专家就是否需要隔离感染耐甲氧西林金黄色葡萄球菌的患者展开了辩论。
