预防长期护理机构中老年人的耐抗菌药物细菌感染。

Preventing antimicrobial-resistant bacterial infections among older adults in long-term care facilities.

作者信息

Richards Chesley L

机构信息

Division of Healthcare Quality Promotion, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA.

出版信息

J Am Med Dir Assoc. 2005 Mar-Apr;6(2):144-51. doi: 10.1016/j.jamda.2005.01.007.

DOI:10.1016/j.jamda.2005.01.007

PMID:15871891

Abstract

For older adults in long-term care facilities (LTCFs), the rate of infections caused by antimicrobial resistant strains of bacteria has increased and is prompting renewed interest in investing health care resources for prevention and control of these pathogens. This document offers a simple framework to combat infections due to antimicrobial resistant bacteria in LTCF residents by providing a multi-step approach consisting of four major strategies: prevent infection, diagnose and treat infection effectively, use antimicrobials wisely, and prevent transmission. Recommendations from this multi-step approach are directed at LTCF medical directors and practicing clinicians involved with the medical care of older adult LTCF residents.

摘要

对于长期护理机构（LTCF）中的老年人而言，抗菌药物耐药菌株引起的感染率有所上升，这促使人们重新关注投入医疗资源以预防和控制这些病原体。本文档提供了一个简单框架，通过提供由四项主要策略组成的多步骤方法来对抗LTCF居民中由抗菌药物耐药细菌引起的感染：预防感染、有效诊断和治疗感染、明智使用抗菌药物以及防止传播。这种多步骤方法的建议针对LTCF医疗主任以及参与老年LTCF居民医疗护理的执业临床医生。