Ortolano Girolamo A, McAlister Morven B, Angelbeck Judy A, Schaffer Jeffrey, Russell Rosalind L, Maynard Elise, Wenz Barry
Pall Corporation, East Hills, New York, USA.
Am J Infect Control. 2005 Jun;33(5 Suppl 1):S1-19. doi: 10.1016/j.ajic.2005.03.014.
Cholera, hepatitis and typhoid are well-recognized water-borne illnesses that take the lives of many every year in areas of uncontrollable flood, but far less attention is afforded to the allegedly safe potable water in affluent nations and the presumed healthful quality of water in communities and hospitals. Recent literature, however, points to increasing awareness of serious clinical sequelae particularly experienced by immunocompromised patients at high risk for disease and death from exposure to water-borne microbes in hospitals. This review reflects the literature indicting hospital water as an important source for nosocomial infections, examines patient populations at greatest risk, uncovers examples of failures in remedial water treatment methods and the reasons for them, and introduces point-of-use water filtration as a practical alternative or complementary component of an infection control strategy that may reduce the risk of nosocomial infections.
霍乱、肝炎和伤寒是公认的水源性疾病,在洪水无法控制的地区,每年都有许多人因此丧生,但富裕国家所谓安全的饮用水以及社区和医院中假定健康的水质却很少受到关注。然而,最近的文献指出,人们越来越意识到,免疫功能低下的患者因接触医院中的水源性微生物而面临疾病和死亡的高风险,会出现严重的临床后遗症。这篇综述反映了将医院用水认定为医院感染重要来源的文献,研究了风险最大的患者群体,揭示了补救性水处理方法失败的例子及其原因,并介绍了使用点水过滤作为感染控制策略的一种实用替代方法或补充组成部分,这可能会降低医院感染的风险。