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[H5N1禽流感住院患者的护理注意事项]

[Precautions in the care of patients hospitalized with H5N1 avian influenza].

作者信息

Fica C Alberto, Cifuentes D Marcela, Ajenjo H M Cristina, Delpiano M Luis, Febre V Naldy, Medina L Wilma, Parada E Yolanda

机构信息

Comité Consultivo de Infecciones Intrahospitalarias, Sociedad Chilena de Infectología, Chile.

出版信息

Rev Chilena Infectol. 2006 Dec;23(4):290-6. Epub 2006 Nov 23.

Abstract

Several agencies have proposed infection control guidelines for management of patients admitted with the diagnosis of avian influenza. These guidelines aim to prevent transmission from the patient to hospital personnel and other inpatients. The guidelines presented here by the Advisory Committee of Nosocomial Infections have been elaborated for the local medical community after reviewing currently available recommendations. Key recommendations include admission to an isolation ward, cohorting of confirmed cases, hand hygiene with antiseptic solutions, use of N95 type masks, non-sterile disposable gloves and eye protection equipment during examination or when performing aerosols-generating procedures. Use of patient-exclusive clinical instruments, daily disinfection of the hospital ward, implementation of measures to reduce risk of needle stick injuries and eye splashing, and reinforcement of appropriate sampling and transport of blood and other corporal fluids, are also recommended.

摘要

多个机构已提出针对确诊感染禽流感入院患者的感染控制指南。这些指南旨在防止患者将病毒传播给医院工作人员及其他住院患者。医院感染咨询委员会在此呈现的指南是在参考当前可用建议后,为当地医疗界精心制定的。主要建议包括:收入隔离病房、对确诊病例进行分组管理、使用抗菌溶液进行手部清洁、在检查或实施产生气溶胶的操作时佩戴N95型口罩、非无菌一次性手套及眼部防护设备。还建议使用患者专用临床器械、每日对医院病房进行消毒、采取措施降低针刺伤和眼部溅液风险,以及加强对血液和其他体液的适当采样与运输。

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