Kamboj Mini, Sepkowitz Kent A
Infectious Diseases Service, Memorial Sloan-Kettering Cancer Center, New York, New York, USA.
Lancet Oncol. 2009 Jun;10(6):589-97. doi: 10.1016/S1470-2045(09)70069-5.
Nosocomial infections are those that become evident 48 h or more after a patient is admitted for treatment in a hospital or in another health-care setting. These infections cause substantial morbidity and mortality in patients who are immunosuppressed. Over the past few decades, understanding of host vulnerability has improved and more rigorous management and infection-control practices have been adopted for treating susceptible populations. Despite efforts, outbreaks continue to occur. In this Review, we outline current knowledge of the incidence and microbiology of various nosocomial infections in patients with cancer-a large, immunosuppressed population.
医院感染是指患者在医院或其他医疗环境中接受治疗48小时或更长时间后出现的感染。这些感染在免疫功能低下的患者中会导致严重的发病和死亡。在过去几十年中,对宿主易感性的认识有所提高,并且在治疗易感人群时采用了更严格的管理和感染控制措施。尽管做出了努力,但疫情仍不断发生。在本综述中,我们概述了癌症患者(一个庞大的免疫功能低下人群)中各种医院感染的发病率和微生物学的现有知识。