Evans Heather L, McNamara Elizabeth, Lynch John B, Chan Jeannie D, Taylor Mark, Dellit Timothy H
Departments of Surgery, Harborview Medical Center, Seattle, WA 98104, USA.
Crit Care Nurs Q. 2012 Jul-Sep;35(3):241-6. doi: 10.1097/CNQ.0b013e3182542d18.
Critically ill patients are particularly at risk for developing hospital-acquired infections. An understanding of the predisposing factors, the epidemiology of disease, and guidelines to treat and to prevent hospital-acquired infections is necessary to incorporate infection control into the daily care of the critically ill trauma patient. Although it remains a challenge, infection control programs have moved from providing surveillance data and guidelines recommendations to implementation and engagement programs aimed at a shared responsibility for hospital-acquired infections prevention. We describe a multidisciplinary approach to infection control in the critically ill trauma patient with a special focus on ventilator-associated pneumonia at a level 1 trauma and burn center.
重症患者尤其容易发生医院获得性感染。了解易感因素、疾病流行病学以及治疗和预防医院获得性感染的指南,对于将感染控制纳入重症创伤患者的日常护理至关重要。尽管这仍然是一项挑战,但感染控制计划已从提供监测数据和指南建议转向实施和参与计划,旨在共同承担预防医院获得性感染的责任。我们描述了一种针对重症创伤患者的多学科感染控制方法,特别关注一级创伤和烧伤中心的呼吸机相关性肺炎。