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降低医院获得性肺炎的潜在风险:重症监护病房的建筑、工程及环境考量

Minimizing the potential for nosocomial pneumonia: architectural, engineering, and environmental considerations for the intensive care unit.

作者信息

du Moulin G

机构信息

Department of Anaesthesia, Charles A. Dana Research Foundation, Harvard Medical School, Beth Israel Hospital, Boston, Massachusetts 02215.

出版信息

Eur J Clin Microbiol Infect Dis. 1989 Jan;8(1):69-74. doi: 10.1007/BF01964123.

DOI:10.1007/BF01964123
PMID:2495954
Abstract

The development of pneumonia in seriously ill patients remains an important concern of intensive care medicine. The design of the intensive care unit will have a direct effect upon the potential for infection. Persons involved in this design should consider engineering and architectural elements that will ultimately contribute to lower rates of infection. These include components to regulate the atmosphere, such as ventilation systems and temperature and humidity controls. Sources of contaminated water and the amplification mechanisms need to be addressed and minimized in the final designs. Architectural elements such as treatment space and lighting encourage optimal patient management and workable staffing patterns. Personnel who treat seriously ill patients should be part of the planning and design process in the construction and renovation of intensive care facilities.

摘要

重症患者肺炎的发生仍然是重症医学的一个重要关注点。重症监护病房的设计将直接影响感染的可能性。参与该设计的人员应考虑那些最终有助于降低感染率的工程和建筑要素。这些要素包括调节空气的组件,如通风系统以及温度和湿度控制。在最终设计中,需要解决并尽量减少受污染水的来源和传播机制。诸如治疗空间和照明等建筑要素有助于实现最佳的患者管理和可行的人员配置模式。治疗重症患者的医护人员应参与重症监护设施建设和翻新的规划与设计过程。

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本文引用的文献

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Re-evaluating the role of respiratory care equipment and practices in the prevention of nosocomial pneumonia.重新评估呼吸护理设备及操作在预防医院获得性肺炎中的作用。
Respir Care. 1983 Feb;28(2):165-7.
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Control of infection in the hospital: problems in surgery and the management of burns.医院感染控制:外科手术及烧伤处理中的问题
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Nosocomial infections in a neonatal intensive care unit.新生儿重症监护病房的医院感染
医院感染预防跨部门优化指标综述——基于结构和流程导向卫生学的视角
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Hospital-acquired infections in a burns unit caused by an imported strain of Staphylococcus aureus with unusual multi-resistance.由一株具有异常多重耐药性的进口金黄色葡萄球菌引起的烧伤病房医院获得性感染。
J Hyg (Lond). 1982 Jun;88(3):535-41. doi: 10.1017/s002217240007039x.
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J Trauma. 1983 Sep;23(9):806-15.