Osman Mohamed F, Askari Reza
Division of Trauma/Burns and Critical Care, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, 75 Francis St. Boston, MA 02115, USA.
Division of Trauma/Burns and Critical Care, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, 75 Francis St. Boston, MA 02115, USA.
Surg Clin North Am. 2014 Dec;94(6):1175-94. doi: 10.1016/j.suc.2014.08.011. Epub 2014 Oct 30.
It is critical for health care personnel to recognize and appreciate the detrimental impact of intensive care unit (ICU)-acquired infections. The economic, clinical, and social expenses to patients and hospitals are overwhelming. To limit the incidence of ICU-acquired infections, aggressive infection control measures must be implemented and enforced. Researchers and national committees have developed and continue to develop evidence-based guidelines to control ICU infections. A multifaceted approach, including infection prevention committees, antimicrobial stewardship programs, daily reassessments-intervention bundles, identifying and minimizing risk factors, and continuing staff education programs, is essential. Infection control in the ICU is an evolving area of critical care research.
医疗保健人员认识到并重视重症监护病房（ICU）获得性感染的有害影响至关重要。对患者和医院造成的经济、临床和社会成本是巨大的。为了限制ICU获得性感染的发生率，必须实施并执行积极的感染控制措施。研究人员和国家委员会已经制定并将继续制定基于证据的ICU感染控制指南。采取多方面的方法，包括感染预防委员会、抗菌药物管理计划、每日重新评估-干预组合、识别并尽量减少风险因素以及持续的员工教育计划，是必不可少的。ICU的感染控制是重症监护研究中一个不断发展的领域。
