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美国疾病控制与预防中心关于门诊环境中预防医院感染建议的综述

A Review of the CDC Recommendations for Prevention of HAIs in Outpatient Settings.

作者信息

Garrett J Hudson

出版信息

AORN J. 2015 May;101(5):519-25; quiz 526-8. doi: 10.1016/j.aorn.2015.02.007.

DOI:10.1016/j.aorn.2015.02.007
PMID:25946178
Abstract

According to the Centers for Disease Control and Prevention (CDC), most health care-associated infections (HAIs) are caused by contamination from the hands of health care providers or patients, contamination from the environment, and contamination from the patient's own skin. To mitigate common sources of infection transmission, frontline health care providers must be compliant with basic infection-prevention interventions, including hand hygiene, environmental cleaning and disinfection, safe injection practices, and designation of a trained health care professional to be responsible for the infection prevention and control program. Integration of CDC recommendations should incorporate a bundled approach to these interventions and should be part of a comprehensive approach to infection prevention and control. Effective infection-prevention practices in outpatient settings are critical for reducing the risk of infection transmission, improving patient safety and patient outcomes, and reducing costs associated with health care delivery.

摘要

根据美国疾病控制与预防中心(CDC)的数据,大多数医疗保健相关感染(HAIs)是由医疗保健提供者或患者的手部污染、环境污染以及患者自身皮肤污染引起的。为了减少感染传播的常见源头,一线医疗保健提供者必须遵守基本的感染预防干预措施,包括手部卫生、环境清洁与消毒、安全注射操作,以及指定一名经过培训的医疗保健专业人员负责感染预防与控制计划。将CDC的建议整合起来,应该采用综合的方法来实施这些干预措施,并且应该成为全面感染预防与控制方法的一部分。门诊环境中有效的感染预防措施对于降低感染传播风险、提高患者安全和改善患者预后,以及降低医疗保健服务相关成本至关重要。

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A Review of the CDC Recommendations for Prevention of HAIs in Outpatient Settings.美国疾病控制与预防中心关于门诊环境中预防医院感染建议的综述
AORN J. 2015 May;101(5):519-25; quiz 526-8. doi: 10.1016/j.aorn.2015.02.007.
2
Back to basics: environmental cleaning.回归基础:环境清洁。
AORN J. 2014 Jul;100(1):54-61; quiz 62-4. doi: 10.1016/j.aorn.2014.02.018.
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Guideline for Prevention of Surgical Site Infection, 1999. Centers for Disease Control and Prevention (CDC) Hospital Infection Control Practices Advisory Committee.《手术部位感染预防指南》,1999年。疾病控制与预防中心(CDC)医院感染控制实践咨询委员会。
Am J Infect Control. 1999 Apr;27(2):97-132; quiz 133-4; discussion 96.
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Patients' potential role in the transmission of health care-associated infections: prevalence of contamination with bacterial pathogens and patient attitudes toward hand hygiene.患者在医院感染传播中的潜在作用:细菌病原体污染的流行情况和患者对手卫生的态度。
Am J Infect Control. 2013 Sep;41(9):793-8. doi: 10.1016/j.ajic.2012.11.012. Epub 2013 Feb 20.
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Keeping patients safe from infection.保护患者免受感染。
AORN J. 2003 Jul;78(1):133-4, 137. doi: 10.1016/s0001-2092(06)61353-7.
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Looking inside the 2003 CDC dental infection control guidelines.解读2003年美国疾病控制与预防中心的牙科感染控制指南。
J Calif Dent Assoc. 2004 Nov;32(11):919-30.
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Hospital-Acquired Infections: Current Trends and Prevention.医院获得性感染:当前趋势与预防
Crit Care Nurs Clin North Am. 2017 Mar;29(1):51-65. doi: 10.1016/j.cnc.2016.09.012. Epub 2016 Dec 22.
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Current concepts in hand hygiene.手部卫生的当前概念
Compend Contin Educ Dent. 2004 Jan;25(1 Suppl):11-2, 14, 16.
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[Levels of evidence in the prevention and control of nosocomial infection].[医院感染预防与控制中的证据级别]
Enferm Infecc Microbiol Clin. 1999;17 Suppl 2:59-66.
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Using medical student observers of infection prevention, hand hygiene, and injection safety in outpatient settings: A cross-sectional survey.在门诊环境中使用医学生观察感染预防、手部卫生和注射安全:一项横断面调查。
Am J Infect Control. 2016 Apr 1;44(4):374-80. doi: 10.1016/j.ajic.2015.11.029. Epub 2016 Jan 21.

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