El-Kersh Karim, Guardiola Juan, Cavallazzi Rodrigo, Wiemken Timothy L, Roman Jesse, Saad Mohamed
Department of Internal Medicine, Division of Pulmonary, Critical Care, and Sleep Disorders Medicine, University of Louisville, Louisville, KY.
Department of Internal Medicine, Division of Pulmonary, Critical Care, and Sleep Disorders Medicine, University of Louisville, Louisville, KY.
Am J Infect Control. 2016 Dec 1;44(12):1744-1746. doi: 10.1016/j.ajic.2016.04.240. Epub 2016 Jul 7.
Infectious complications in the intensive care unit (ICU) are associated with higher morbidity, mortality, and increased health care use. Here, we report the results of implementing 2 different models (open vs closed) on infectious complications in the ICU. The closed ICU model was associated with 52% reduction in ventilator-associated pneumonia rate (P = .038) and 25% reduction in central line-associated bloodstream infection rate (P = .631). We speculate that a closed ICU model allows clinical leadership centralization that further facilitates standardized care delivery that translates into fewer infectious complications.
重症监护病房（ICU）中的感染性并发症与更高的发病率、死亡率以及医疗保健使用增加相关。在此，我们报告在ICU中实施两种不同模式（开放式与封闭式）对感染性并发症的影响结果。封闭式ICU模式使呼吸机相关性肺炎发生率降低了52%（P = 0.038），中心静脉导管相关血流感染率降低了25%（P = 0.631）。我们推测，封闭式ICU模式允许临床领导集中化，这进一步促进了标准化护理的实施，从而减少了感染性并发症的发生。
