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急性护理环境中耐甲氧西林金黄色葡萄球菌的预防与控制

Prevention and Control of Methicillin-Resistant Staphylococcus aureus in Acute Care Settings.

作者信息

Lee Andie S, Huttner Benedikt, Harbarth Stephan

机构信息

Departments of Infectious Diseases and Microbiology, Royal Prince Alfred Hospital, Missenden Road, Camperdown, Sydney, New South Wales 2050, Australia.

Infection Control Programme, University of Geneva Hospitals, Rue Gabrielle-Perret-Gentil 4, Geneva CH-1205, Switzerland; Division of Infectious Diseases, University of Geneva Hospitals, Rue Gabrielle-Perret-Gentil 4, Geneva CH-1205, Switzerland.

出版信息

Infect Dis Clin North Am. 2016 Dec;30(4):931-952. doi: 10.1016/j.idc.2016.07.006.

Abstract

Methicillin-resistant Staphylococcus aureus (MRSA) is a leading cause of health care-associated infections worldwide. Controversies with regard to the effectiveness of various MRSA control strategies have contributed to varying approaches to the control of this pathogen in different settings. However, new evidence from large-scale studies has emerged, particularly with regards to MRSA screening and decolonization strategies, which will inform future control practices. The implementation as well as outcomes of control measures in the real world is not only influenced by scientific evidence but also depends on economic, administrative, governmental, and political influences.

摘要

耐甲氧西林金黄色葡萄球菌(MRSA)是全球医疗保健相关感染的主要原因。关于各种MRSA控制策略有效性的争议导致了在不同环境中控制这种病原体的方法各不相同。然而,大规模研究已出现新证据,特别是关于MRSA筛查和去定植策略的证据,这将为未来的控制实践提供依据。现实世界中控制措施的实施及其结果不仅受到科学证据的影响,还取决于经济、行政、政府和政治影响。

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