创伤重症监护病房中的医院感染
Nosocomial infection in trauma intensive care.
作者信息
Major Jonathan Stephen, Welbourne Jessie
机构信息
Emergency Department, Gold Coast University Hospital, Southport, QLD, Australia.
Department of Intensive Care Medicine, Derriford Hospital, Plymouth, Devon, UK.
出版信息
J Intensive Care Soc. 2015 Aug;16(3):193-198. doi: 10.1177/1751143715579076. Epub 2015 Jul 23.
Abstract
This editorial examines the epidemiology of nosocomial infection in trauma intensive care. Specifically, ventilator-associated pneumonia, central line-associated blood stream infection, and catheter-associated urinary tract infection rates are described. Two important trends are observed. Firstly, nosocomial infection rates have fallen with time. This trend is evident in all intensive care populations and is thought to be principally due to the adoption of preventative bundle strategies. Secondly, rates remain consistently higher in trauma patients than in other intensive care populations. The reasons for this are likely to be multifactorial. Recognizing the particular vulnerability of this patient group should prompt especially rigorous efforts at prevention, early diagnosis, and management.
摘要
这篇社论探讨了创伤重症监护中医院感染的流行病学。具体描述了呼吸机相关性肺炎、中心静脉导管相关血流感染和导尿管相关尿路感染的发生率。观察到两个重要趋势。首先，医院感染率随时间下降。这一趋势在所有重症监护人群中都很明显，主要归因于预防性综合策略的采用。其次，创伤患者的感染率始终高于其他重症监护人群。其原因可能是多方面的。认识到这一患者群体的特殊易感性，应促使人们在预防、早期诊断和管理方面做出格外严格的努力。
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