Department of Epidemiology, Second Military Medical University, Shanghai, 200433, China.
Mil Med Res. 2017 Oct 27;4(1):32. doi: 10.1186/s40779-017-0142-5.
Hospital-acquired infections (HAIs) are serious problems for healthcare systems, especially in developing countries where public health infrastructure and technology for infection preventions remain undeveloped. Here, we characterized how strategy and technology could be mobilized to improve the effectiveness of infection prevention and control in hospitals during the outbreaks of Ebola, Middle East respiratory syndrome (MERS), and severe acute respiratory syndrome (SARS) in Asia and West Africa. Published literature on the hospital-borne outbreaks of SARS, Ebola, and MERS in Asia and West Africa was comprehensively reviewed. The results showed that healthcare systems and hospital management in affected healthcare facilities had poor strategies and inadequate technologies and human resources for the prevention and control of HAIs, which led to increased morbidity, mortality, and unnecessary costs. We recommend that governments worldwide enforce disaster risk management, even when no outbreaks are imminent. Quarantine and ventilation functions should be taken into consideration in architectural design of hospitals and healthcare facilities. We also recommend that health authorities invest in training healthcare workers for disease outbreak response, as their preparedness is essential to reducing disaster risk.
医院获得性感染(HAIs)是医疗保健系统的严重问题,尤其是在发展中国家,那里的公共卫生基础设施和感染预防技术仍未得到发展。在这里,我们描述了如何调动战略和技术,以提高亚洲和西非埃博拉、中东呼吸综合征(MERS)和严重急性呼吸综合征(SARS)爆发期间医院感染预防和控制的有效性。对亚洲和西非爆发的 SARS、埃博拉和 MERS 的医院感染进行了全面的文献回顾。结果表明,受影响的医疗机构的医疗保健系统和医院管理在预防和控制 HAIs 方面的策略不佳,技术和人力资源不足,这导致发病率、死亡率和不必要的成本增加。我们建议各国政府即使在没有疫情迫在眉睫的情况下也要实施灾害风险管理。医院和医疗保健设施的建筑设计应考虑隔离和通风功能。我们还建议卫生当局投资培训医护人员应对疾病爆发,因为他们的准备工作对于降低灾害风险至关重要。