Suppr超能文献

预防医院获得性感染的策略和技术:亚洲和西非的 SARS、埃博拉和 MERS 的经验教训。

Strategy and technology to prevent hospital-acquired infections: Lessons from SARS, Ebola, and MERS in Asia and West Africa.

机构信息

Department of Epidemiology, Second Military Medical University, Shanghai, 200433, China.

出版信息

Mil Med Res. 2017 Oct 27;4(1):32. doi: 10.1186/s40779-017-0142-5.

Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d110/5659033/def8e255db2c/40779_2017_142_Fig1_HTML.jpg

相似文献

2
AIDS, Avian flu, SARS, MERS, Ebola, Zika… what next?
Vaccine. 2017 Aug 16;35(35 Pt A):4470-4474. doi: 10.1016/j.vaccine.2017.04.082. Epub 2017 Jun 19.
3
Risks to healthcare workers with emerging diseases: lessons from MERS-CoV, Ebola, SARS, and avian flu.
Curr Opin Infect Dis. 2015 Aug;28(4):349-61. doi: 10.1097/QCO.0000000000000183.
4
Ebola preparedness: a personal perspective.
J Hosp Infect. 2015 Sep;91(1):8-10. doi: 10.1016/j.jhin.2015.06.009. Epub 2015 Jun 25.
7
Ebola virus disease in Africa: epidemiology and nosocomial transmission.
J Hosp Infect. 2015 May;90(1):1-9. doi: 10.1016/j.jhin.2015.01.002. Epub 2015 Jan 20.
8
Australia's response to Ebola Virus disease in West Africa, 2014-15.
Public Health Res Pract. 2016 Dec 14;26(5):2651661. doi: 10.17061/phrp2651661.
10
Ebola from emergence to epidemic: the virus and the disease, global preparedness and perspectives.
J Infect Dev Ctries. 2015 May 18;9(5):441-55. doi: 10.3855/jidc.6197.

引用本文的文献

1
The impact of meteorological factors on COVID-19 of California and its lag effect.
Meteorol Appl. 2022 Jan-Feb;29(1):e2045. doi: 10.1002/met.2045. Epub 2022 Feb 15.
3
Obstetric services preparedness among healthcare workers in maternal wards during COVID-19 pandemic.
BMC Pregnancy Childbirth. 2025 Apr 14;25(1):443. doi: 10.1186/s12884-025-07474-7.
6
Hospital crisis management in the epidemic: A qualitative study.
Health Sci Rep. 2024 Oct 3;7(10):e70059. doi: 10.1002/hsr2.70059. eCollection 2024 Oct.
7
Assessing ventilation through ambient carbon dioxide concentrations across multiple healthcare levels in Ghana.
PLOS Glob Public Health. 2024 Aug 14;4(8):e0003287. doi: 10.1371/journal.pgph.0003287. eCollection 2024.
9
Prospects of Microfluidic Technology in Nucleic Acid Detection Approaches.
Biosensors (Basel). 2023 May 27;13(6):584. doi: 10.3390/bios13060584.

本文引用的文献

1
Improving Disaster Response Efforts Through the Development of a Disaster Health Care Response System.
Disaster Med Public Health Prep. 2017 Oct;11(5):600-604. doi: 10.1017/dmp.2016.192. Epub 2017 Mar 17.
2
Middle East Respiratory Syndrome.
N Engl J Med. 2017 Feb 9;376(6):584-594. doi: 10.1056/NEJMsr1408795.
3
Military-civilian cooperative emergency response to infectious disease prevention and control in China.
Mil Med Res. 2016 Dec 30;3:39. doi: 10.1186/s40779-016-0109-y. eCollection 2016.
6
Exposure Patterns Driving Ebola Transmission in West Africa: A Retrospective Observational Study.
PLoS Med. 2016 Nov 15;13(11):e1002170. doi: 10.1371/journal.pmed.1002170. eCollection 2016 Nov.
8
Ebola: Anatomy of an Epidemic.
Annu Rev Med. 2017 Jan 14;68:359-370. doi: 10.1146/annurev-med-052915-015604. Epub 2016 Oct 21.
10

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验