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医疗保健相关感染——概述

Health care-associated infections - an overview.

作者信息

Haque Mainul, Sartelli Massimo, McKimm Judy, Abu Bakar Muhamad

机构信息

Faculty of Medicine and Defence Health, Universiti Pertahanan Nasional Malaysia (National Defence University of Malaysia), Kem Sungai Besi, 57000 Kuala Lumpur, Malaysia,

Department of Surgery, Macerata Hospital, Via Santa Lucia 2, 62100 Macerata, Italy.

出版信息

Infect Drug Resist. 2018 Nov 15;11:2321-2333. doi: 10.2147/IDR.S177247. eCollection 2018.

DOI:10.2147/IDR.S177247
PMID:30532565
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6245375/
Abstract

Health care-associated infections (HCAIs) are infections that occur while receiving health care, developed in a hospital or other health care facility that first appear 48 hours or more after hospital admission, or within 30 days after having received health care. Multiple studies indicate that the common types of adverse events affecting hospitalized patients are adverse drug events, HCAIs, and surgical complications. The US Center for Disease Control and Prevention identifies that nearly 1.7 million hospitalized patients annually acquire HCAIs while being treated for other health issues and that more than 98,000 patients (one in 17) die due to these. Several studies suggest that simple infection-control procedures such as cleaning hands with an alcohol-based hand rub can help prevent HCAIs and save lives, reduce morbidity, and minimize health care costs. Routine educational interventions for health care professionals can help change their hand-washing practices to prevent the spread of infection. In support of this, the WHO has produced guidelines to promote hand-washing practices among member countries.

摘要

医疗保健相关感染(HCAIs)是指在接受医疗保健期间发生的感染,在医院或其他医疗保健机构中出现,首次出现于入院48小时或更长时间后,或在接受医疗保健后30天内。多项研究表明,影响住院患者的常见不良事件类型包括药物不良事件、医疗保健相关感染和手术并发症。美国疾病控制与预防中心指出,每年有近170万住院患者在因其他健康问题接受治疗时感染医疗保健相关感染,超过9.8万名患者(每17名患者中有1名)因此死亡。多项研究表明,诸如用含酒精的洗手液洗手等简单的感染控制程序有助于预防医疗保健相关感染、挽救生命、降低发病率并将医疗保健成本降至最低。针对医疗保健专业人员的常规教育干预措施有助于改变他们的洗手习惯,以防止感染传播。为此,世界卫生组织制定了指南,以促进成员国的洗手习惯。