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预防医院建筑/装修工程期间发生的医源性侵袭性曲霉病。

Prevention of healthcare-associated invasive aspergillosis during hospital construction/renovation works.

机构信息

Department of Microbiology, Our Lady of Lourdes Hospital, Drogheda, Ireland; Department of Microbiology, Beaumont Hospital, Dublin, Ireland; Department of Clinical Microbiology, Trinity College Dublin, Dublin, Ireland.

Health Service Executive, Health Protection Surveillance Centre, Dublin, Ireland.

出版信息

J Hosp Infect. 2019 Sep;103(1):1-12. doi: 10.1016/j.jhin.2018.12.020. Epub 2019 Jan 7.

Abstract

The association between healthcare-associated invasive aspergillosis and hospital construction/building works is well recognized. This infection can cause significant morbidity and mortality and imposes a substantial burden on the healthcare system. The population of patients at risk for this opportunistic infection has expanded and multi-triazole drug resistance has emerged globally. Hence the need for a multi-faceted approach to prevent acquisition of invasive aspergillosis in acute care settings. This article is a summary of the Irish National Guidelines for the prevention of healthcare-associated aspergillosis which is based on published reports, international clinical guidelines, official engineering standards, and technical guidelines. We discuss the key recommendations and strategies for the prevention of invasive aspergillosis from the planning/pre-construction, construction, and post-construction phases. The importance of multi-disciplinary team involvement, education, and communication is emphasized.

摘要

医疗机构相关性侵袭性曲霉病与医院建筑/施工工程之间的关联已得到充分认识。这种感染可导致严重的发病率和死亡率,并给医疗系统带来巨大负担。罹患这种机会性感染的患者人群不断扩大,且全球范围内已出现多烯类耐药现象。因此,需要采取多方面措施,以防止急性护理环境中侵袭性曲霉病的发生。本文是对爱尔兰医疗机构相关性曲霉病预防国家指南的总结,该指南基于已发表的报告、国际临床指南、官方工程标准和技术指南。我们讨论了规划/施工前、施工中和施工后各个阶段预防侵袭性曲霉病的关键建议和策略。强调了多学科团队参与、教育和沟通的重要性。

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