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美国工业设计师协会/澳大利亚感染预防与控制学院立场声明——医疗机构中艰难梭菌感染患者的感染控制

ASID/ACIPC position statement - Infection control for patients with Clostridium difficile infection in healthcare facilities.

作者信息

Stuart Rhonda L, Marshall Caroline, Harrington Glenys, Sasko Louisa, McLaws Mary-Louise, Ferguson John

机构信息

Monash Infectious Diseases, Monash Health and Centre for Inflammatory Diseases, School of Clinical Sciences, Monash University, Melbourne, Vic, Australia.

Infection Prevention and Surveillance Service and Victorian Infectious Diseases Service, Royal Melbourne Hospital, Department of Medicine, University of Melbourne, Melbourne, Australia; The Peter Doherty Institute for Infection and Immunity, Vic, Australia.

出版信息

Infect Dis Health. 2019 Feb;24(1):32-43. doi: 10.1016/j.idh.2018.10.001. Epub 2018 Nov 17.

Abstract

BACKGROUND

In 2011, the Australasian Society for Infectious Diseases (ASID) and the Australian Infection Control Association (AICA), now known as the Australasian College of Infection Prevention and Control (ACIPC), produced a position statement on infection control requirements for preventing and controlling Clostridium difficile infection (CDI) in healthcare settings.

METHODS

The statement updated in 2017 to reflect new literature available .The authors reviewed the 2011 position statement and critically appraised new literature published between 2011 and 2017 and relevant current infection control guidelines to identify where new evidence had become available or best practice had changed.

RESULTS

The position statement was updated incorporating the new findings. A draft version of the updated position statement was circulated for consultation to members of ASID and ACIPC. The authors responded to all comments received and updated the position statement.

CONCLUSIONS

This updated position statement emphasizes the importance of health service organizations having evidence-based infection prevention and control programs and comprehensive antimicrobial stewardship programs, to ensure the risk of C. difficile acquisition, transmission and infection is minimised.

摘要

背景

2011年,澳大利亚和新西兰传染病学会(ASID)以及现称为澳大利亚感染预防与控制学院(ACIPC)的澳大利亚感染控制协会(AICA)发布了一份关于医疗机构预防和控制艰难梭菌感染(CDI)的感染控制要求的立场声明。

方法

该声明于2017年更新以反映新获得的文献。作者回顾了2011年的立场声明,严格评估了2011年至2017年间发表的新文献以及当前相关的感染控制指南,以确定新证据出现的地方或最佳实践发生变化的地方。

结果

纳入新发现后更新了立场声明。更新后的立场声明草案分发给了ASID和ACIPC的成员征求意见。作者对收到的所有意见进行了回复,并更新了立场声明。

结论

这份更新后的立场声明强调了卫生服务机构拥有循证感染预防与控制计划以及全面抗菌药物管理计划的重要性,以确保艰难梭菌的获得、传播和感染风险降至最低。

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