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非重症监护病房环境下耐甲氧西林金黄色葡萄球菌在患者与医护人员间的传播。

Patient to healthcare personnel transmission of MRSA in the non-intensive care unit setting.

机构信息

Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, Maryland.

Department of Pathology, University of Maryland School of Medicine, Baltimore, Maryland.

出版信息

Infect Control Hosp Epidemiol. 2020 May;41(5):601-603. doi: 10.1017/ice.2020.10. Epub 2020 Feb 10.

DOI:10.1017/ice.2020.10
PMID:32036800
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7200276/
Abstract

The transmission rate of methicillin-resistant Staphylococcus aureus (MRSA) to gloves or gowns of healthcare personnel (HCP) caring for MRSA patients in a non-intensive care unit setting was 5.4%. Contamination rates were higher among HCP performing direct patient care and when patients had detectable MRSA on their body. These findings may inform risk-based contact precautions.

摘要

耐甲氧西林金黄色葡萄球菌（MRSA）在非重症监护病房环境中传播到医护人员（HCP）手套或长袍的比率为 5.4%。在直接护理患者的 HCP 中，以及当患者身体上检测到可检测到的 MRSA 时，污染率更高。这些发现可能为基于风险的接触预防措施提供信息。

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本文引用的文献

1
Optimizing Contact Precautions to Curb the Spread of Antibiotic-resistant Bacteria in Hospitals: A Multicenter Cohort Study to Identify Patient Characteristics and Healthcare Personnel Interactions Associated With Transmission of Methicillin-resistant Staphylococcus aureus.优化接触预防措施以遏制医院中抗生素耐药菌的传播：一项多中心队列研究，以确定与耐甲氧西林金黄色葡萄球菌传播相关的患者特征和医护人员相互作用。
Clin Infect Dis. 2019 Sep 13;69(Suppl 3):S171-S177. doi: 10.1093/cid/ciz621.
2
Impact of doffing errors on healthcare worker self-contamination when caring for patients on contact precautions.脱卸防护装备错误对接触防护患者医护人员自身污染的影响。
Infect Control Hosp Epidemiol. 2019 May;40(5):559-565. doi: 10.1017/ice.2019.33. Epub 2019 Mar 20.
3
Bacterial burden is associated with increased transmission to health care workers from patients colonized with vancomycin-resistant Enterococcus.细菌载量与定植了耐万古霉素肠球菌的患者向医护人员传播的增加有关。
Am J Infect Control. 2019 Jan;47(1):13-17. doi: 10.1016/j.ajic.2018.07.011. Epub 2018 Sep 26.
4
Duration of Contact Precautions for Acute-Care Settings.急性护理环境中接触预防措施的持续时间。
Infect Control Hosp Epidemiol. 2018 Feb;39(2):127-144. doi: 10.1017/ice.2017.245. Epub 2018 Jan 11.
5
Discontinuing contact precautions for multidrug-resistant organisms: A systematic literature review and meta-analysis.停止接触预防措施用于多重耐药菌：系统文献回顾和荟萃分析。
Am J Infect Control. 2018 Mar;46(3):333-340. doi: 10.1016/j.ajic.2017.08.031. Epub 2017 Oct 12.
6
Discontinuation of contact precautions with the introduction of universal daily chlorhexidine bathing.随着每日普遍使用洗必泰沐浴，解除接触预防措施。
Epidemiol Infect. 2017 Sep;145(12):2575-2581. doi: 10.1017/S0950268817001121. Epub 2017 Jun 9.
7
Transmission of methicillin-resistant Staphylococcus aureus to health care worker gowns and gloves during care of residents in Veterans Affairs nursing homes.在退伍军人事务部养老院护理居民期间，耐甲氧西林金黄色葡萄球菌向医护人员工作服和手套的传播。
Am J Infect Control. 2017 Sep 1;45(9):947-953. doi: 10.1016/j.ajic.2017.03.004. Epub 2017 Apr 18.
8
Transmission of Methicillin-Resistant Staphylococcus aureus (MRSA) to Healthcare Worker Gowns and Gloves During Care of Nursing Home Residents.在护理养老院居民期间，耐甲氧西林金黄色葡萄球菌（MRSA）传播至医护人员的工作服和手套。
Infect Control Hosp Epidemiol. 2015 Sep;36(9):1050-7. doi: 10.1017/ice.2015.119. Epub 2015 May 26.
9
Detection of methicillin-resistant Staphylococcus aureus and vancomycin-resistant enterococci on the gowns and gloves of healthcare workers.医护人员工作服和手套上耐甲氧西林金黄色葡萄球菌及耐万古霉素肠球菌的检测
Infect Control Hosp Epidemiol. 2008 Jul;29(7):583-9. doi: 10.1086/588701.