Bitely Colton, Miller Brian, Glauser Jonathan
Department of Emergency Medicine, MetroHealth Medical System, 2500 MetroHealth Drive, Cleveland, OH 44109 USA.
Curr Emerg Hosp Med Rep. 2019;7(4):135-140. doi: 10.1007/s40138-019-00200-6. Epub 2019 Oct 11.
This article aims to review recent literature regarding the risks of disease exposure to pre-hospital providers and the patients they serve, as well as the challenges they face in minimizing transmission and exposure.
Many studies continue to show poor compliance with consistent universal precautions, as well as proper hand hygiene. Vaccination rates are suboptimal despite attempts to encourage compliance. With the spread of multi-drug resistant organisms, new techniques of decontamination need to be investigated.
There remains a general lack of information and studies regarding the risks of disease exposure and transmission to EMS providers despite the significance hazards their profession can pose. However, there remains a continued theme throughout the majority of EMS and pre-hospital studies, demonstrating that hand washing and consistent use of personal protective equipment remains a persistent, preventable means of disease exposure and transmission.
本文旨在回顾近期有关院前急救人员及其服务患者面临疾病暴露风险，以及他们在尽量减少传播和暴露方面所面临挑战的文献。
许多研究持续表明，在始终如一地采取普遍预防措施以及正确洗手方面，依从性较差。尽管努力鼓励人们遵守规定，但疫苗接种率仍未达到最佳水平。随着多重耐药菌的传播，需要研究新的去污技术。
尽管急救医疗服务（EMS）人员的职业可能带来重大危害，但关于疾病暴露和传播给EMS人员的风险，仍然普遍缺乏信息和研究。然而，在大多数EMS和院前研究中仍存在一个持续的主题，即表明洗手和持续使用个人防护装备仍然是疾病暴露和传播的一种持续存在且可预防的途径。
