Jackson Health System, Longwood, FL.
Am J Infect Control. 2020 May;48(5S):A3-A6. doi: 10.1016/j.ajic.2020.03.001.
One of the fundamental challenges in nonventilator health care-associated pneumonia (NV-HAP) surveillance is identifying cases and standardizing surveillance protocols. This section highlights clinical pneumonia definitions and current surveillance definitions, as well as the difficulty in case finding methodologies. In addition, we review current microbiology and molecular testing methods. Further, we explore future opportunities to leverage the electronic health care record in attempt to identify a reliable less burdensome data identification and collection methodology. Finally, we highlight the importance of a collaborative approach to prevention of NV- HAP, as well as strategies to assist the IP with facilitating interdisciplinary communication and uptake of evidence-based implementation strategies.
在非呼吸机相关性肺炎(NV-HAP)监测中,面临的一个基本挑战是确定病例并标准化监测方案。本节重点介绍临床肺炎定义和当前监测定义,以及病例发现方法的困难。此外,我们还回顾了当前的微生物学和分子检测方法。此外,我们探讨了利用电子医疗记录的未来机会,试图确定一种可靠的、负担较小的数据识别和收集方法。最后,我们强调了预防 NV-HAP 采用协作方法的重要性,以及协助医生促进跨学科沟通和采用基于证据的实施策略的策略。