疗养院精神状态急性变化的记录突出了扩大感染监测标准的机会。
Documentation of acute change in mental status in nursing homes highlights opportunity to augment infection surveillance criteria.
作者信息
Penna Austin R, Sancken Christina L, Stone Nimalie D, Eure Taniece R, Bamberg Wendy, Barney Grant, Barter Devra, Carswell Stacy, Clogher Paula, Dumyati Ghinwa, Felsen Christina B, Frank Linda, Godine Deborah, Johnston Helen, Kainer Marion A, Li Linda, Lynfield Ruth, Mahoehney J P, Nadle Joelle, Pierce Rebecca, Ray Susan M, Davis Sarah Shrum, Sievers Marla, Wilson Lucy E, Zhang Alexia Y, Magill Shelley S, Thompson Nicola D
机构信息
Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
Colorado Department of Public Health and Environment, Denver, Colorado.
出版信息
Infect Control Hosp Epidemiol. 2020 Jul;41(7):848-850. doi: 10.1017/ice.2020.77. Epub 2020 Apr 28.
Acute change in mental status (ACMS), defined by the Confusion Assessment Method, is used to identify infections in nursing home residents. A medical record review revealed that none of 15,276 residents had an ACMS documented. Using the revised McGeer criteria with a possible ACMS definition, we identified 296 residents and 21 additional infections. The use of a possible ACMS definition should be considered for retrospective nursing home infection surveillance.
采用混乱评估法定义的精神状态急性改变（ACMS）用于识别疗养院居民中的感染情况。一份病历审查显示，15276名居民中没有一人有ACMS记录。使用修订后的McGeer标准及可能的ACMS定义，我们识别出了296名居民和另外21例感染。在疗养院感染回顾性监测中应考虑使用可能的ACMS定义。
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