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临床医学感染预防与控制中的利弊争论:一刀切?支持的观点。

Pro con debates in clinical medicine infection prevention and control in cystic fibrosis: One size fits all? The argument in favour.

机构信息

Department of Respiratory Medicine, The Children's Hospital at Westmead, Sydney, NSW, Australia; Discipline of Child & Adolescent Health, Sydney Medical School, Faculty of Health Sciences, University of Sydney, NSW, Australia.

Department of Respiratory Medicine, The Children's Hospital at Westmead, Sydney, NSW, Australia; Discipline of Child & Adolescent Health, Sydney Medical School, Faculty of Health Sciences, University of Sydney, NSW, Australia.

出版信息

Paediatr Respir Rev. 2020 Nov;36:97-99. doi: 10.1016/j.prrv.2020.06.008. Epub 2020 Jun 16.

Abstract

This article advocates for a universal approach to infection control measures in cystic fibrosis. The central tenets of infection control include hand hygiene, contact precautions, regular microbiological surveillance and adopting inpatient, outpatient, domestic and social practices to minimise acquisition of common CF pathogens. Infection control measures should be proactive and prospective, assuming all patients harbour aggressive pathogens, and not relying on past culture results. The challenges of implementing these policies include cost, equipment, education, consistency, meticulousness all whilst balancing additional procedures to a busy clinical workload.

摘要

本文倡导在囊性纤维化中采取通用的感染控制措施。感染控制的核心原则包括手部卫生、接触预防、定期进行微生物监测,并采取住院、门诊、家庭和社会措施,以尽量减少常见 CF 病原体的获得。感染控制措施应该是积极主动和前瞻性的,假设所有患者都携带侵袭性病原体,而不是依赖过去的培养结果。实施这些政策的挑战包括成本、设备、教育、一致性、细致性,同时要在繁忙的临床工作量中平衡额外的程序。

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Infection control in cystic fibrosis.囊性纤维化中的感染控制
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引用本文的文献

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Infection prevention and control in cystic fibrosis: One size fits all?囊性纤维化的感染预防与控制:一刀切可行吗?
Paediatr Respir Rev. 2020 Nov;36:92-93. doi: 10.1016/j.prrv.2020.06.011. Epub 2020 Jun 20.

本文引用的文献

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Chasing Zero: Increasing Infection Control Compliance on an Inpatient Cystic Fibrosis Unit.
J Nurs Care Qual. 2018 Jan/Mar;33(1):67-71. doi: 10.1097/NCQ.0000000000000269.
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Prophylactic anti-staphylococcal antibiotics for cystic fibrosis.用于囊性纤维化的预防性抗葡萄球菌抗生素。
Cochrane Database Syst Rev. 2017 Apr 18;4(4):CD001912. doi: 10.1002/14651858.CD001912.pub4.
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Infection prevention and control guideline for cystic fibrosis: 2013 update.囊性纤维化感染预防与控制指南:2013年更新版
Infect Control Hosp Epidemiol. 2014 Aug;35 Suppl 1:S1-S67. doi: 10.1086/676882. Epub 2014 Jul 1.

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