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耳念珠菌 - 瑞士感染预防和控制措施建议。

Candida auris - recommendations on infection prevention and control measures in Switzerland.

机构信息

Department of Internal Medicine, Division of Infectious Diseases, Thurgau Hospital Group, Switzerland.

Department of Infectious Diseases, Bern University Hospital, University of Bern, Switzerland.

出版信息

Swiss Med Wkly. 2020 Sep 25;150:w20297. doi: 10.4414/smw.2020.20297. eCollection 2020 Sep 21.

DOI:10.4414/smw.2020.20297
PMID:32975306
Abstract

Candida auris, a globally emerging pathogen, has been repeatedly introduced into European healthcare settings, leading to large and long-lasting nosocomial outbreaks. The pathogen has already been isolated in Switzerland, requiring clinicians and microbiologists to become alert. This is the first comprehensive guidance document on prevention and control of C. auris in Swiss acute care hospitals. It brings to light the most recent evidence from published original articles and reviews. We emphasise the importance of quickly identifying this yeast by means of screening in order to prevent an outbreak that could be difficult to contain. Key containment strategies include reinforcing early detection, hand hygiene, application of strict contact precautions for colonised and infected patients, and thorough specific environmental cleaning and disinfection.

摘要

耳念珠菌,一种在全球流行的病原体,已多次被引入欧洲医疗机构,导致了大规模且持久的医院感染暴发。该病原体已在瑞士被分离出来,这要求临床医生和微生物学家保持警惕。这是第一份关于瑞士急性护理医院预防和控制耳念珠菌的综合指南文件。它揭示了来自已发表的原始文章和综述的最新证据。我们强调了通过筛查快速识别这种酵母的重要性,以防止可能难以控制的暴发。关键的控制策略包括加强早期检测、手部卫生、对定植和感染患者实施严格的接触预防措施,以及彻底的特定环境清洁和消毒。

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