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预防医疗相关感染的策略:叙述性概述

Strategies to Prevent Healthcare-Associated Infections: A Narrative Overview.

作者信息

Haque Mainul, McKimm Judy, Sartelli Massimo, Dhingra Sameer, Labricciosa Francesco M, Islam Salequl, Jahan Dilshad, Nusrat Tanzina, Chowdhury Tajkera Sultana, Coccolini Federico, Iskandar Katia, Catena Fausto, Charan Jaykaran

机构信息

Faculty of Medicine and Defence Health, Universiti Pertahanan Nasional Malaysia (National Defence University of Malaysia), Kuala Lumpur 57000, Malaysia.

Medical Education, Swansea University School of Medicine, Grove Building, Swansea University, Swansea, Wales SA2 8PP, UK.

出版信息

Risk Manag Healthc Policy. 2020 Sep 28;13:1765-1780. doi: 10.2147/RMHP.S269315. eCollection 2020.

Abstract

Healthcare-associated infections (HCAIs) are a major source of morbidity and mortality and are the second most prevalent cause of death. Furthermore, it has been reported that for every one-hundred patients admitted to hospital, seven patients in high-income economies and ten in emerging and low-income economies acquire at least one type of HCAI. Currently, almost all pathogenic microorganisms have developed antimicrobial resistance, and few new antimicrobials are being developed and brought to market. The literature search for this narrative review was performed by searching bibliographic databases (including Google Scholar and PubMed) using the search terms: "Strategies," "Prevention," and "Healthcare-Associated Infections," followed by snowballing references cited by critical articles. We found that although hand hygiene is a centuries-old concept, it is still the primary strategy used around the world to prevent HCAIs. It forms one of a bundle of approaches used to clean and maintain a safe hospital environment and to stop the transmission of contagious and infectious microorganisms, including multidrug-resistant microbes. Finally, antibiotic stewardship also has a crucial role in reducing the impact of HCAIs through conserving currently available antimicrobials.

摘要

医疗保健相关感染(HCAIs)是发病和死亡的主要来源,是第二大常见死因。此外,据报道,在高收入经济体中,每百名入院患者中有7人会感染至少一种类型的HCAI,在新兴经济体和低收入经济体中这一数字为10人。目前,几乎所有致病微生物都产生了抗药性,而新的抗菌药物研发和上市的数量很少。本叙述性综述的文献检索是通过在书目数据库(包括谷歌学术和PubMed)中使用搜索词“策略”“预防”和“医疗保健相关感染”进行的,随后对关键文章引用的参考文献进行滚雪球式检索。我们发现,尽管手部卫生是一个已有数百年历史的概念,但它仍然是全球预防HCAIs的主要策略。它是用于清洁和维护安全医院环境以及阻止传染性和感染性微生物(包括多重耐药微生物)传播的一系列方法之一。最后,抗生素管理在通过保护现有抗菌药物来减少HCAIs的影响方面也起着至关重要的作用。

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