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沙特阿拉伯成人重症监护病房中导管相关性尿路感染的预防措施和管理。

Preventive Measures and Management of Catheter-Associated Urinary Tract Infection in Adult Intensive Care Units in Saudi Arabia.

机构信息

College of Pharmacy, Umm Al-Qura University, Makkah, Saudi Arabia.

出版信息

J Epidemiol Glob Health. 2021 Jun;11(2):164-168. doi: 10.2991/jegh.k.210418.001. Epub 2021 Apr 23.

Abstract

Catheter-associated Urinary Tract Infection (CAUTI) has been studied worldwide as part of device-related healthcare infection. CAUTI is one of the most commonly reported infections in the literature, which occurs during clinical practice in Intensive Care Units (ICUs) and non-ICU departments. Many studies have covered the CAUTI rate in Saudi Arabia mainly in the ICU covering single or multiple hospitals as surveillance for device-related infections in the ICU. Few studies have conducted an interventional approach that examined the implementation of infection control protocols and then compared them to international practice as a standard. This review aims to explore the literature to provide insight into the infection control practices that have been reported in Saudi Arabia during the last two decades on the preventive measures and clinical consequences of CAUTIs. Very few studies have recorded the pattern of resistant microorganisms that burdens clinical practice in ICUs concerning CAUTIs. Only one study compared the type of catheter materials and discussed the effect of these materials on reducing CAUTIs. It is essential to cover catheter utilization and to understand how a sufficient infection control protocol with educational programs for healthcare personnel can transform practice, for the better, regarding CAUTI rates in Saudi hospitals. There is a demand for more interventional and epidemiological studies on the causes and factors affecting the rate of CAUTI in the area. Studies may help reduce the CAUTI incidence rate, which consequently reduces the costs and morbidity associated with this type of infection and other healthcare-related infections.

摘要

导管相关性尿路感染(CAUTI)作为与器械相关的医疗保健感染的一部分在全球范围内进行了研究。CAUTI 是文献中报道最多的感染之一,它发生在重症监护病房(ICU)和非 ICU 科室的临床实践中。许多研究涵盖了沙特阿拉伯的 CAUTI 发生率,主要是在 ICU 中,涵盖了单个或多个医院,作为 ICU 中与器械相关感染的监测。很少有研究采用干预方法,检查感染控制方案的实施情况,然后将其与国际惯例进行比较作为标准。本综述旨在探讨文献,以了解过去二十年沙特阿拉伯在预防措施和 CAUTI 的临床后果方面报告的感染控制实践。很少有研究记录了 ICU 中与 CAUTI 相关的临床实践中负担沉重的耐药微生物的模式。只有一项研究比较了导管材料的类型,并讨论了这些材料对减少 CAUTI 的影响。了解导管的使用情况以及了解医护人员的充分感染控制方案如何通过教育计划改善实践,对于降低沙特医院的 CAUTI 率至关重要。该地区需要更多关于 CAUTI 发生率的原因和影响因素的干预和流行病学研究。这些研究可能有助于降低 CAUTI 的发生率,从而降低与这种感染和其他与医疗保健相关的感染相关的成本和发病率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97bb/8242112/407c4794a63f/JEGH-11-2-164-g001.jpg

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