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在重症监护病房检测到的每一种微生物都是医院感染吗?预防难道不比检测更重要吗?

Is every microorganism detected in the intensive care unit a nosocomial infection? Isn't prevention more important than detection?

作者信息

Yildirim Fatma, Karaman Irem, Yildirim Mehmet

机构信息

Department of Pulmonary Disease and Critical Care Medicine, Pulmonary Intensive Care Unit, University of Health Sciences, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara 06110, Turkey.

School of Medicine, Bahcesehir University, Istanbul 34740, Turkey.

出版信息

World J Clin Cases. 2022 Jul 16;10(20):7184-7186. doi: 10.12998/wjcc.v10.i20.7184.

DOI:10.12998/wjcc.v10.i20.7184
PMID:36051140
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9297434/
Abstract

The present letter to the editor is related to the study entitled "Multidrug-resistant organisms in intensive care units and logistic analysis of risk factors." Not every microorganism grown in samples taken from critically ill patients can be considered as an infectious agent. Accurate and adequate information about nosocomial infections is essential in introducing effective prevention programs in hospitals. Therefore, the development and implementation of care bundles for frequently used medical devices and invasive treatment devices (, intravenous catheters and invasive ventilation), adequate staffing not only for physicians, nurses, and other medical staff but also for housekeeping staff, and infection surveillance and motivational feedback are key points of infection prevention in the intensive care unit.

摘要

这封致编辑的信与题为“重症监护病房中的多重耐药菌及危险因素的逻辑分析”的研究相关。并非从重症患者样本中培养出的每一种微生物都可被视为感染源。有关医院感染的准确且充分的信息对于在医院推行有效的预防方案至关重要。因此,针对常用医疗设备和侵入性治疗设备(如静脉导管和有创通气)制定并实施护理集束方案、不仅为医生、护士和其他医务人员配备充足人员,也为保洁人员配备充足人员,以及进行感染监测和给予激励性反馈,是重症监护病房感染预防的关键点。

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本文引用的文献

1
Multidrug-resistant organisms in intensive care units and logistic analysis of risk factors.重症监护病房中的多重耐药菌及危险因素的逻辑分析
World J Clin Cases. 2022 Feb 26;10(6):1795-1805. doi: 10.12998/wjcc.v10.i6.1795.
2
Care bundle approach to reduce device-associated infections in a tertiary care teaching hospital, South India.在印度南部一家三级护理教学医院采用综合护理措施减少与设备相关的感染
J Lab Physicians. 2017 Oct-Dec;9(4):273-278. doi: 10.4103/JLP.JLP_162_16.
3
Implementation of a national bundle care program to reduce catheter-associated urinary tract infection in high-risk units of hospitals in Taiwan.在台湾医院的高危科室实施全国性集束化护理计划以减少导尿管相关尿路感染
J Microbiol Immunol Infect. 2017 Aug;50(4):464-470. doi: 10.1016/j.jmii.2017.01.006. Epub 2017 Jun 26.