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儿科重症监护病房环境中与医疗保健相关的病毒性呼吸道感染:远不止打个喷嚏那么简单。

Healthcare-associated viral respiratory infections in paediatric intensive care unit settings: More than just a sneeze.

作者信息

Feldman Kelly, Gornick Wendi, Huff Beth, Singh Jasjit

机构信息

Children's Hospital of Orange County (CHOC), California, USA.

University of California Irvine-Children's Hospital of Orange County (UCI-CHOC) Pediatric Residency, California, USA.

出版信息

Infect Prev Pract. 2022 Jul 16;4(3):100233. doi: 10.1016/j.infpip.2022.100233. eCollection 2022 Sep.

Abstract

Healthcare-associated infections (HAIs) affect patient health. Patients with Paediatric Intensive Care Unit (PICU) acquired viral respiratory infections had longer use of respiratory support. We found it's uncommon in ICUs to have high risk HAIs. RSV, parainfluenza, and hMPV are the most common, and 1/3 of patients required escalation in respiratory support and/or escalation in antibiotics. All patients had underlying comorbidities. In our series there were two deaths within 2 weeks of infection.

摘要

医疗保健相关感染(HAIs)会影响患者健康。患有儿科重症监护病房(PICU)获得性病毒呼吸道感染的患者使用呼吸支持的时间更长。我们发现在重症监护病房中发生高风险医疗保健相关感染并不常见。呼吸道合胞病毒(RSV)、副流感病毒和人偏肺病毒(hMPV)最为常见,三分之一的患者需要加强呼吸支持和/或升级抗生素治疗。所有患者都有基础合并症。在我们的系列病例中,有两名患者在感染后两周内死亡。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d019/9452046/036e30c70b38/gr1.jpg

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