艰难梭菌(梭状芽孢杆菌):一种沉默的医院病原体。
Clostridioides (Clostridium) difficile: A silent nosocomial pathogen.
机构信息
From the Department of Medical Laboratory Sciences, Faculty of Applied Medical Sciences, King Abdulaziz University, and from the Special Infectious Agents Unit-Biosafety Level-3, King Fahad Medical Research Centre, King Abdulaziz University, Jeddah, Kingdom of Saudi Arabia.
出版信息
Saudi Med J. 2023 Sep;44(9):825-835. doi: 10.15537/smj.2023.44.9.20230216.
infection is still a threat to many healthcare settings worldwide. epidemiology has changed over the last 20 years, largely due to the emergence of hypervirulent and antimicrobial-resistant strains. The excessive use of antimicrobials, the absence of optimal antibiotic policies, and suboptimal infection control practices have fueled the development of this pressing health issue. The prudent use of antimicrobials, particularly broad-spectrum agents, and simple infection control measures, such as hand hygiene, can significantly reduce infection rates. Moreover, the early detection of these infections and understanding their epidemiological behavior using accurate laboratory methods are the cornerstone to decreasing the incidence of infection and preventing further spread. Although there is no consensus on the single best laboratory method for the diagnosis of infection, the use of 2 or more techniques can improve diagnostic accuracy, and it is recommended.
感染仍然是全球许多医疗环境面临的威胁。过去 20 年来,流行病学发生了变化,主要是由于超强毒力和抗微生物药物耐药菌株的出现。抗生素的过度使用、缺乏最佳的抗生素政策以及感染控制措施的不完善,助长了这一紧迫的健康问题的发展。谨慎使用抗生素,特别是广谱药物,以及简单的感染控制措施,如手部卫生,可以显著降低感染率。此外,使用准确的实验室方法早期发现这些感染并了解其流行病学行为,是降低感染发生率和防止进一步传播的基石。虽然对于感染的诊断,没有一种单一的最佳实验室方法达成共识,但使用 2 种或更多技术可以提高诊断准确性,因此建议这样做。