School of Medicine, UCSF Health-UCSF Medical Center, University of California, San Francisco, California, United States.
Duke University School of Medicine, Durham, North Carolina, United States.
Infect Control Hosp Epidemiol. 2023 Oct;44(10):1533-1539. doi: 10.1017/ice.2023.158. Epub 2023 Oct 19.
Since the initial publication of in 2008, the prevention of healthcare-associated infections (HAIs) has continued to be a national priority. Progress in healthcare epidemiology, infection prevention, antimicrobial stewardship, and implementation science research has led to improvements in our understanding of effective strategies for HAI prevention. Despite these advances, HAIs continue to affect ∼1 of every 31 hospitalized patients, leading to substantial morbidity, mortality, and excess healthcare expenditures, and persistent gaps remain between what is recommended and what is practiced.The widespread impact of the coronavirus disease 2019 (COVID-19) pandemic on HAI outcomes in acute-care hospitals has further highlighted the essential role of infection prevention programs and the critical importance of prioritizing efforts that can be sustained even in the face of resource requirements from COVID-19 and future infectious diseases crises.The document provides acute-care hospitals with up-to-date, practical expert guidance to assist in prioritizing and implementing HAI prevention efforts. It is the product of a highly collaborative effort led by the Society for Healthcare Epidemiology of America (SHEA), the Infectious Disease Society of America (IDSA), the Association for Professionals in Infection Control and Epidemiology (APIC), the American Hospital Association (AHA), and The Joint Commission, with major contributions from representatives of organizations and societies with content expertise, including the Centers for Disease Control and Prevention (CDC), the Pediatric Infectious Disease Society (PIDS), the Society for Critical Care Medicine (SCCM), the Society for Hospital Medicine (SHM), the Surgical Infection Society (SIS), and others.
自 2008 年首次发表以来，预防医疗保健相关感染（HAI）一直是国家重点。在医疗保健流行病学、感染预防、抗菌药物管理和实施科学研究方面的进展，使我们对预防 HAI 的有效策略有了更深入的了解。尽管取得了这些进展，但 HAI 仍每 31 名住院患者中就有 1 人受到影响，导致大量发病、死亡和医疗费用增加，而且在推荐和实践之间仍然存在持续的差距。2019 年冠状病毒病（COVID-19）大流行对急性护理医院 HAI 结果的广泛影响进一步凸显了感染预防计划的重要作用，以及优先考虑能够持续实施的努力的关键重要性，即使在 COVID-19 和未来传染病危机的资源需求面前也是如此。该文件为急性护理医院提供了最新的实用专家指导，以帮助确定 HAI 预防工作的优先次序并实施。它是由美国医疗保健流行病学学会（SHEA）、美国传染病学会（IDSA）、感染控制与流行病学专业人员协会（APIC）、美国医院协会（AHA）和联合委员会共同合作的成果，具有丰富的内容专业知识，包括疾病控制与预防中心（CDC）、儿科传染病学会（PIDS）、重症监护医学学会（SCCM）、医院医学学会（SHM）、外科感染学会（SIS）和其他组织和学会的代表做出了重大贡献。
