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新冠疫情的一个意外成果:重症监护病房管理的变革

A Serendipitous Outcome of COVID-19: Modifications to ICU Management.

作者信息

Murshad Syeda Warda, Khan Arsalan Aamir, Rani Suraksha, Kamran Muhammad

机构信息

Dow University of Health Sciences, Karachi, Pakistan.

Jinnah Medical and Dental College, Karachi, Pakistan.

出版信息

Malays J Med Sci. 2023 Dec;30(6):22-28. doi: 10.21315/mjms2023.30.6.3. Epub 2023 Dec 19.

Abstract

Nosocomial infections are common in intensive care units (ICUs) and often cause increased morbidity and mortality rates in ICU patients. With the emergence of the highly infectious COVID-19, the high prevalence of hospital-acquired infections (HAIs) in ICU has caused much more concern because patients admitted to the ICU have a more severe and prolonged form of the disease. These patients are more likely to develop HAIs than non-ICU patients. Medical communities adopted several measures to make ICU management safer during the pandemic all over the world. In this study, we re-examined the challenges faced and the changes made in ICU management during the pandemic to speculate how these changes will be relevant post-pandemic and can be permanently incorporated into the ICU to improve safety, management, and critical care and make critical care better equipped for future disease breakouts.

摘要

医院感染在重症监护病房(ICU)中很常见,并且常常导致ICU患者的发病率和死亡率上升。随着高传染性的COVID-19的出现,ICU中医院获得性感染(HAIs)的高流行率引发了更多关注,因为入住ICU的患者病情更严重且病程更长。这些患者比非ICU患者更容易发生医院获得性感染。在全球大流行期间,医学界采取了多项措施以使ICU管理更安全。在本研究中,我们重新审视了大流行期间ICU管理面临的挑战和所做的改变,以推测这些改变在大流行后将如何具有相关性,以及如何能够永久纳入ICU以提高安全性、管理水平和重症护理质量,并使重症护理为未来的疾病爆发做好更充分准备。

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本文引用的文献

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High-Flow Nasal Cannula and COVID-19: A Clinical Review.高流量鼻导管与 COVID-19:临床综述。
Respir Care. 2022 Feb;67(2):227-240. doi: 10.4187/respcare.09056. Epub 2021 Sep 14.
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Hospital-Acquired Infections in Critically Ill Patients With COVID-19.COVID-19 重症患者的医院获得性感染。
Chest. 2021 Aug;160(2):454-465. doi: 10.1016/j.chest.2021.04.002. Epub 2021 Apr 20.
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