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在瑞士伯尔尼进行的2019/20流感季节现场飞沫预防措施(DroPS)期间医院获得性呼吸道病毒感染——前瞻性观察

Hospital-acquired respiratory viral infections while applying droplet precautions on-site (DroPS) - prospective observation during the 2019/20 influenza season, Bern, Switzerland.

作者信息

Birrer Michèle, Draps Katrien, Hobi Fabienne, Laguardia Marianne, Hofmann Eveline, Luginbühl Martin, Perrig Martin, Aujesky Drahomir, Marschall Jonas, Sommerstein Rami

机构信息

Department of Infectious Diseases, Inselspital, Bern University Hospital, Bern, Switzerland.

Department of General Internal Medicine / Infectious Diseases, Hôpital du Jura, Delémont, Switzerland.

出版信息

Infect Prev Pract. 2024 Jul 26;6(3):100386. doi: 10.1016/j.infpip.2024.100386. eCollection 2024 Sep.

DOI:10.1016/j.infpip.2024.100386
PMID:39205825
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11350493/
Abstract

Single room isolation for respiratory viral infections (RVI), like influenza, puts hospitals under pressure. During the influenza season 2019/20, we implemented (DroPS) for RVI in two acute care hospitals and prospectively assessed the rate of hospital-acquired RVI (HARVI). 318 patients were admitted with RVI, 85 had Influenza or RSV, 75 stayed in multi-bed rooms with DroPS. From 764 patients , hospitalised ≥ three days in a multi-bed room 11 (1.4%) developed a clinical HARVI, and three tested positive (3/764, 0.4%; 2x RSV, 1x influenza). DroPS may represent an alternative strategy to deal with respiratory viral infections.

摘要

对流感等呼吸道病毒感染(RVI)进行单人房间隔离给医院带来了压力。在2019/20流感季节,我们在两家急症医院实施了针对RVI的飞沫防护系统(DroPS),并前瞻性评估了医院获得性RVI(HARVI)的发生率。318例患者因RVI入院,85例患有流感或呼吸道合胞病毒(RSV),75例在设有DroPS的多人病房中住院。在764例在多人病房住院≥3天的患者中,11例(1.4%)发生了临床确诊的医院获得性RVI,3例检测呈阳性(3/764,0.4%;2例RSV,1例流感)。飞沫防护系统(DroPS)可能是应对呼吸道病毒感染的一种替代策略。

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本文引用的文献

1
Droplet precautions on-site (DroPS) during the influenza season 2018/2019: a possible alternative to single room isolation for respiratory viral infections.2018/2019 流感季现场飞沫预防措施(DroPS):呼吸道病毒感染单人房隔离的一种可能替代方法。
Antimicrob Resist Infect Control. 2022 Jan 9;11(1):2. doi: 10.1186/s13756-021-01038-y.
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Nosocomial influenza in south-western Swiss hospitals during two seasonal epidemics: an observational study.西南瑞士医院在两次季节性流感流行期间的医院内流感:一项观察性研究。
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A Case-Control Study Assessing the Impact of Nonventilated Hospital-Acquired Pneumonia on Patient Outcomes.一项评估非通气性医院获得性肺炎对患者预后影响的病例对照研究。
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