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优先采取隔离预防措施:一种以患者为中心的感染预防与控制方法。

Prioritizing isolation precautions: a patient-centered approach to infection prevention and control.

作者信息

Alp Meşe Emine, Carrara Elena, Tartari Ermira, Mutters Nico T, Tsioutis Constantinos, Birgand Gabriel, Tacconelli Evelina

机构信息

ESCMID European Committee on Infection Prevention and Control (EUCIC), Basel, Switzerland.

Department of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, Ankara Yıldırım Beyazıt University, Ankara, Türkiye.

出版信息

Antimicrob Steward Healthc Epidemiol. 2025 Jun 3;5(1):e123. doi: 10.1017/ash.2025.173. eCollection 2025.

Abstract

Healthcare-associated infections (HAIs) and multidrug-resistant (MDR) pathogens present significant challenges to global health, exacerbated by emerging threats such as SARS-CoV-2 and the growing immunocompromised population. While isolation precautions are critical for infection prevention and control (IPC), their indiscriminate application can strain resources and impact patient well-being. This review proposes a patient-centered framework for optimizing isolation strategies by integrating pathogen-related factors, individual patient risks, and healthcare facility resources to optimize isolation precautions. By incorporating targeted risk assessments, advanced analytics (e.g., omics and machine learning), and infection preventionist leadership, this approach aligns isolation measures with clinical and operational realities. It aims to enhance IPC efficacy while balancing patient needs and resource efficiency. We highlight strategies to ensure isolation precautions remain evidence-based, adaptable, and sustainable within healthcare settings. A patient-focused approach to isolation improves both infection prevention and overall quality of patient care.

摘要

医疗保健相关感染(HAIs)和多重耐药(MDR)病原体对全球健康构成重大挑战,而诸如SARS-CoV-2等新出现的威胁以及免疫功能低下人群的不断增加使这一挑战更加严峻。虽然隔离预防措施对于感染预防与控制(IPC)至关重要,但其不加区分的应用可能会使资源紧张并影响患者福祉。本综述提出了一个以患者为中心的框架,通过整合病原体相关因素、个体患者风险和医疗保健机构资源来优化隔离策略,从而优化隔离预防措施。通过纳入有针对性的风险评估、先进分析方法(如组学和机器学习)以及感染预防专家的领导力,这种方法使隔离措施与临床和运营实际情况相契合。其目的是提高感染预防与控制的效果,同时平衡患者需求和资源效率。我们强调了确保隔离预防措施在医疗环境中仍然基于证据、具有适应性和可持续性的策略。以患者为重点的隔离方法既能改善感染预防,又能提高患者护理的整体质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d1b/12171913/ed3dbab3a6b9/S2732494X25001731_fig1.jpg

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