Suppr超能文献

环境消毒与去定植的当前概述:2020年至2025年的系统评价

Current Overview of Environmental Disinfection and Decolonization of : A Systematic Review from 2020 to 2025.

作者信息

Frías-De-León María Guadalupe, Betancourt-Cisneros Paola, Martínez-Herrera Erick, Zarate-Segura Paola Berenice, Castro-Fuentes Carlos Alberto, García-Salazar Eduardo

机构信息

Laboratorio de Micología Molecular, Unidad de Investigación Biomédica, Hospital Regional de Alta Especialidad de Ixtapaluca, Servicios de Salud del Instituto Mexicano de Seguro Social para el Bienestar (IMSS-BIENESTAR), Carretera Federal México-Puebla Km 34.5, Ixtapaluca CP 56530, Mexico.

Sección de Estudios de Posgrado e Investigación, Escuela Superior de Medicina, Instituto Politécnico Nacional, Plan de San Luis y Díaz Mirón s/n, Col. Casco de Santo Tomas, Alcaldía Miguel Hidalgo, México City CP 11340, Mexico.

出版信息

Trop Med Infect Dis. 2025 Jun 2;10(6):155. doi: 10.3390/tropicalmed10060155.

Abstract

possesses distinctive features that facilitate its persistence and transmission in healthcare settings, causing outbreaks of infection that are difficult to treat. So, emphasis has been placed on implementing measures for controlling, eliminating, and preventing fungal transmission, such as environmental disinfection and patient decolonization. This review aimed to understand and analyze the agents for environmental disinfection and patient decolonization reported in the last 5 years. The PubMed database was reviewed, using the terms "", "disinfection", and "decolonization". Only original papers, published between 2020-2025, in English or Spanish, that included relevant information on the topic, were selected. After the selection process, 52 articles were chosen to analyze the agents for environmental disinfection and decolonization of . Natural and synthetic disinfectants and ultraviolet radiation were reported for the environmental disinfection, with variable efficacy, depending on factors such as concentration and exposure time. Natural and synthetic antiseptics were also reported for decolonization, with varying efficacy. For example, 2% chlorhexidine shows a 0.5 log reduction, while at concentrations >10% it is >4 log. However, most have only been tested in animal models. Based on the review, Far-UV-C radiation (222 nm) is safe and appropriate to mitigate (up to 1 log reduction) the spread of in the hospital setting. However, it is important to consider that the cost and limited availability of the device present a barrier to its implementation. Patient decolonization is still challenging nowadays due to the absence of agents with proven high efficacy in humans.

摘要

具有独特特征,便于其在医疗环境中持续存在和传播,引发难以治疗的感染暴发。因此,重点已放在实施控制、消除和预防真菌传播的措施上,如环境消毒和患者去定植。本综述旨在了解和分析过去5年报道的用于环境消毒和患者去定植的制剂。对PubMed数据库进行了检索,使用了“”、“消毒”和“去定植”等术语。仅选择2020年至2025年间以英文或西班牙文发表的、包含该主题相关信息的原创论文。经过筛选过程,选择了52篇文章来分析用于环境消毒和去定植的制剂。报道了天然和合成消毒剂以及紫外线辐射用于环境消毒,其效果因浓度和暴露时间等因素而异。也报道了天然和合成防腐剂用于去定植,效果各不相同。例如,2%洗必泰显示0.5个对数减少,而浓度>10%时则>4个对数。然而,大多数仅在动物模型中进行了测试。基于该综述,远紫外线C辐射(222纳米)在医院环境中安全且适用于减轻(最多1个对数减少)的传播。然而,重要的是要考虑到该设备的成本和可用性有限对其实施构成了障碍。由于缺乏在人体中已证实具有高效能的制剂,患者去定植如今仍然具有挑战性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/32cf/12197617/bfa2447ab5e8/tropicalmed-10-00155-g001.jpg

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验