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儿科重症监护病房的感染控制与隔离技术

Control of infection and techniques of isolation in the pediatric intensive care unit.

作者信息

Holzman B H, Scott G B

出版信息

Pediatr Clin North Am. 1981 Aug;28(3):703-21.

PMID:7267180
Abstract

The control of nosocomial infection in a pediatric intensive care unit is important not only because of the serious nature of the patient's condition, but also because of the greater staff-patient contact and inevitable crowding of patients, staff, and equipment. In order to control the spread of nosocomial infection, the modes of transmission and the principles of infection control must be understood. Each patient with an infectious disease must be considered to be a potential source of nosocomial disease, and measures of infection control must be individualized for the infectious disease and for the level of intensive care required. The infection control committee of the hospital is an excellent source of advice in formulating care plans. Although compromises will inevitable be made between the ideals of infection control and intensive care needs, certain principles must be followed, the most important of which is proper handwashing between contacts and with patients.

摘要

在儿科重症监护病房控制医院感染很重要,这不仅是因为患者病情严重,还因为医护人员与患者的接触更频繁,以及患者、医护人员和设备不可避免地会拥挤在一起。为了控制医院感染的传播,必须了解传播方式和感染控制原则。每一位传染病患者都必须被视为医院感染的潜在源头,感染控制措施必须根据传染病的类型和所需的重症监护水平进行个性化制定。医院的感染控制委员会是制定护理计划的绝佳建议来源。虽然在感染控制的理想要求和重症监护需求之间不可避免地会做出妥协,但必须遵循某些原则,其中最重要的是在接触不同患者之间以及接触患者后要正确洗手。

相似文献

1
Control of infection and techniques of isolation in the pediatric intensive care unit.儿科重症监护病房的感染控制与隔离技术
Pediatr Clin North Am. 1981 Aug;28(3):703-21.
2
Nosocomial infections in the pediatric intensive care unit.儿科重症监护病房的医院感染
Yale J Biol Med. 1984 Mar-Apr;57(2):185-97.
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[Prevention of hospital-acquired infection. Efficacy of isolation procedures in a neurological intensive care unit (ICU) (author's transl)].[医院获得性感染的预防。神经重症监护病房(ICU)隔离措施的效果(作者译)]
Nouv Presse Med. 1979 Mar 17;8(13):1065-9.
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Prevention of nosocomial infections in the intensive care unit.重症监护病房医院感染的预防
Crit Care Nurs Q. 2008 Oct-Dec;31(4):302-8. doi: 10.1097/01.CNQ.0000336815.81676.88.
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Reduction of nosocomial infection during pediatric intensive care by protective isolation.通过保护性隔离减少儿科重症监护期间的医院感染。
N Engl J Med. 1989 Jun 29;320(26):1714-21. doi: 10.1056/NEJM198906293202603.
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[Surveillance of nosocomial infections: prospective study in a pediatric intensive care unit. Background, patients and methods].[医院感染监测:儿科重症监护病房的前瞻性研究。背景、患者与方法]
Klin Padiatr. 2000 Jan-Feb;212(1):2-9. doi: 10.1055/s-2000-9643.
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Nosocomial pneumonia is not prevented by protective contact isolation in the surgical intensive care unit.在外科重症监护病房,保护性接触隔离并不能预防医院获得性肺炎。
Am Surg. 2001 Dec;67(12):1140-4.
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Infection prevention for burn patients: special precautions in a burn center and for patients in intensive care.
QRB Qual Rev Bull. 1979 Jul;5(7):26-9.
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Infection control issues in critical care: an update.重症监护中的感染控制问题:最新进展
Heart Lung. 1985 Mar;14(2):149-55.
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Handwashing in the intensive care unit: a big measure with modest effects.重症监护病房中的洗手:一项效果有限的重要措施。
J Hosp Infect. 2005 Mar;59(3):172-9. doi: 10.1016/j.jhin.2004.11.005.

引用本文的文献

1
Minimizing the potential for nosocomial pneumonia: architectural, engineering, and environmental considerations for the intensive care unit.降低医院获得性肺炎的潜在风险:重症监护病房的建筑、工程及环境考量
Eur J Clin Microbiol Infect Dis. 1989 Jan;8(1):69-74. doi: 10.1007/BF01964123.