传染病在门诊医疗机构的传播
1Epidemiology Program Office, Centers for Disease Control, Atlanta, GA 30333.
JAMA
|May 8, 1991
概括
感染可以在门诊医疗机构传播,但没有得到良好的监测. 在诊所实施医院感染控制实践可以降低传染病传播的风险.
科学领域:
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
- 医疗卫生流行病学 医疗卫生流行病学
背景情况:
- 越来越多的门诊医疗保健使用增加了传染病传播的可能性.
- 与医院获得的感染相比,在门诊环境中感染的监测不足.
- 职业传播的担忧强调了在非医院环境中需要保持警.
研究的目的:
- 审查和描述在门诊环境中传染病传播的记录病例.
- 确定在门诊护理中与医疗保健相关的感染的频谱和来源.
- 为门诊机构制定感染控制策略提供信息.
主要方法:
- 对与门诊医疗保健相关的报告感染的系统文献综述.
- 从1961年至1990年间对确诊病例和集群的流行病学分析.
- 根据医疗保健机构的类型对传播事件的分类.
主要成果:
- 在1961年至1990年期间,确定了53起在门诊机构传播传染病的报告.
- 传染发生在各种门诊机构,包括全科医院,牙科诊所和眼科诊所.
- 特定的环境,如通用医疗办公室 (23) 和牙科办公室 (13),是值得注意的传染事件报告.
结论:
- 门诊机构的感染控制需要系统的监测和预防措施.
- 现有的住院感染控制实践应适应并扩展到门诊护理.
- 为减少在非医院环境中传播风险,分配对感染控制的责任至关重要.
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