发展中国家的流行性医疗相关感染负担:系统性审查和元分析
Benedetta Allegranzi1, Sepideh Bagheri Nejad, Christophe Combescure
1First Global Patient Safety Challenge, WHO Patient Safety, Geneva, Switzerland.
Lancet (London, England)
|December 15, 2010
概括
与医疗保健相关的感染在发展中国家是一个常见的问题,其患病率高于欧洲或美国. 改善感染控制和监测至关重要.
科学领域:
- 传染性疾病 传染性疾病
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 与医疗保健相关的感染 (HAI) 是一个重大的全球挑战,主要影响患者安全.
- 发展中国家高血压感染流行病学的数据很少,这阻碍了有针对性的干预.
- 世界卫生组织强调,需要更好地了解资源有限的环境中HAI负担.
研究的目的:
- 系统地评估发展中国家流行性医疗保健相关感染的流行病学.
- 确定这些地区的HAI的流行,发病率和微生物原因.
- 为了比较发展中国家的HAI率与发达国家报告的HAI率.
主要方法:
- 在电子数据库和参考列表中对1995年至2008年间发表的研究进行了全面的文献搜索.
- 选择了来自发展中国家的研究,提供有关HAI流行或发病率的数据,包括特定的感染地点和致病因子.
- 评估了研究质量,并将数据聚合起来进行分析,重点是高质量的研究.
主要成果:
- 总共包括220项研究,显示许多发展中国家的数据代表性有限,其中54%被归类为低质量.
- 高质量的研究表明,与欧洲和美国相比,高质量感染的患病率明显高 (15.5%).
- 成人重症监护病房报告HAI密度 (47.9每1000病日) 至少是美国的三倍,手术部位感染是最常见的医院感染.
结论:
- 发展中国家面临着与医疗保健相关的感染的巨大负担.
- 迫切需要加强监测系统,并在这些地区实施强有力的感染控制实践.
- 这些发现强调了数据的关键差距和改善医疗保健标准的必要性,以减轻HAI风险.
相关概念视频
01:22Healthcare Associated Infections II: Preventive Measures
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01:28Amebiasis
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01:26Factors Affecting the Risk of Infection
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01:20Infection
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01:26Methods Of Healthcare Delivery System
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Managed Care System:
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Managed Care System:
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