血液瘤科单位的水传染病 - - 叙述性综述
T Inkster1, J Walker2, M Weinbren3
1Department of Microbiology, Queen Elizabeth University Hospital, Glasgow, UK.
The Journal of hospital infection
|June 8, 2023
概括
血液瘤学患者面临着由水传播病原体引起的与医疗相关的感染. 多模式策略是控制疫情,解决水源和传播途径的关键.
科学领域:
- 传染性疾病 传染性疾病
- 医疗卫生流行病学 医疗卫生流行病学
- 在瘤学瘤学.
背景情况:
- 接受骨髓移植的患者和患有血液瘤病的患者特别容易受到与医疗相关的感染.
- 通过水传播的病原体对这些免疫受损患者群体构成重大风险.
- 之前的疫情凸显了强有力的感染控制措施的必要性.
研究的目的:
- 在2000年至2022年期间,对血液瘤病患者的水源性疫情进行叙述性审查.
- 识别常见的病原体,感染源和有效的控制策略.
- 为未来的预防措施提供信息,并为血液瘤学单位提供英国指导.
主要方法:
- 进行了文学叙事评论.
- 搜索的数据库包括PubMed,DARE和CDSR.
- 两位作者独立地选和分析了专注于血液瘤患者中水传播疫情的研究.
主要成果:
- 伪菌 (Pseudomonas aeruginosa),非结核性菌根菌 (non-tuberculous mycobacteria) 和肺炎菌 (Legionella pneumophila) 是最常见的相关病原体.
- 血流感染是最常见的临床表现.
- 有效的控制通常涉及针对水源和传播途径的多模式战略.
结论:
- 通过水传播的病原体对血液瘤患者构成重大风险.
- 为了管理疫情,全面的感染预防和控制策略至关重要.
- 需要更新英国针对血液瘤病房的指导,以减轻这些风险.
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