关于一次性使用内镜的国际德尔菲共识研究:通往临床采用的道路
Alessandro Repici1, Kareem Khalaf2, Edoardo Troncone3
1Department of Biomedical Sciences, Pieve Emanuele, Humanitas University, Rozzano, Italy; Humanitas Clinical and Research Centre -IRCCS-, Endoscopy Unit, Rozzano, Italy.
概括
一次性内镜和配件在胃肠内镜中提供了更好的安全性. 这项研究为其临床使用和可持续性制定了国际最佳实践建议.
科学领域:
- 胃肠病学 胃肠病学
- 传染病控制和控制传染病
- 医疗设备创新 医疗设备创新
背景情况:
- 在全球范围内,不断上升的感染率和不充分的监测挑战了胃肠内镜安全性.
- 建议使用一次性内镜和配件以提高安全性,但关于其适用性和可持续性的证据有限.
研究的目的:
- 为使用一次性内镜和配件制定最佳实践建议.
- 为了解决关于一次性内镜的指示和可持续性的缺乏数据.
主要方法:
- 一个经过修改的德尔菲过程,涉及来自33个国家的62名国际专家.
- 关于一次性内镜和配件的共识陈述的开发和匿名投票.
- 系统的文献审查和专家的共识,以定义建议.
主要成果:
- 在五个类别中达成了十七个共识声明:一次性配件,临床适应症,技术因素,环境影响和财务影响.
- 建议涵盖所有患者群体的使用,高风险个人,设备保护,污染控制,性能,环境可持续性和医疗保健经济学.
- 特别关注高风险患者的指示,包括那些患有多抗药性感染或免疫系统受损的患者.
结论:
- 该倡议是第一个国际努力,以定义一次性内镜和配件的临床指示.
- 这些发现为未来的研究和在临床实践中基于证据的单次使用内镜的实施提供了框架.
- 这些建议旨在提高患者安全,并指导新内镜技术的负责任采用.
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