医院清洁:过去,现在和未来
1Department of Microbiology, NHS Lanarkshire & School of Applied Sciences, Edinburgh Napier University, Scotland, UK. stephanie.dancer@lanarkshire.scot.nhs.uk.
Antimicrobial resistance and infection control
|August 23, 2023
概括
医院清洁对于控制医疗相关感染至关重要. 需要进一步的研究来优化清洁方法和环境监测,以有效预防HAI.
科学领域:
- 控制与医疗保健相关的感染 (HAI).
- 在医疗保健机构的环境卫生.
背景情况:
- 医院清洁在控制医疗保健相关感染 (HAI) 中的作用在历史上被低估,原因是社会因素和定义混乱.
- 区分和量化内源性和外源性感染对于有针对性的干预至关重要,仍然具有挑战性.
- 患者的脆弱性和环境水库的复杂性使清洁效率的评估变得复杂.
研究的目的:
- 审查医院清洁实践的近期历史和现状.
- 突出需要标准化方法来评估清洁和清洁性.
- 强调管理环境水库对于减少HAI的重要性.
主要方法:
- 这项研究是对有关医院清洁和HAI控制的现有文献的叙述性审查.
- 分析清洁效率量化和建立通用标准的挑战.
- 讨论清洁 (去除土壤) 和清洁 (残留土壤) 之间的区别.
主要成果:
- 医院清洁对HAI控制的重要性现在被广泛承认.
- 缺乏标准化方法来衡量清洁和清洁性,这阻碍了基于证据的实践.
- 不成比例的重点已经放在内源性感染的环境水库.
结论:
- 医院清洁实践需要进一步细化最佳方法,时间和位置.
- 制定清洁和表面类型的有形基准对于有效的国内规划和监测至关重要.
- 重新关注表面生物负担的去除和监测可以在全球范围内嵌入基于风险的做法.
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