一次性十二指望镜:证据和未解决的问题
Clara Benedetta Conti1, Fabrizio Cereatti2, Raffaele Salerno3
1Interventional Endoscopy Unit, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) San Gerardo dei Tintori, Via GB Pergolesi 33, 20900 Monza, Italy.
Life (Basel, Switzerland)
|August 26, 2023
概括
一次性十二指镜为减少胃肠内镜中的感染提供了一个解决方案,特别是在高风险患者中. 需要进一步的研究来证实它们的成本效益和环境影响与可重复使用的范围相比.
科学领域:
- 胃肠病学和内镜手术的程序.
- 在医疗保健机构的传染病控制.
背景情况:
- 与十二指镜相关的感染在胃肠道内镜中构成重大风险,特别是在脆弱的患者群体中.
- 可重复使用的十二指镜与多药耐药生物体的传播有关,需要更安全的替代品.
研究的目的:
- 评估一次性十二指管镜在内镜逆行胆血管细胞造影 (ERCP) 期间减轻感染风险方面的潜力.
- 确定患者群体和临床场景,其中一次性十二指镜可能是最有益的.
- 强调需要进一步对安全性,有效性和经济性进行比较研究.
主要方法:
- 在ERCP中对一次性十二指镜的安全性和有效性进行现有研究的审查.
- 分析当前的市场引入阶段和经济影响.
- 考虑环境影响,并与可重复使用的范围进行比较.
主要成果:
- 一次性十二指镜显示出减少感染传播的潜力,特别是在患有并发症或携带多药耐药细菌的患者中.
- 它们的使用在紧急内镜设置中被认为是有益的,因为感染风险不清楚.
- 现有研究支持它们的安全性和有效性,但缺乏与可重复使用的范围进行比较的大规模随机试验.
结论:
- 一次性十二指镜是特定患者群体和情况的可行选择,以尽量减少感染风险.
- 进一步进行强有力的经济和安全评估,包括与可置模型进行比较,是必不可少的.
- 为了最佳的患者选择,需要明确的指导方针,而完全过渡到一次性使用范围面临着当前的挑战,需要进行更广泛的研究.
关键词:
盖帽一次性十二指镜镜经济影响 经济影响内镜逆行性胆血管造机图 (cholangiopancreatography) 是一种内镜逆行式胆血管造机图.环境影响环境影响环境影响一次性使用的十二指肠镜.更多相关视频
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