感染控制和抗微生物药物管理计划之间的协同作用,以控制抗卡巴胺耐药的肠杆菌
Wanda Cornistein1, Daniela Santonato1, Paula Andrea Novau1
1Infection Prevention and Control Department, Hospital Universitario Austral, Buenos Aires, Argentina.
Antimicrobial stewardship & healthcare epidemiology : ASHE
|September 29, 2023
概括
实施感染控制 (IPC) 和抗菌管理 (ASP) 计划显著降低了阿根廷一家医院的抗卡巴耐药肠道细菌 (CRE) 感染率. 这种协同作用证明了有效的CRE控制策略.
科学领域:
- 传染性疾病 传染性疾病
- 医院流行病学 医院流行病学
- 抗微生物耐药性 抗微生物耐药性
背景情况:
- 阿根廷面临着高水平的抗卡巴胺肠道细菌 (CRE) 感染.
- 有效的感染控制和抗菌药物管理对于管理CRE至关重要.
研究的目的:
- 评估综合感染预防和控制 (IPC) 和抗菌药物管理计划 (ASP) 对CRE感染率的影响.
- 评估这些计划在阿根廷一家大型教学医院的有效性.
主要方法:
- 从2018年1月到2021年12月进行了一项回顾性观察研究.
- 关键干预措施包括监视,手部卫生,隔离预防措施,护理包以及抗菌药物治疗优化.
- 数据来自布宜诺斯艾利斯一家220张床位的三级护理教学医院.
主要成果:
- 综合IPC和ASP实现了可控的CRE感染率,在2020年达到0.08次/1000个患者日的低点.
- 护理包的遵守率超过85%,呼吸机相关肺炎 (VAP) 率呈现下降趋势.
- 虽然整体抗菌药物消费略有增加,但胆固醇使用是唯一增加的高影响抗菌药物.
结论:
- 该研究表明,IPC和ASP联合对控制CRE感染的持续积极影响.
- 综合计划在降低医院环境中CRE感染率方面是有效的.
- 持续的警和计划的坚持对于长期的成功至关重要.
相关概念视频
Healthcare Associated Infections II: Preventive Measures
2.7K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.7K
Combined Effects of Drugs: Synergism
4.0K
Synergism is a useful mechanism where combining two or more drugs is more effective than each constituent used alone. Such combinations are also called supra-additive interactions. The drugs collectively enhance the final therapeutic effect by acting on different targets. Another advantage is that the low dose of each constituent drug is sufficient to achieve the desired effect. This helps reduce the duration of therapy and lower the adverse effects of these drugs.
Such synergistic combinations...
Such synergistic combinations...
4.0K
Development of Antibiotic Resistance
33
Antibiotic resistance is a major public health concern that arises when bacteria evolve mechanisms to withstand the effects of antibiotic treatments. This resistance can be intrinsic, acquired through genetic mutations, or transferred between bacteria via horizontal gene transfer. The development of antibiotic resistance poses significant challenges in treating bacterial infections and necessitates ongoing research to develop new therapeutic strategies.Intrinsic resistance occurs when bacterial...
33
Antimicrobial Effectiveness
37
The effectiveness of antimicrobial agents depends on various factors influencing their ability to eliminate microbial populations. Larger microbial populations require more time for complete eradication, emphasizing the importance of population size analysis when evaluating antimicrobial efficacy.Microbial resistance to antimicrobial agents varies significantly. Highly resilient microorganisms include endospores, gram-negative bacteria, and non-enveloped viruses, while prions are exceptionally...
37
Hand hygiene
3.3K
Asepsis is the practice of preventing or breaking the chain of infection. The nurse employs aseptic techniques to prevent the spread of microorganisms and reduce the risk of diseases. Hand hygiene is the cornerstone of aseptic techniques and is classified into medical and surgical asepsis. Medical asepsis includes hand hygiene and the use of gloves. Surgical asepsis, or the sterile technique, refers to practices that render and keep objects and areas free of microorganisms.
Hand washing...
Hand washing...
3.3K
Standard Precaution
2.0K
Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
2.0K


