谁应该在何时和何种情况下进行碳烯酶产生肠道细菌的查? 一个系统的审查
1Infection Prevention and Control Unit, Department of Clinical Microbiology, Rigshospitalet, Copenhagen, Denmark.
The Journal of hospital infection
|October 6, 2023
概括
丹麦碳酶产生肠道细菌 (CPE) 的增加表明医疗传染. 需要新的查方案,重点关注抗生素使用,住院时间和并发症,以检测CPE患者并预防疫情.
科学领域:
- 传染性疾病 传染性疾病
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 在丹麦,产生碳酶的肠细菌病例 (CPE) 每年都在增加.
- 越来越少的CPE阳性病例报告旅行史,这表明国内传播.
- 丹麦现有的CPE查方案可能不足,突出了感染预防和控制方面的挑战.
结论:
- 该研究表明,丹麦需要更新CPE查算法.
- 除了基于入院的风险评估外,还应考虑对住院患者进行查.
- 一个修订后的协议可以针对住院患者,并发病,延长住院 (ICU>1周,其他病房>3周),以及最近/目前的抗生素治疗.
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