在非爆发和爆发环境中的长期护理机构有效的感染预防和控制措施:系统性文献审查
Nando Bloch1, Jasmin Männer2, Céline Gardiol3
1Division of Infectious Diseases and Hospital Epidemiology, Cantonal Hospital St.Gallen, St.Gallen, Switzerland. nando.bloch@kssg.ch.
Antimicrobial resistance and infection control
|October 18, 2023
概括
在长期护理设施中,手部卫生和口腔卫生有效地减少了感染. 在这些环境中,IPC捆绑和大规模测试对管理疫情充满希望.
科学领域:
- 预防和控制感染的预防和控制.
- 长期护理设施管理 长期护理设施管理
- 公共卫生 公共卫生
背景情况:
- 医疗相关感染 (HAI) 在长期护理设施 (LTCF) 中存在重大风险.
- 现有的感染预防和控制 (IPC) 准则主要是为急性护理机构设计的.
- 需要基于证据的IPC策略,以适应LTCF的独特环境.
研究的目的:
- 系统地审查长期护理机构的IPC措施的有效性.
- 确定成功的IPC干预措施,用于LTCF的非爆发和爆发情况.
- 综合2017年以来长期护理机构对IPC的现有证据.
主要方法:
- 在PubMed和Cochrane图书馆进行系统的文献搜索,寻找自2017年以来发表的研究.
- 包括随机对照试验,准实验,观察性研究和疫情报告.
- 根据研究设计,干预类型,结果和质量分析了74项研究,区分了非爆发和爆发环境.
主要成果:
- 手部卫生和口腔卫生干预措施表明,在非疫情环境中,感染率有所降低.
- 发现IPC捆绑和大规模测试在制疫情方面是有效的.
- 大多数研究 (94.6%) 被评为质量低或中等,强调需要更高质量的研究.
结论:
- 手部卫生和口腔卫生对于在没有LTCF疫情的环境中控制感染至关重要.
- IPC捆绑和大规模测试显示出在LTCFs中管理传染病爆发的希望.
- 需要进一步进行高质量的研究,以制定强有力的IPC长期护理指南.
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