对非SARS-CoV-2呼吸道病毒的适当的基于传播的预防措施的评估
Cassandra L Falk1, Lisa E Dumkow1, Abigail C Geyer1
1Department of Pharmacy, Trinity Health Grand Rapids, Grand Rapids, MI, USA.
Antimicrobial stewardship & healthcare epidemiology : ASHE
|November 29, 2023
概括
大多数患者在检测出非SARS-CoV-2病毒阳性后没有及时采取基于传播的预防措施. 改善感染控制的遵守对于患者的安全至关重要,尤其是在普遍口罩结束后.
科学领域:
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
- 医疗流行病学 医疗流行病学
背景情况:
- 基于传播的预防措施对于防止医疗保健机构感染病原体的传播至关重要.
- 非SARS-CoV-2病毒感染对医院传播具有重大风险.
- 最近公共卫生指导方针的变化,例如停止普遍口罩,需要重新评估感染控制实践.
研究的目的:
- 为了评估基于传播的预防措施的适当性和及时性,在对非SARS-CoV-2病毒的阳性测试后.
- 确定在诊断后接受了充足的感染控制措施的患者比例.
- 突出需要在当前的医疗保健环境中加强对感染控制协议的遵守.
主要方法:
- 对非SARS-CoV-2病毒呈阳性结果的患者的回顾性图表审查.
- 在实验室确认后3小时内评估基于传播的预防措施的实施情况.
- 评估患者在整个住院期间遵守适当预防措施的持续时间.
主要成果:
- 显著的大多数患者 (77.2%) 在非SARS-CoV-2病毒检测阳性后3小时内没有采取适当的基于传播的预防措施.
- 很大一部分患者 (36.9%) 在整个住院期间仍然缺乏适当的预防措施.
- 这些发现表明,基本的感染控制措施的及时和一致应用存在广泛的差距.
结论:
- 目前对非SARS-CoV-2病毒感染的基于传播的预防措施的遵守率不够理想.
- 全民口罩的终止强调了严格遵守已建立的感染控制最佳实践的迫切需要.
- 优化患者安全需要立即改善感染控制协议的一致和及时实施.
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