医院间转移是医院相关感染的独立风险因素
Camden Gardner1,2, Ilan Rubinfeld1,2, Arielle Hodari Gupta1
1Henry Ford Hospital, Detroit, Michigan, USA.
Surgical infections
|December 20, 2023
概括
转移的手术患者面临着与医院相关的感染 (HAI) 的更高风险,包括与中央线相关的血液流感染,尿路感染和C. difficile感染. 这种增加的风险影响了管理这些高急性患者的区域中心.
科学领域:
- 医疗保健的质量和安全
- 传染性疾病 传染性疾病
- 手术护理 提供手术护理
背景情况:
- 手术护理的区域化将高急性患者集中在更大的中心.
- 医院相关感染 (HAI) 是具有重大财务后果的关键质量指标.
- 了解医院间转移在HAI发生中的作用对于感染控制至关重要.
研究的目的:
- 调查医院间转移与外科手术患者中HAI发生率之间的关联.
- 量化转移的手术患者中国家医疗安全网络 (NHSN) 定义的特定HAI的风险.
- 在正在接受护理区域化的多医院系统中,为减轻HAI风险的策略提供信息.
主要方法:
- 来自五家医院卫生系统注册表 (2014-2021) 的成年外科住院患者数据的分析.
- 包括患者的人口统计,健康特征,敏度和NHSN定义的HAI:CLABSI,CAUTI和CDI.
- 应用单变量和多变量统计分析来评估转移患者与非转移患者的HAI率.
主要成果:
- 该研究确定了92,832名手术患者,其中3,232名 (3.5%) 是转移患者.
- 整体HAI率为0.6% (528例),包括CLABSI (0.09%),CAUTI (0.14%) 和CDI (0.35%).
- 转移患者在所有三个HAI (CLABSI或4.79,CAUTI或4.20,CDI或3.59;p<0.001) 中都表现出明显更高的比率. 多变量分析证实HAI风险增加 (OR1.56;p<0.001).
结论:
- 转移的手术患者显示出具有统计学意义的,风险调整后增加的HAI率.
- 这一发现凸显了区域中心管理高风险手术转移的挑战.
- 对医疗保健补偿的下游影响强调了HAI在转移人群中的财务影响.
更多相关视频
相关概念视频
01:26Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic
4.2K
Healthcare-associated infections (HAIs) occur in a healthcare facility while a person receives care for another ailment. This category also includes work-related infections among healthcare staff.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
4.2K
01:22Healthcare Associated Infections II: Preventive Measures
2.6K
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...
2.6K
01:26Factors Affecting the Risk of Infection
11.8K
The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
11.8K
01:30Pneumonia I: Introduction
240
Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
240
01:25Transmission-based Precautions II: Airborne and Protective Environment
1.3K
Transmission-based precautions are for patients infected or suspected to be infected (or colonized) with organisms posing a significant risk to others. The transmission precautions include airborne and protective environment precautions.
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...
1.3K
00:59Hospitals-II
783
Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
Nurses that work in...
Nurses that work in...
783