对瑞士医院Clostridioides difficile感染的监测系统的评估
Ana Durovic1,2, Alexandra Ursula Scherrer2,3, David Widmer4
1Infectious diseases and hospital epidemiology, Cantonal Hospital Lucerne, Lucerne, Switzerland.
Swiss medical weekly
|April 5, 2024
概括
瑞士一项全国性的Clostridioides difficile感染监测系统发现,每1万个患者日发生3.8次. 标准化的做法对于有效的预防和及时发现疫情爆发至关重要.
科学领域:
- 传染性疾病 传染性疾病
- 流行病学 流行病学
- 公共卫生监督 公共卫生监督
背景情况:
- 艰难菌感染 (CDI) 在医疗保健环境中构成了重大挑战.
- 建立一个全面的全国性监测系统对于理解CDI流行病学至关重要.
- 之前在瑞士的实验室监测由于参与率低而面临限制.
研究的目的:
- 评估瑞士全国范围的CDI监控系统的方法.
- 报告与患者相关的监测结果,并计算2022年CDI发病率.
- 强调对标准化监控实践的需要,并探索有效的数据收集方法.
主要方法:
- 在瑞士急性护理医院采用基于问卷的调查实施患者相关监测.
- 利用来自国家感染预防中心 (Swissnoso) 和瑞士抗生素耐药性中心 (ANRESIS) 的现有实验室监测数据.
- 对CDI发病率的分析和与欧洲疾病预防控制中心 (ECDC) 数据的比较.
主要成果:
- 在2022年,瑞士的CDI发病率为每10,000个患者日3.8次.
- 这种发病率略高于ECDC报告的平均率.
- 实验室检测,诊断标准和感染控制实践在医院之间观察到显著差异.
结论:
- 为了获得全面的CDI洞察力和有效的预防,共同努力实现标准化监测至关重要.
- 与患者相关的监控是黄金标准,但资源密集.
- 全国范围的基于实验室的自动化监测为早期发现疫情和与抗生素使用的相关性提供了务实的和高效的替代方案.
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