实施鼻子波维-脱殖,以减少血液透析单位的感染:定性评估
Kimberly C Dukes1,2,3, Stacey Hockett Sherlock1,2, A M Racila1,2
1Department of Internal Medicine, Carver College of Medicine, University of Iowa, Iowa City, IA, USA.
Infection control and hospital epidemiology
|May 23, 2024
概括
鼻子波维- (PVI) 脱殖是预防血液透析患者感染的可行和可接受的策略. 实施需要领导层的支持,员工的参与,以及以患者为中心的工具来克服诸如感染预防疲劳等障碍.
科学领域:
- 传染病流行病学 传染病流行病学
- 医疗保健 实施 科学 科学
- 科和透析护理 护理
背景情况:
- 在接受血液透析的患者中,鼻腔 * Staphylococcus aureus * 殖民的患病率很高.
- 鼻腔 *S. aureus* 携带者患 *S. aureus* 血流感染的风险增加.
- 鼻子波维- (PVI) 脱殖是作为一种预防血液透析单位这些感染的策略.
研究的目的:
- 在门诊血液透析环境中实施PVI脱殖的务实策略.
- 了解医疗保健人员对PVI实施的看法.
- 为患者和工作人员评估PVI脱殖的可行性和可接受性.
主要方法:
- 进行了一项定性描述性研究.
- 在美国五个学术医疗中心对66名医疗保健人员进行了采访.
- 用专题分析来分析采访成绩单.
主要成果:
- 患者和医疗保健人员 (HCP) 发现PVI脱殖是可以接受和可行的.
- 实施的促进者包括领导力支持,医疗保健工作人员参与和以患者为中心的工具.
- 障碍包括低估感染风险,预防感染的疲劳,人员限制和患者特定的挑战 (例如,健康负担,语言).
结论:
- PVI脱殖是血液透析单位的可行和可接受的干预措施.
- 成功实施取决于吸引单位领导,患者和人员.
- 发展感染风险的患者教育对于有效的PVI解殖是至关重要的.
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