一个叙述性审查和更新与排水相关的疫情
1Antimicrobial Resistance and Healthcare Associated Infection, Glasgow, UK.
医院排水爆发,通常是由生产卡巴酶的肠杆菌引起的,需要多模式的控制策略. 尽管面临挑战,但许多干预措施成功地阻止了进一步的病例,突出了关于管理这些持续性医疗相关感染的最新英国指导的需要.
科学领域:
- 预防和控制感染的预防和控制.
- 医疗卫生流行病学 医疗卫生流行病学
- 环境卫生环境卫生
背景情况:
- 医院排水系统是已知的挑战性,长期爆发的已知来源.
- 有效的补救往往需要复杂的,多模式的干预策略.
研究的目的:
- 审查最近在医疗保健机构发生的与排水有关的疫情.
- 评估多式联运控制措施的实施情况.
- 确定任何有助于前置因素.
主要方法:
- 在5年的时间里,对排水相关的疫情进行了系统的文献搜索.
- 收集的数据包括病原体,受影响的单位,干预措施和结果.
- 搜索术语集中在各种医疗保健排水系统问题上.
主要成果:
- 审查了19项研究,其中生产卡巴酶的肠杆菌是最常见的病原体.
- 大多数疫情发生在重症监护机构.
- 在19项研究中,16项承认需要采用多模式方法;13项报告成功阻止了进一步的病例.
结论:
- 与排水相关的疫情仍然是一个重大挑战,尽管正在进行报告和审查.
- 英国缺乏专门的指导,用于管理排水爆发或设计设施以防止它们.
- 对公共卫生机构来说,优先考虑医院排水系统管理至关重要.
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