使用半马尔科夫多态模型对多种医院感染的调查
Xiao Zhong1, Dong-Li Wang2, Li-Hua Xiao3
1Infection Management Department, Shenzhen Guangming District People's Hospital, Shenzhen, Guangdong, 518106, China. 187197283@qq.com.
Antimicrobial resistance and infection control
|June 6, 2024
概括
多重病房感染 (MNI) 增加了患者的疾病负担. 识别风险因素和了解与多国移民相关的长期停留时间 (LOS) 对于有效的预防策略至关重要.
科学领域:
- 传染性疾病 传染性疾病
- 医院流行病学 医院流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 多重病房感染 (MNI) 的流行率不断上升.
- 对MNI风险因素,累积风险以及对逗留时间 (LOS) 的影响的理解有限.
研究的目的:
- 分析MNI的风险因素和累积风险.
- 预测MNI发生的概率.
- 量化由医院感染 (NI) 引起的额外的LOS.
主要方法:
- 住院患者的多中心研究 (2020-2023).
- 使用了半马尔科夫多态模型 (MSM).
- 分析了MNI和单一医院感染 (SNI) 的风险因素,累积风险,发生概率和额外的LOS.
主要成果:
- 确定了关键的MNI风险因素:年龄,社区感染,手术,抗生素使用.
- 累计的MNI风险低于SNI.
- 在入院后的14天内,MNI最有可能发生.
- SNI增加LOS约7.48天;MNI增加LOS约15.94天.
- 感染部位的增加与较长的额外LOS相关.
结论:
- 由于较长的LOS和治疗复杂性,MNI显著增加了患者的疾病负担.
- 强调需要针对MNI采取有针对性的预防和控制措施.
相关概念视频
Steps in Outbreak Investigation
122
In the ever-evolving field of public health, statistical analysis serves as a cornerstone for understanding and managing disease outbreaks. By leveraging various statistical tools, health professionals can predict potential outbreaks, analyze ongoing situations, and devise effective responses to mitigate impact. For that to happen, there are a few possible stages of the analysis:
122
Healthcare 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
Models of Health Promotion and Illness Prevention II
1.6K
The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
The agent-host-environment model states that disease results...
The agent-host-environment model states that disease results...
1.6K
Mechanistic Models: Compartment Models in Algorithms for Numerical Problem Solving
48
Mechanistic models play a crucial role in algorithms for numerical problem-solving, particularly in nonlinear mixed effects modeling (NMEM). These models aim to minimize specific objective functions by evaluating various parameter estimates, leading to the development of systematic algorithms. In some cases, linearization techniques approximate the model using linear equations.
In individual population analyses, different algorithms are employed, such as Cauchy's method, which uses a...
In individual population analyses, different algorithms are employed, such as Cauchy's method, which uses a...
48
Methods of Documentation VI: Case Management Model
568
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
568
The Scientific Method in Nursing Process
10.2K
The scientific method provides the foundation for any research. It is the most reliable and objective of all forms of gaining knowledge and guides in applying research-based evidence in practice and conducting future research.
When using research findings to change practice, one must understand the process used to guide a study. The scientific method is a systematic, step-by-step process that supports the data's validity, reliability, and generalizability. As a result, findings can be...
When using research findings to change practice, one must understand the process used to guide a study. The scientific method is a systematic, step-by-step process that supports the data's validity, reliability, and generalizability. As a result, findings can be...
10.2K


