减少腹腔透析相关的感染,使用一种新的退出地点护理实践
Hila Soetendorp1, Ayelet Grupper1,2, Eyal Hazan1,3
1Department of Nephrology and Hypertension, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
概括
实施新的退出地点护理协议显著降低了腹腔透析患者的导管相关感染 (CRI) 和腹腔炎. 这种改进的方案涉及避免饮水和使用mupirocin,导致更少的患者需要切换到血液透析.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 传染性疾病 传染性疾病
- 医疗器械管理 医疗器械管理
背景情况:
- 腹腔透析 (PD) 感染,特别是导管相关感染 (CRI),是停止PD治疗的主要原因.
- 与来自水系统的环境病原体相关的CRI率增加,促使对退出地点护理协议进行审查.
- CRI可能升级为腹膜炎,需要采取严格的预防措施.
研究的目的:
- 评估修改后的退场护理方案在降低PD患者中CRI的有效性.
- 评估新协议对PD相关腹膜炎率和感染相关结果的影响.
- 为了比较坚持修改方案的患者与历史对照组的结果.
主要方法:
- 一个前性的单中心研究,将当代队列 (修改协议) 与历史控制组进行比较.
- 修改后的协议强调在淋浴 (使用口腔袋) 和使用Mupirocin膏时避免用水.
- 历史组没有水的限制,并使用健美膏.
主要成果:
- 与历史组 (0.71 EPP) 相比,当代队列显示出明显较低的CRI率 (0.11 EPP).
- 在当代队列 (0.19 EPP) 与历史组 (0.40 EPP) 中,炎的发病率也显著降低.
- 修改方案的患者转移到血液透析的比率要低得多 (7.3%与31.0%相比).
结论:
- 一个退出地点护理协议,包括避免水和mupirocin显著降低了PD患者的CRI和周周炎.
- 这些发现支持采用这种修改后的方案,以改善PD患者的治疗结果和治疗寿命.
- 减少感染率与停止PD治疗的发病率较低相关.
相关概念视频
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
Hand hygiene
3.1K
Asepsis is the practice of preventing or breaking the chain of infection. The nurse employs aseptic techniques to prevent the spread of microorganisms and reduce the risk of diseases. Hand hygiene is the cornerstone of aseptic techniques and is classified into medical and surgical asepsis. Medical asepsis includes hand hygiene and the use of gloves. Surgical asepsis, or the sterile technique, refers to practices that render and keep objects and areas free of microorganisms.
Hand washing...
Hand washing...
3.1K
Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic
4.1K
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.
4.1K
Standard Precaution
1.9K
Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
1.9K
Transmission-based Precautions I: Contact, Enteric, and Droplets
3.5K
Transmission-based precautions are for patients known to be infected or suspected to be infected or colonized with organisms that pose a significant risk to others. Some transmission-based precautions include contact, enteric, and droplet.
Contact Precautions:
Contact precautions are the measures taken to prevent the transmission of infectious agents, especially epidemiologically important microorganisms such as MRSA or influenza, primarily transmitted through direct or indirect contact with an...
Contact Precautions:
Contact precautions are the measures taken to prevent the transmission of infectious agents, especially epidemiologically important microorganisms such as MRSA or influenza, primarily transmitted through direct or indirect contact with an...
3.5K
Asepsis
2.1K
The condition of being free from disease-causing living pathogens is asepsis. Aseptic techniques include a set of standard practices to achieve asepsis. An example is the regular environmental cleaning of all parts of the healthcare facility and hand hygiene at home before preparing or eating food. Medical and surgical asepsis in healthcare practice protects patients from harmful pathogens, minimizes the risk of contamination of susceptible sites, and reduces the risk of infection transmission.
2.1K


