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对于急诊医生的产科护理中的败血症:一篇综述
Anna Stacy1, Puloma Bishnu2, Rachel E Solnick1
1Department of Emergency Medicine, Icahn School of Medicine at Mount Sinai, Brooklyn NY 11238, USA.
Seminars in perinatology
|September 25, 2024
概括
败血症是孕妇死亡的主要原因,但它是可以预防的. 本综述详细介绍了推迟诊断和治疗的因素,为紧急护理提供者提供了一个有效管理产科败血症的框架.
科学领域:
- 产科和妇科 产科和妇科
- 紧急医疗 紧急医疗
- 传染性疾病 传染性疾病
背景情况:
- 败血症是美国孕妇和产后患者死亡的关键原因.
- 早期识别和干预是预防败血症相关死亡的关键.
研究的目的:
- 总结了导致产科败血症诊断和治疗延迟的因素.
- 为急诊部 (ED) 产科败血症的管理提供一个实际的框架.
主要方法:
- 对产科败血症的生理学,流行病学和系统因素的叙述性综述.
- 对ED管理策略的当前证据的综合.
主要成果:
- 确定了导致产科败血症诊断和治疗延迟的特定因素.
- 概述了ED提供商的结构化方法.
结论:
- 及时识别和管理对于改善产科败血症的结果至关重要.
- 拟议的框架有助于ED临床医生及时和适当地照顾孕妇的败血症患者.
相关概念视频
Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic
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. Common...
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. Common...
Healthcare Associated Infections II: Preventive Measures
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...
Asepsis
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.
Hand hygiene
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...
Standard Precaution
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...
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Development of the Oral Microbiota
The establishment of the oral microbiome begins before birth, challenging the long-held belief that the fetal oral cavity is sterile. The presence of oral microbes such as Streptococcus and Fusobacterium in amniotic fluid suggests that microbial exposure may occur in utero, potentially through translocation from the maternal oral or gastrointestinal tract. This early colonization primes the neonatal immune system and sets the stage for subsequent microbial succession. Maternal health,...

