相关实验视频
Updated: May 28, 2025

A Neonatal Imaging Model of Gram-Negative Bacterial Sepsis
Published on: August 12, 2020
在新生儿病房爆发疫情中的耐药微生物殖民/感染的风险因素-系统性审查和元分析
Roberta Maia de Castro Romanelli1, Gabriela Gomes de Souza2, Jordana Peruchi Fontis2
1Universidade Federal de Minas Gerais, Departamento de Pediatria, Belo Horizonte, MG, Brazil; Universidade Federal de Minas Gerais, Hospital de Clínicas, Belo Horizonte, MG, Brazil.
侵入性设备和亲肠道营养显著增加了新生儿重症监护室 (NICU) 耐药细菌感染的风险. 识别这些风险因素有助于针对易受伤害的新生儿采取预防措施.
科学领域:
- 新生儿科学 新生儿科学
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 新生儿重症监护室 (NICU) 是感染的高风险环境.
- 耐药细菌对脆弱的新生儿构成重大威胁.
研究的目的:
- 系统地审查和评估NICU患者中耐药细菌感染或殖民的风险因素.
- 确定导致新生儿群体中多药耐药生物体爆发的关键因素.
主要方法:
- 一个系统的审查和元分析,遵循PRISMA指南.
- 在PubMed,Embase,Cochrane,SciELO和Scopus数据库中搜索了观察研究.
- 包括专注于新生儿在NICU的研究,风险因素和耐药细菌的隔离.
主要成果:
- 分析了21篇涉及1979年新生儿的文章.
- 静脉通道,机械通风和肠外营养被确定为重要的危险因素.
- 殖民/感染的可能性增加与静脉通道 (OR: 1.58),机械通风 (OR: 7.55) 和腹腔营养 (OR: 4.79) 有关.
结论:
- 侵入性设备 (静脉通道,机械通风) 和腹腔营养是NICU中耐药微生物爆发的主要危险因素.
- 识别有风险的新生儿对于制定有效的预防策略至关重要.
- 这些发现支持有针对性的干预措施,以减少新生儿护理中耐药感染的负担.
相关概念视频
Infection
The chain begins with pathogens: bacteria, viruses, fungi, prions, or parasites such as protozoa helminths. These can be present on the skin as transient or resident flora, or they can be acquired from the environment. Identifying and treating the type of infection and...
Factors Affecting the Risk of Infection
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
Healthcare Associated Infections II: Preventive Measures
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic
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.
Transmission-based Precautions I: Contact, Enteric, and Droplets
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...
Transmission-based Precautions II: Airborne and Protective Environment
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...

