医疗保健相关疟疾:系统性审查,1997年至2023年
Céline M Gossner1, Luisa K Hallmaier-Wacker1, Harold Noel2
1European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden.
概括
与医疗保健相关的疟疾 (HAM) 很少见,但可能致命,通常与受污染的医疗设备有关. 严格的感染控制对预防至关重要,尽管对传播途径的调查仍然很复杂.
科学领域:
- 传染性疾病 传染性疾病
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 疟疾通常是由蚊子传播的,但通过血液传播发生与医疗保健相关的感染 (HAI).
- 与医疗保健相关的疟疾 (HAM) 在医院感染控制中提出了一个独特的挑战.
研究的目的:
- 系统地审查和确定与医疗保健相关的疟疾病例 (HAM) 的决定因素.
- 探索医疗保健环境中HAM的传播途径和风险因素.
主要方法:
- 按照PRISMA指南进行系统审查,在PROSPERO.中注册.
- 搜索了五个数据库 (2000-2023年),对欧洲公共卫生当局进行了数据呼叫,并进行了广泛的文献和网络搜索.
主要成果:
- 确定了37项研究,包括55例HAM病例,主要在欧洲 (35例),主要是Plasmodium falciparum感染.
- 大多数病例 (50) 是住院患者;常见的传播程序包括受污染的肝素/盐水冲洗和导管操纵.
- 五名患者死亡,这凸显了HAM的潜在严重性.
结论:
- 医疗相关疟疾虽然很少见,但可以通过严格的感染预防和控制措施预防.
- 确切的传输程序往往仍然未被确定,突出调查的复杂性.
- 需要改善HAM调查的指导和协议,以加强检测和预防.
相关概念视频
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The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
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