新生儿ECMO患者的医院感染:系统性审查和元分析
Ya-Ting Zeng1, Yi-Nan Liu1, Si-Jia Zhou1
1Department of Cardiac Surgery, Fujian Children's Hospital (Fujian Branch of Shanghai Children's Medical Center), College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Fuzhou, China.
Italian journal of pediatrics
|June 9, 2025
概括
医院获得的感染 (HAI) 在接受体外膜氧化 (ECMO) 的新生儿中显著增加了死亡率和并发症. 这些感染还延长了ECMO的持续时间,对新生儿预后产生了负面影响.
科学领域:
- 新生儿重症监护室新生儿重症监护室
- 儿科重症监护医药 儿科重症监护医药
- 传染病流行病学 传染病流行病学
背景情况:
- 医院感染 (HAI) 对接受生命支持的脆弱新生儿构成重大威胁.
- 身体外膜氧化 (ECMO) 是对患有严重心肺衰竭的新生儿的关键干预措施,但具有固有的风险.
- 了解HAI对ECMO结果的影响对于改善新生儿存活率和护理至关重要.
结论:
- 肝炎感染会对接受ECMO的新生儿的预后产生不利影响.
- 预防和管理HAI对于降低高风险人群的死亡率和发病率至关重要.
- 需要进一步研究针对性的干预措施,以减轻ECMO期间的HAI风险.
相关概念视频
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
Healthcare Associated Infections II: Preventive Measures
2.5K
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...
2.5K
Pneumonia I: Introduction
214
Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
214
Transmission-based Precautions II: Airborne and Protective Environment
1.2K
Transmission-based precautions are for patients infected or suspected to be infected (or colonized) with organisms posing a significant risk to others. The transmission precautions include airborne and protective environment precautions.
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...
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...
1.2K


