优先考虑隔离预防措施:以患者为中心的方法预防和控制感染
Emine Alp Meşe1,2, Elena Carrara1,3, Ermira Tartari1,4
1ESCMID European Committee on Infection Prevention and Control (EUCIC), Basel, Switzerland.
概括
优化医疗相关感染 (HAI) 和多药耐药 (MDR) 病原体的隔离预防措施需要以患者为中心的方法. 整合风险评估和先进分析可以提高感染预防和控制 (IPC),同时平衡患者的需求和资源.
科学领域:
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
- 医疗保健管理的管理
背景情况:
- 医疗相关感染 (HAI) 和多药耐药 (MDR) 病原体对全球健康构成重大威胁.
- 像SARS-CoV-2这样的新兴传染病和日益增多的免疫受损人群进一步使感染预防和控制 (IPC) 复杂化.
- 无差别的隔离预防措施可能会对患者的福祉产生负面影响,并压迫医疗保健资源.
研究的目的:
- 提出以患者为中心的框架,以优化医疗保健机构的隔离策略.
- 整合与病原体相关的因素,个体患者的风险,并为有效的IPC提供设施资源.
- 提高隔离预防措施的有效性,适应性和可持续性.
主要方法:
- 对当前感染预防和控制方面的文献和实践进行审查.
- 制定一个包含有针对性的风险评估的框架.
- 集成先进的分析,包括omics和机器学习,用于数据驱动的决策.
- 强调感染预防主义领导和基于证据的战略.
主要成果:
- 拟议的框架使隔离预防措施的应用更加有针对性和资源效率.
- 优化策略使IPC措施与临床现实和运营约束保持一致.
- 这种方法平衡了感染控制的需要与以患者为中心的护理和资源管理.
- 通过可适应和可持续的基于证据的实践来实现IPC的增强有效性.
结论:
- 以患者为中心的隔离预防措施的方法对于改善感染预防和患者护理的整体质量至关重要.
- 综合风险评估,高级分析和领导力优化了孤立策略的使用.
- 该框架支持医疗保健机构有效有效地管理HAI和MDR病原体.
更多相关视频
09:30Author Spotlight: Microbial Control and Monitoring Strategies for Cleanroom Environments and Cellular Therapies
Published on: March 17, 2023
3.7K
09:57A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit
Published on: July 13, 2019
13.2K
相关概念视频
01:25Transmission-based Precautions II: Airborne and Protective Environment
1.5K
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...
1.5K
01:26Standard Precaution
2.2K
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...
2.2K
01:17Transmission-based Precautions I: Contact, Enteric, and Droplets
4.1K
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...
4.1K
01:22Healthcare Associated Infections II: Preventive Measures
2.8K
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...
2.8K
01:20Personal Protective Equipment
1.9K
Personal protective equipment (PPE) is unique clothing or equipment worn by an employee to minimize or prevent exposure to infectious agents. PPE creates a barrier between the employee and the infectious materials. PPE must be readily available in the patient care area. PPE includes gloves, gowns and aprons, masks and respirators, goggles, face shields, shoes, and headcovers:
1.9K
01:23Hand hygiene
4.2K
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...
4.2K