工程感染控制,以减少室内传播的呼吸道感染:一个范围审查
Amiran Baduashvili1, Lewis Radonovich2, Louis Leslie3
1Division of Hospital Medicine, Department of Medicine, University of Colorado School of Medicine, Aurora, Colorado (A.B., C.B., B.F., J.W.).
Annals of internal medicine
|August 4, 2025
概括
这次对工程感染控制的审查发现了许多关于病原体无活化和去除的研究. 然而,对于与人类呼吸道感染传播相关的疗效和危害结果存在证据缺口.
科学领域:
- 环境健康 环境健康
- 感染控制 感染控制
- 公共卫生 公共卫生
背景情况:
- 工程感染控制对于减少室内暴露于呼吸道病原体至关重要.
- 这些干预措施旨在缓解建筑环境中的空气传播疾病的传播.
研究的目的:
- 系统地识别和描述工程感染控制干预措施的初级研究.
- 专注于评估通过室内空气减少呼吸道感染传播的研究.
主要方法:
- 在多个数据库 (MEDLINE,Embase等) 中进行全面的文献搜索. 在2023年12月之前.
- 包含关于工程感染控制的英语初级研究文章.
- 由两名审稿人进行数据提取,涵盖研究特征,干预措施和结果.
主要成果:
- 分析了1929年至2024年间发表的672项研究.
- 干预主要集中在病原体无活化 (405项研究),其次是去除 (200) 和空气交换 (143).
- 大多数研究都测量了非致病性生物 (332) 或颗粒物 (197);危害很少被评估.
结论:
- 在当前的证据库中存在显著的异质性.
- 研究中的差距包括测量人类传播的有效性和评估潜在危害的研究.
- 改善干预和结果的分类是必要的,以加强未来的评估.
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