长期护理中的感染:欧洲老龄化的挑战
Jordi Rello1, Niccolò Buetti2, Hagar L Mowafy3
1Institut de Recerca Vall d'Hebron (VHIR) & Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERes), Instituto de Salud Carlos III, Barcelona, Spain; UR-UM 103 IMAGE, University Montpellier, Division of Anesthesia Critical Care Pain and Emergency Medicine, CHU Nîmes, Nîmes, France; On behalf of the European Study Group of Infections in the Elderly (ESGIE), European Society Clinical Microbiology and Infectious Diseases, Basel, Switzerland.
由于人口老龄化,长期护理设施 (LTCF) 面临感染预防和控制 (IPC) 的挑战. 目前的IPC指南,通常是从急性护理中改编的,存在关键差距,需要针对居民安全制定量身定制的,基于证据的策略.
科学领域:
- 公共卫生 公共卫生
- 传染病流行病学 传染病流行病学
- 医疗保健管理的管理
背景情况:
- 人口老龄化增加了对长期护理设施 (LTCF) 服务的需求,给医疗保健系统带来了压力.
- 在感染预防和控制 (IPC) 方面,LTCF面临重大挑战,导致医疗相关感染 (HAI) 和抗菌素耐药性 (AMR).
研究的目的:
- 审查LTCF目前的全球和区域IPC指南.
- 识别现有的IPC指南中的关键缺口,以改善居民安全.
主要方法:
- 这是一个意见审查.
- 从世卫组织,ECDC和CDC等组织的现有全球和区域IPC指南的分析.
- 识别适用于LTCF设置的局限性和缺口.
主要成果:
- 现有的IPC指南往往是从急性护理环境中改编的,未能解决LTCF独特的结构和社会方面.
- 在LTCF的IPC指南中存在重大差距,特别是在欧洲范围内,由于异质性,缺乏研究,劳动力限制和监督问题.
结论:
- 迫切需要专门为LTCFs设计的统一的,基于证据的IPC指南.
- 有效的IPC框架需要持续的监督,劳动力发展和针对LTCF环境的实际策略.
- 解决这些差距对于确保LTCF居民的安全和公平至关重要.
相关概念视频
Current Trends in Nursing I
Healthcare Associated Infections II: Preventive Measures
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Documentation in Long-Term and Home Healthcare Setting
Long-Term Care Facilities
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...
Endocarditis IV: Nursing Management
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.


