在医院和医疗实践中应对菌感染
Julia Hurraß1,2, Eva-Brigitta Kruse-Wehner1,3, Steffen Engelhart4
1HYGIUM - Center for Hygiene and Environmental Medicine, Cologne, Germany.
GMS hygiene and infection control
|December 24, 2025
概括
室内菌暴露对健康构成风险,尤其对免疫力低下的人来说. 更新的指导方针强调排除菌损伤和立即补救,建议不要为医疗评估进行例行室内菌测量.
科学领域:
- 环境健康 环境健康
- 医学诊断 医学诊断 医学诊断
- 传染病流行病学 传染病流行病学
背景情况:
- 室内菌生长与水分,结构缺陷,水损伤和建筑物有关,特别是在医疗保健机构.
- 与水分相关的因素,包括酵母,细菌和虫,有助于室内菌相关的问题.
- 建筑工作可以在医院和医疗实践中发生菌方面发挥重要作用.
研究的目的:
- 为合理和有效的医疗诊断室内菌暴露提供最新的建议.
- 为了解决诊断菌相关健康问题的知识差距.
- 为菌引起的健康问题提供基于证据的治疗选择.
主要方法:
- 系统的文献搜索以更新2016年AWMF S2k关于室内菌暴露的医学诊断指南.
- 在指南修订过程中包括各种医学学科和专家.
- 专注于诊断菌暴露的一般和特定检查方法.
主要成果:
- 患有严重免疫抑制,流感,COVID-19,囊性纤维化或不受控制的喘的个人因菌暴露而面临更高的风险.
- 对于临床,实践和家庭环境中的风险患者,必须排除暴露于菌损伤的可能性.
- 不推非证据基础的诊断方法.
结论:
- 对于易受伤害的患者来说,立即修复检测到的湿度/菌损伤至关重要.
- 室内模具测量通常不适用于医疗评估.
- 预防性措施以避免潮湿损害对于减少健康风险至关重要.
更多相关视频
相关概念视频
Healthcare Associated Infections II: Preventive Measures
3.5K
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...
3.5K
Transmission-based Precautions II: Airborne and Protective Environment
1.8K
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...
1.8K
Standard Precaution
2.7K
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...
2.7K
Methods for Controlling Microbial Growth
1.5K
Microbial growth control refers to various methods employed to inhibit, reduce, or eliminate microorganisms to ensure safety and hygiene across different settings. These methods are categorized based on the target environment and the level of microbial control required.Biocides are versatile agents designed to control microorganisms by either inhibiting their growth or outright killing them. These agents work through various physical, chemical, mechanical, or biological mechanisms. The...
1.5K
Physical Methods for Controlling Microbial Growth: Radiation and Filtration
950
Radiation and filtration are essential tools for microbial control, targeting microorganisms through distinct mechanisms. Radiation eliminates microbes by damaging their DNA, either killing them or inhibiting their growth. Based on wavelength, radiation is classified into two types: nonionizing and ionizing radiation.Non-ionizing radiation, such as UV radiation (200–400 nm), is absorbed by DNA, causing defects that effectively disinfect surfaces, air, and water, including safety cabinets.
950
Cleaning, Sterilization, and Disinfection
9.5K
Cleaning, disinfection, and sterilization are the methods that help to break the infection chain and prevent disease.
Cleaning
The cleaning process usually involves using water with detergents or enzymatic cleaner and removing foreign material from objects and surfaces, including organic material such as body fluids or inorganic material like soil. Cleaning is performed before high-level disinfection and sterilization because foreign materials on the cover of the devices interfere with process...
Cleaning
The cleaning process usually involves using water with detergents or enzymatic cleaner and removing foreign material from objects and surfaces, including organic material such as body fluids or inorganic material like soil. Cleaning is performed before high-level disinfection and sterilization because foreign materials on the cover of the devices interfere with process...
9.5K


