在早产婴儿中医疗保健相关感染率的下降 - 德国15年全国监测的长度数据
Ferenc Darius Ruether1,2, Frank Schwab1,2, Gizem Karadağ1,2
1Institute of Hygiene and Environmental Medicine, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlinhttps://ror.org/001w7jn25, Berlin, Germany.
在德国使用NEO-KISS的早产婴儿中,对与医疗保健相关的感染 (HAI) 的全国性监测显示,2008年至2022年间,败血症,肺炎和死性肠球炎的发生率显著降低.
科学领域:
- 新生儿科学 新生儿科学
- 传染病流行病学 传染病流行病学
- 公共卫生监督 公共卫生监督
背景情况:
- 过早出生的婴儿非常容易感染与医疗相关的感染 (HAI).
- 全国范围的HAI监测系统对于监测和减少高风险新生儿群体感染至关重要.
- 德国实施了NEO-KISS系统,用于跟踪新生儿的HAI.
研究的目的:
- 在德国全国实施NEO-KISS监测系统后,在高风险新生儿中呈现与医疗保健相关的感染 (HAI) 率.
- 确定与这种脆弱人群中HAI发展相关的风险因素.
- 分析 HAI 发生密度随时间的变化趋势.
主要方法:
- 一项观察性研究分析了NEO-KISS系统 (2008-2022) 的回顾性数据.
- 纳入标准:出生体重小于1500克的婴儿.
- 医疗保健相关性败血症 (HAS),医疗保健相关性肺炎 (HAP) 和死结肠炎 (NEC) 的发病率密度使用Cox比例危险回归计算和分析.
主要成果:
- 分析了251个新生儿科的118,214名婴儿的数据.
- 在2008-2012年和2018-2022年期间,HAS和HAP的发病密度显著下降 (例如,HAS下降了33.3%,HAP下降了46.7%).
- 在多变量回归分析中,入院期仍然是HAS,HAP和NEC的重要因素.
结论:
- 从2008年至2022年的NEO-KISS监测数据表明,德国高风险新生儿中HAS,HAP和NEC的发病密度在全国范围内有所减少.
- 持续与NEO-KISS监测数据的接触和利用可能有助于这些观察到的HAI减少.
- 有效的监测系统对于改善新生儿重症监护的结果至关重要.
更多相关视频
19:45Expansion of Embryonic and Adult Neural Stem Cells by In Utero Electroporation or Viral Stereotaxic Injection
Published on: October 6, 2012
07:46Bilateral Common Carotid Artery Occlusion as an Adequate Preconditioning Stimulus to Induce Early Ischemic Tolerance to Focal Cerebral Ischemia
Published on: May 9, 2013
相关概念视频
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 create...
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. Common...
Healthcare Associated Infections II: Preventive Measures
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Standard Precaution
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...
Development of Human Microbiota
Development of the Oral Microbiota
