American journal of infection control最新文献_第4页

Quality of hand hygiene performance: A systematic literature review. 手卫生表现的质量：系统的文献综述。

IF 2.4 3区医学

American journal of infection control Pub Date : 2025-09-02 DOI: 10.1016/j.ajic.2025.08.025

Julia Messina G Ferreira, Vinicius S Marra, José Roberto Generoso, Carlos H Tudino, Mariana Kim Hsieh, Isabele Pardo, Pietra Sovero Campagnoli, Luiz Eduardo Ceccon, Patricia Deffune Celeghini, Beatriz Bonini Zancopé, Mariah Pires Possebon, Lucca Miguel Duda Tavares, Beatriz Corrêa Dos Santos Seabra, Eli N Perencevich, Michihiko Goto, Michael B Edmond, Alexandre R Marra

{"title":"Quality of hand hygiene performance: A systematic literature review.","authors":"Julia Messina G Ferreira, Vinicius S Marra, José Roberto Generoso, Carlos H Tudino, Mariana Kim Hsieh, Isabele Pardo, Pietra Sovero Campagnoli, Luiz Eduardo Ceccon, Patricia Deffune Celeghini, Beatriz Bonini Zancopé, Mariah Pires Possebon, Lucca Miguel Duda Tavares, Beatriz Corrêa Dos Santos Seabra, Eli N Perencevich, Michihiko Goto, Michael B Edmond, Alexandre R Marra","doi":"10.1016/j.ajic.2025.08.025","DOIUrl":"10.1016/j.ajic.2025.08.025","url":null,"abstract":"Background: Hand hygiene (HH) is essential for infection prevention in health care, but the quality of its performance, meaning how well it is done, receives much less attention than compliance. This review examines how HH technique is assessed and can be improved among health care providers.Methods: Following Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines, 6 databases were searched through May 15, 2025. Studies assessing HH performance quality in health care were included. Quality indicators included technique completeness, product volume, and duration. Study selection, data extraction, and risk-of-bias assessments were performed independently by 2 reviewers.Results: Forty studies met inclusion criteria. Despite compliance rates, ranging from 23.5% to 93.2%, proper technique was often lacking. Few HH events followed all recommended steps, and frequently missed areas included fingertips, thumbs, and wrists. Alcohol-based hand rubs (ABHRs) outperformed soap and water in quality and coverage. Interventions such as real-time feedback, ultraviolet markers, and augmented reality tools improved technique temporarily, though sustained improvement was rare. Educational interventions showed mixed long-term results.Conclusions: HH performance quality remains suboptimal even with high compliance. Future efforts should prioritize technique-focused training, innovative feedback, and simplified protocols to enhance HH quality in clinical practice.","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144999436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Bacterial air contamination and the protective effect of coverage for sterile surgical goods: A randomized controlled trial. 细菌空气污染和无菌外科用品覆盖的保护作用：一项随机对照试验。

IF 2.4 3区医学

American journal of infection control Pub Date : 2025-09-02 DOI: 10.1016/j.ajic.2025.08.035

Sherry S Cantu

引用次数: 0

Identifying successful pediatric outpatient antimicrobial stewardship strategies through benchmarking: A multi-institutional project. 通过标杆确定成功的儿科门诊抗菌药物管理策略：一个多机构项目。

IF 2.4 3区医学

American journal of infection control Pub Date : 2025-09-02 DOI: 10.1016/j.ajic.2025.08.017

Rana E El Feghaly, Joshua Herigon, Bethany A Wattles, Matthew P Kronman, Michael J Smith, Sameer J Patel, Nicole M Poole, Rosemary Olivero, Ann L Wirtz, Brian R Lee

{"title":"Identifying successful pediatric outpatient antimicrobial stewardship strategies through benchmarking: A multi-institutional project.","authors":"Rana E El Feghaly, Joshua Herigon, Bethany A Wattles, Matthew P Kronman, Michael J Smith, Sameer J Patel, Nicole M Poole, Rosemary Olivero, Ann L Wirtz, Brian R Lee","doi":"10.1016/j.ajic.2025.08.017","DOIUrl":"10.1016/j.ajic.2025.08.017","url":null,"abstract":"Background: We evaluated the impact of benchmarking on antibiotic prescribing and identified antibiotic stewardship strategies affecting pediatric outpatient antibiotic prescribing.Methods: The Sharing Antimicrobial Reports for Pediatric Stewardship-Outpatient Collaborative shared quarterly benchmarking reports with 22 institutions on antibiotic prescribing metrics (percentage of acute and acute respiratory infection [ARI] encounters with antibiotic prescriptions, duration of ≤ 7days, and among ARI, rates of amoxicillin and azithromycin use) for emergency departments, urgent care clinics, and primary care clinics. In January 2024, a survey assessed stewardship strategies and the impact of the benchmarking reports. We compared baseline (January 2019-December 2022) with the benchmarking period (January 2023-September 2024).Results: We included 32.4 million acute encounters. Although antibiotic prescribing increased in the benchmarking period, we saw increased amoxicillin use, decreased azithromycin use, and decreased antibiotic duration. The odds of receiving antibiotics for ARI were variable across practice settings and strategies, although institutions that used guidelines, electronic record features, and quality improvement projects observed lower antibiotic and azithromycin use and higher amoxicillin use.Conclusions: Although we did not observe a decrease in antibiotic prescribing for ARI after providing benchmarking reports, there was improvement in antibiotic selection. Guidelines and quality improvement initiatives may have the biggest impact on antibiotic prescribing metrics.","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144999462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Storage cabinet design and infection prevention implications for long endoscopes. 长内窥镜的存储柜设计和感染预防意义。

IF 2.4 3区医学

American journal of infection control Pub Date : 2025-09-01 DOI: 10.1016/j.ajic.2025.08.030

Daisuke Ohki, Miyuki Mizoguchi, Keigo Iwazaki, Norio Nakagawa, Mayo Tsuboi, Ryu Yoneda, Satoshi Kitaura, Kazuya Okushin, Nobuhiko Satoh, Naomi Kakushima, Yosuke Tsuji, Mitsuhiro Fujishiro, Takeya Tsutsumi

{"title":"Storage cabinet design and infection prevention implications for long endoscopes.","authors":"Daisuke Ohki, Miyuki Mizoguchi, Keigo Iwazaki, Norio Nakagawa, Mayo Tsuboi, Ryu Yoneda, Satoshi Kitaura, Kazuya Okushin, Nobuhiko Satoh, Naomi Kakushima, Yosuke Tsuji, Mitsuhiro Fujishiro, Takeya Tsutsumi","doi":"10.1016/j.ajic.2025.08.030","DOIUrl":"10.1016/j.ajic.2025.08.030","url":null,"abstract":"Background: Adequate drying of endoscope channels following reprocessing is critical to inhibit microbial growth. This study evaluated residual moisture and bacterial contamination in endoscopes stored using different cabinets and storage methods.Methods: EN-580T endoscopes were stored in 3 cabinets: TJ-908S and TJ-804S (both with active drying) and TM-804S (passive drying). Storage methods included full vertical suspension, partial suspension, and looped storage. Residual moisture was measured at 24 and 48 hours. Endoscopes were also inoculated with Pseudomonas aeruginosa (10⁵ CFU/mL) and stored under each condition. Bacterial cultures were performed to assess microbial growth.Results: In TJ-908S with full vertical suspension, average residual moisture was 23.9 μL at 24 hours and 17.6 μL at 48 hours. In TM-804S and TJ-804S using partial suspension or looped storage, moisture ranged from 289.4 to 383.7 μL at 24 hours and from 278.5 to 518.7 μL at 48 hours. Bacterial cultures from TJ-908S-stored scopes showed minimal growth. In contrast, those stored in TM-804S and TJ-804S exhibited variable but higher CFU counts, including samples with > 100 CFU.Conclusions: Cabinet design and storage method significantly influence endoscope drying and bacterial proliferation. Full vertical suspension may reduce contamination risk and enhance infection control practices.","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144991203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Progression from Candida (Candidozyma) auris colonization to bloodstream infection, New York State (NYS) and Chicago. 从耳念珠菌（念珠菌酵母菌）定植到血流感染的进展，纽约州和芝加哥。

IF 2.4 3区医学

American journal of infection control Pub Date : 2025-09-01 DOI: 10.1016/j.ajic.2025.08.032

Karen Southwick, Belinda Ostrowsky, Monica Quinn, Tristan McPherson, Stephen Perez, Jane Greenko, Coralie Bucher, Valerie Haley, Rafael Fernandez, Kelly Walblay, Sarah Kogut, Emily Lutterloh

引用次数: 0

Relaunch of an electronic monitoring system to sustain hand hygiene observations and compliance: A quality improvement study. 重新启用电子监察系统以监察手部卫生及依从情况：质素改善研究。

IF 2.4 3区医学

American journal of infection control Pub Date : 2025-09-01 DOI: 10.1016/j.ajic.2025.08.026

Ashley M Brooks, William C Roettger, Alexandra N Bates, Kristin J Schultz, Brad A Krier, Pawan Bhandari, Gokhan Anil

{"title":"Relaunch of an electronic monitoring system to sustain hand hygiene observations and compliance: A quality improvement study.","authors":"Ashley M Brooks, William C Roettger, Alexandra N Bates, Kristin J Schultz, Brad A Krier, Pawan Bhandari, Gokhan Anil","doi":"10.1016/j.ajic.2025.08.026","DOIUrl":"10.1016/j.ajic.2025.08.026","url":null,"abstract":"Background: Hand hygiene (HH) can help prevent infections in health care settings. Our hospital implemented an electronic HH monitoring system (EHHMS) in fall 2021 to increase HH compliance. Initial improvements decreased below established goals over time. This quality improvement study aimed to determine the effectiveness of an EHHMS relaunch to achieve sustainable improvement in HH observations and compliance.Methods: HH observations were tracked based on staff entries and exits from patient rooms; HH compliance was the ratio of HH events over HH observations. The relaunch in February 2023 focused on standardization of expectations, leadership engagement, development of reference materials, and sharing weekly data.Results: During initial EHHMS implementation, the mean HH observations were 80.3 per patient-day, with HH compliance of 94.8%; HH observations then decreased to 63.0 per patient-day with 93.7% compliance. The relaunch resulted in significant sustained improvement, with 79.0 mean HH observations per patient-day (28.2% increase) and 94.6% HH compliance (P < .001). These gains were sustained throughout the following 18-month control period.Discussion: Implementing an EHHMS improved HH compliance. Success depended on frontline leaders' buy-in, practical interventions, and continuous feedback. Future studies should explore long-term sustainability and broader effects.Conclusions: Sustained performance after EHHMS implementation requires a comprehensive plan.","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144991198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The effect of textiles and their management on healthcare-associated infections: A scoping review. 纺织品及其管理对医疗保健相关感染的影响：范围审查

IF 2.4 3区医学

American journal of infection control Pub Date : 2025-08-28 DOI: 10.1016/j.ajic.2025.08.027

Arianna Caliaro, Alessia Pontirolli, Federica Canzan, Elisa Ambrosi

{"title":"The effect of textiles and their management on healthcare-associated infections: A scoping review.","authors":"Arianna Caliaro, Alessia Pontirolli, Federica Canzan, Elisa Ambrosi","doi":"10.1016/j.ajic.2025.08.027","DOIUrl":"10.1016/j.ajic.2025.08.027","url":null,"abstract":"Background: Textiles in healthcare settings can act as reservoirs for microbial contamination. However, their role in transmitting healthcare-associated infections (HAIs) remains underexplored.Methods: This scoping review mapped existing evidence on the composition and management of hospital textiles for HAI prevention. A systematic search was conducted across PubMed, CINAHL, Cochrane Central Register of Controlled Trials, Web of Science, and Scopus.Results: Twenty studies were included, investigating antimicrobial textile compositions and management interventions, such as decontamination methods and replacement schedules. Decontamination of privacy curtains with hydrogen peroxide (spray, wipe, or dry aerosol), quaternary ammonium compounds (daily or biweekly), and sodium hypochlorite (Endurocide brand and BioSmart) showed reductions in bacterial load. BioSmart without hypochlorite showed no significant difference from standard curtains. Endurocide reduced total aerobic count, while Ecomed curtains with silver did not. Effects on multidrug-resistant organisms were inconsistent. Bedding textiles treated with copper oxide, zinc oxide, or Bio-kil nanotechnology yielded mixed results, with some studies reporting HAIs reductions, including catheter-related urinary tract and bloodstream infections, Clostridium-difficile, and multidrug-resistant organisms, while others found no significant effects.Conclusions: Textile management strategies, including antimicrobial treatments and cleaning protocols, potentially reduce microbial contamination and HAIs. Future research should address gaps in textile handling (laundering, storage, replacement) for comprehensive infection prevention.","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144939003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Changes in antimicrobial prescriptions in South Korea during and beyond the coronavirus disease 2019 pandemic: An interrupted time-series analysis. 2019年冠状病毒大流行期间和之后韩国抗微生物药物处方的变化：一项中断的时间序列分析。

IF 2.4 3区医学

American journal of infection control Pub Date : 2025-08-28 DOI: 10.1016/j.ajic.2025.08.021

Juseong Kang, Jeongjae Lee, Sangyong Jo, Seunghoon Lee, Hyunjin Son, Bong Jo Kim, Minkook Son

{"title":"Changes in antimicrobial prescriptions in South Korea during and beyond the coronavirus disease 2019 pandemic: An interrupted time-series analysis.","authors":"Juseong Kang, Jeongjae Lee, Sangyong Jo, Seunghoon Lee, Hyunjin Son, Bong Jo Kim, Minkook Son","doi":"10.1016/j.ajic.2025.08.021","DOIUrl":"10.1016/j.ajic.2025.08.021","url":null,"abstract":"Background: Although the coronavirus pandemic significantly affected antibiotic use, studies on the long-term effects of the pandemic on antibiotic use are lacking. We aimed to investigate the changes in antibiotic prescriptions during the pandemic and subsequent endemic period in South Korea.Methods: For this interrupted time-series study, we used claims data from the National Health Insurance System for January 2018 to December 2023. We used generalized least-squares models with the pandemic and endemic periods as interventions. We measured changes in the number of patients prescribed antibiotics, number of prescriptions, and cost of prescriptions during the pre-pandemic, pandemic, and endemic periods. Subgroup analyses were conducted according to hospital type, patient type, and antibiotic class.Results: During the study period, 694 million patients were prescribed antibiotics. The standardized coefficient of immediate effect on the number of patients prescribed antibiotics at the start of the pandemic was -0.936 (P < .001). Abrupt decreases were followed by a gradual upslope during the endemic (0.577, P < .001). Tertiary hospitals exhibited an immediate decrease at the beginning of the pandemic (-0.869, P < .001) and early subsequent recovery during the endemic (1.491, P = .001).Conclusions: This study may help inform flexible policies for infection control, antimicrobial stewardship, and public health improvement.","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Timing and type of personal protective equipment adherence lapses in pediatric trauma resuscitation: A retrospective video study. 儿童创伤复苏中个人防护装备缺失的时间和类型：一项回顾性视频研究。

IF 2.4 3区医学

American journal of infection control Pub Date : 2025-08-28 DOI: 10.1016/j.ajic.2025.08.023

Mary S Kim, Dylan W Arkowitz, Alice A Currie, Aleksandra Sarcevic, Randall S Burd

{"title":"Timing and type of personal protective equipment adherence lapses in pediatric trauma resuscitation: A retrospective video study.","authors":"Mary S Kim, Dylan W Arkowitz, Alice A Currie, Aleksandra Sarcevic, Randall S Burd","doi":"10.1016/j.ajic.2025.08.023","DOIUrl":"10.1016/j.ajic.2025.08.023","url":null,"abstract":"Background: Although personal protective equipment (PPE) reduces the transmission of infectious diseases, adherence among health care providers remains inconsistent. Developing strategies to improve PPE use requires understanding the factors associated with adherence lapses, defined as the partial undoing or removal of PPE, leading to nonadherence.Methods: We performed a retrospective video review of 10 pediatric trauma resuscitations from March 2023 to July 2024. We recorded the number of lapses, the time from adherence to lapse (time-to-lapse), and the timing of lapses during resuscitation. We observed provider actions before and after a lapse to understand situational factors.Results: We observed 292 lapses among 120 providers. The median time-to-lapse was 7.7 minutes (interquartile range [IQR] 3.8-15.1) for gloves, 1.5 minutes (IQR 0.3-6.8) for masks, and 13.4 minutes (IQR 6.6-26.6) for gowns. Lapses in masks (estimate -0.4, 95% confidence interval -0.6 to -0.3, P < .001) occurred earlier in the resuscitations. Of 292 lapses, 105 (36.0%) were corrected. The most common provider action before a lapse included \"observing\" (n = 109/292, 37.3%).Conclusions: PPE lapses were frequent in the postpandemic setting. The time-to-lapse and lapse timing varied by PPE type. Aligning PPE monitoring with lapse patterns may optimize nonadherence detection and correction.","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12439607/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144939055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluation of different disinfectant chemistries and application methods on surfaces contaminated with Staphylococcus aureus. 金黄色葡萄球菌污染表面不同消毒剂化学成分及使用方法的评价。

IF 2.4 3区医学

American journal of infection control Pub Date : 2025-08-28 DOI: 10.1016/j.ajic.2025.08.029

Geraldine M Tembo, Daniel A Fajardo, Gurpreet K Chaggar, Kelly Rainey, Siddharth Kumar, Leslie Santos, Kazi A Ahmed, Peter J Teska, Haley F Oliver

{"title":"Evaluation of different disinfectant chemistries and application methods on surfaces contaminated with Staphylococcus aureus.","authors":"Geraldine M Tembo, Daniel A Fajardo, Gurpreet K Chaggar, Kelly Rainey, Siddharth Kumar, Leslie Santos, Kazi A Ahmed, Peter J Teska, Haley F Oliver","doi":"10.1016/j.ajic.2025.08.029","DOIUrl":"10.1016/j.ajic.2025.08.029","url":null,"abstract":"Background: Transmission of health care-acquired infections from pathogens such as Staphylococcus aureus is still a concern in hospital environments. Proper cleaning and disinfection application methods are essential to mitigate the spread of pathogens. We hypothesized there would be significant differences in hygiene outcomes of the products, application methods, and wiping cloths.Methods: Efficacies of 7 products were compared and tested against S. aureus American Type Culture Collection 6538 on a 2-square-meter Formica surface. Four application methods (cloth and bucket, prewet, spray surface and wipe with cloth, and spray cloth and wipe surface) were used with 3 wiping cloths to evaluate differences in hygiene outcomes.Results: Hydrogen peroxide--based product was most efficacious against S. aureus compared with other products. There were significant differences in application methods and wiping cloths used in the study. Regardless of product, application method, and cloth used, there was evidence of cross-contamination to previously sterile surfaces, wiping cloths, and gloves, especially when nonantimicrobials were used.Conclusions: Overall, most antimicrobials had higher bactericidal efficacy compared with nonantimicrobials. Desirable hygiene outcomes were achieved when the spray surface and wipe with cloth method, microfiber, and nonwoven cloth were used in the study. However, all cloths retained viable bacteria, posing a risk of cross-contamination.","PeriodicalId":7621,"journal":{"name":"American journal of infection control","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144939015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0