全面回顾医院感染的预防和管理:当前战略和最佳实践

Sanjay Kumar, K. Kamath, A. R. Shabaraya
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引用次数: 0

摘要

医院获得性感染(HAIs)是一个重大的全球公共卫生问题,每年影响数百万患者。HAIs 的另一个名称是院内感染 (NI)。这些感染源于病人在住院期间感染的疾病,会对他们的健康产生重大的负面影响,如增加发病率、延长住院时间甚至死亡。抗生素耐药病原体的增加加剧了 HAIs 的复杂性和严重性。医疗机构需要采取全面、循证的策略来预防和控制 HAI,以解决这一问题。这就需要执行循证程序,如清洁环境、使用适当的抗菌剂、保持手部卫生,以及不断评估和评价其 HAI 预防计划。改善患者治疗效果、降低医疗成本、维护公众对医疗系统的信心都有赖于降低 HAI 的流行率。改进医院流行病学监测、感染控制实践和实施 HAI 预防指南应能降低发病率和死亡率。尽管如此,HAIs 仍然是高危人群的一大隐忧。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A comprehensive review on prevention and management of hospital-acquired infections: Current strategies and best practices
Hospital-acquired infections (HAIs) are a significant global public health issue, impacting millions of patients annually. Another name for HAIs is nosocomial infections (NI).These infections arise from illnesses that patients contract while they are in the hospital and can have major negative effects on their health, such as increased morbidity, prolonged hospital stays, or even death. The rise of antibiotic-resistant pathogens has only added to the complexity and severity of HAIs. Healthcare facilities need to take a thorough, evidence-based strategy to HAI prevention and control in order to solve this issue. This entails carrying out evidence-based procedures, like cleaning the environment, using the proper antimicrobial agents, and practicing hand hygiene, in addition to continuously assessing and evaluating their HAI prevention program. Improving patient outcomes, cutting healthcare costs, and preserving public confidence in the healthcare system all depend on lowering the prevalence of HAIs. Improvements in hospital epidemiological surveillance, infection control practices, and the implementation of HAI prevention guidelines should lead to a decrease in the frequency of morbidity and mortality. Nonetheless, HAIs continue to be a major worry for high-risk populations.
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