中心无菌供应科对医院相关感染的管理:系统回顾和荟萃分析。

IF 1.7 4区 医学 Q4 INFECTIOUS DISEASES
Jing Shuai, Maoyu Liu, Jialing Hou, Yu Chen, Jun Jiang, Jing Yu, Liang Yin
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引用次数: 0

摘要

医院相关感染(HAIs)在临床环境中构成重大风险,无菌供应中心的管理在感染控制中起着至关重要的作用。本系统综述和荟萃分析旨在评估供应中心管理对HAIs发生率和不良事件的影响。系统综述包括比较供应中心管理方案和标准护理的研究。按照PRISMA指南在7个数据库中检索相关研究。荟萃分析计算HAIs和不良事件的合并优势比(OR),并使用Tau2、卡方和I2统计来评估异质性。最终分析纳入了8项研究,每项研究都评估了干预效果。结果显示HAIs显著降低(合并OR=0.3;95%可信区间(0.19;0.49])。不良事件也显著减少(合并OR=0.15;95%可信区间(0.09;0.25])。两种HAIs的异质性均较低(Tau2=0.00;I2=0%)和不良事件(Tau2=0.04;I2=19%),这表明在所有研究中都有一致的效果。无菌供应中心管理显著降低了HAIs和不良事件的发生率。这表明这些干预措施在改善临床结果方面是有效的,并且可能成为卫生保健机构感染控制策略的重要组成部分。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Central sterile supply departament management on hospital-associated infections: a systematic review and meta-analysis.

Central sterile supply departament management on hospital-associated infections: a systematic review and meta-analysis.

Central sterile supply departament management on hospital-associated infections: a systematic review and meta-analysis.

Central sterile supply departament management on hospital-associated infections: a systematic review and meta-analysis.

Hospital-associated infections (HAIs) pose significant risks in clinical settings, and sterile supply centers management plays a crucial role in infection control. This systematic review and meta-analysis aimed to evaluate the impact of supply center management on the incidence of HAIs and adverse events. The systematic review encompassed studies that compared supply center management protocols with standard care. The PRISMA guidelines were followed to search seven databases for relevant studies. The meta-analysis calculated pooled odds ratios (OR) for HAIs and adverse events, and heterogeneity was assessed using Tau2, Chi-squared, and I2 statistics. Eight studies were included in the final analysis, each assessing intervention efficacy. The results revealed a significant reduction in HAIs (pooled OR=0.3; 95%CI [0.19; 0.49]). Adverse events were also significantly reduced (pooled OR=0.15; 95%CI [0.09; 0.25]). Heterogeneity was low for both HAIs (Tau2=0.00; I2=0%) and adverse events (Tau2=0.04; I2=19%), which indicated a consistent effect across the studies. Sterile supply center management significantly reduced the incidence of HAIs and adverse events. This suggests these interventions are effective in improving clinical outcomes and could be a vital component of infection control strategies in healthcare facilities.

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来源期刊
CiteScore
3.60
自引率
5.30%
发文量
100
审稿时长
6-12 weeks
期刊介绍: The Revista do Instituto de Medicina Tropical de São Paulo (Journal of the São Paulo Institute of Tropical Medicine) is a journal devoted to research on different aspects of tropical infectious diseases. The journal welcomes original work on all infectious diseases, provided that data and results are directly linked to human health. The journal publishes, besides original articles, review articles, case reports, brief communications, and letters to the editor. The journal publishes manuscripts only in English. From 2016 on, the Revista do Instituto de Medicina Tropical de São Paulo (Journal of the São Paulo Institute of Tropical Medicine) is published online only, maintaining the free access. For more information visit: - http://www.scielo.br/rimtsp - http://www.imt.usp.br/revista-imt/
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