Multicomponent Approaches to Reduce Multidrug-Resistant Organisms in Critical Care: Determining the Ideal Strategy.

IF 3.8 4区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Journal of Epidemiology and Global Health Pub Date : 2024-09-30 DOI:10.1007/s44197-024-00297-3
Salma AlBahrani, Mustafa Saad, Jaber S Alqahtani, Zainab Almoosa, Mohammed Alabdulla, Mohammed Algezery, Sondos AlShehri, Jaffar A Al-Tawfiq
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Abstract

Although there is ample proof of the advantages of infection prevention and Control (IPC) in acute-care hospitals, there is still some questions about the efficacy of IPC interventions for multidrug-resistant organisms (MDROs), and there is a need for the development of evidence-based practices. No healthcare facility has found a single effective technique to reduce MDRO. However, a multicomponent intervention that included improved barrier protection, chlorhexidine bathing, microbiological monitoring, and staff involvement significantly decreased the likelihood of infection in the patient surroundings with multidrug-resistant organisms. A practical strategy suited to reducing the burden of MDROs and their transmission potential in the critical care unit must be established in light of the global development of AMR. In this review, we summarize key findings of a multicomponent approaches to reduce MDROs in critical care units.

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重症监护中减少耐多药生物的多组分方法:确定理想策略。
尽管有大量证据证明急症护理医院的感染预防与控制(IPC)具有优势,但对于多重耐药菌(MDRO),IPC 干预措施的效果仍存在一些问题,因此有必要制定以证据为基础的实践方法。目前还没有一家医疗机构找到减少 MDRO 的单一有效技术。然而,一项包括改进屏障保护、洗必泰沐浴、微生物监测和员工参与在内的多成分干预措施却能显著降低病人周围感染耐多药生物的可能性。鉴于 AMR 在全球范围内的发展,必须制定切实可行的策略来减轻 MDRO 的负担并降低其在重症监护病房传播的可能性。在这篇综述中,我们总结了减少重症监护病房 MDROs 的多组分方法的主要发现。
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来源期刊
CiteScore
10.70
自引率
1.40%
发文量
57
审稿时长
19 weeks
期刊介绍: The Journal of Epidemiology and Global Health is an esteemed international publication, offering a platform for peer-reviewed articles that drive advancements in global epidemiology and international health. Our mission is to shape global health policy by showcasing cutting-edge scholarship and innovative strategies.
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