Tracheal tube infections in critical care: A narrative review of influencing factors, microbial agents, and mitigation strategies in intensive care unit settings.

IF 2.3 Q2 MEDICINE, GENERAL & INTERNAL SAGE Open Medicine Pub Date : 2024-12-16 eCollection Date: 2024-01-01 DOI:10.1177/20503121241306951
Tahereh Motallebirad, Mohammad Reza Mohammadi, Ali Jadidi, Mehdi Safarabadi, Azam Kerami, Davood Azadi, Ehab Salam Hussein
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Abstract

Tracheal tube infections pose significant challenges in the management of mechanically ventilated patients in intensive care units. These infections contribute to prolonged intensive care unit stays, increased healthcare costs, the spread of antibiotic resistance, and poor patient outcomes. This study aims to elucidate the complex relationship between environmental factors, hospital practices, and the incidence of tracheal tube infections. Our comprehensive review explores the impact of factors such as air quality, water sources, equipment contamination, ventilation strategies, infection control protocols, and microbial reservoirs within hospital settings on tracheal tube infection rates. Additionally, it investigates global variations in tracheal tube infection prevalence, which are influenced by differences in healthcare infrastructure, infection control adherence, antibiotic resistance profiles, and patient demographics. Our findings highlight the importance of targeted interventions and collaborative approaches to reduce the burden of tracheal tube infections and improve patient care in intensive care units. By fully understanding the interplay between environmental conditions and hospital practices, effective prevention and management strategies can be developed to reduce the impact of tracheal tube infections on patient outcomes and healthcare resources, ultimately enhancing the quality of care in critical care settings.

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重症监护中的气管管感染:对重症监护病房环境中的影响因素、微生物制剂和缓解策略的叙述性回顾。
气管导管感染给重症监护病房机械通气患者的管理带来了巨大挑战。这些感染导致重症监护病房的住院时间延长、医疗成本增加、抗生素耐药性蔓延以及患者预后不佳。本研究旨在阐明环境因素、医院实践和气管插管感染发生率之间的复杂关系。我们的综合综述探讨了医院环境中的空气质量、水源、设备污染、通风策略、感染控制方案和微生物库等因素对气管插管感染率的影响。此外,它还调查了气管插管感染率的全球差异,这些差异受到医疗保健基础设施、感染控制依从性、抗生素耐药性概况和患者人口统计学差异的影响。我们的研究结果凸显了有针对性的干预措施和合作方法对于减轻气管插管感染负担和改善重症监护病房患者护理的重要性。通过充分了解环境条件和医院实践之间的相互作用,可以制定有效的预防和管理策略,减少气管插管感染对患者预后和医疗资源的影响,最终提高重症监护环境中的护理质量。
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来源期刊
SAGE Open Medicine
SAGE Open Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
3.50
自引率
4.30%
发文量
289
审稿时长
12 weeks
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