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ICE volume 43 issue 8 Cover and Front matter ICE第43卷第8期封面和封面问题
Pub Date : 2022-08-01 DOI: 10.1017/ice.2022.199
L. Simpson, Kaitlin Macdonald, E. Searle, Jennifer A. Shearer, Dimitar Dimitrov, Daniel Foley, Eduardo Morales, Erica S. Shenoy, J. K. Johnson, Colleen Clay, Leo Girio-Herrera, Diane Stevens, Michael Abraham, Paul Zimand, M. Ahlman, Sheri Gimigliano, Richard Zhao, Cynthia Hildenbrand, F. Barrueto, Takaaki Kobayashi, Alexandra Trannel, Stephanie A Holley, Oluchi J. Abosi, K. Jenn, Holly Meacham, Lorinda L. Sheeler, W. Etienne, Angelique Dains, Mary E. Kukla, Emily Ward, Bradley Ford, Michael B. Edmond, M. Wellington, Daniel J. Diekema, Jorge L. Salinas, F. Borca
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引用次数: 0
ICE volume 43 issue 7 Cover and Front matter ICE第43卷第7期封面和封面问题
Pub Date : 2022-07-01 DOI: 10.1017/ice.2022.179
R. Moehring, David J. Weber, Maryam Obaidallah, Victoria R. Williams, Matthew P. Muller, Jeff E. Powis, Jennie Johnstone, S. Hota, Kevin Katz, Michael Payne, Lucas Castellani, Mark Downing, Dominik Mertz, D. Ricciuto, S. S. Sata, Brian Griffith, Ashley Coop, Ibukun Kalu, J. Engemann, Jessica L. Seidelman, Nicholas A. Turner, Christopher R. Polage, Adeniyi J. Idigo, Matthew L. Brown, Amrita Mukherjee, Mozhdeh Bahranian, Sally A. Jolles, Andriy Batchinsky, Phyllis E. Kozarsky, Joanna L. Gaines
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引用次数: 0
ICE volume 43 issue 7 Cover and Back matter ICE第43卷第7期封面和封底
Pub Date : 2022-07-01 DOI: 10.1017/ice.2022.180
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引用次数: 0
ICE volume 43 issue 6 Cover and Back matter ICE第43卷第6期封面和封底
Pub Date : 2022-06-01 DOI: 10.1017/ice.2022.146
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引用次数: 0
ICE volume 43 issue 6 Cover and Front matter ICE第43卷第6期封面和封面问题
Pub Date : 2022-06-01 DOI: 10.1017/ice.2022.145
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引用次数: 0
FebriDx host-response point-of-care testing improves patient triage for coronavirus disease 2019 (COVID-19) in the emergency department FebriDx宿主反应点护理测试改善了急诊科2019冠状病毒病(COVID-19)的患者分诊
Pub Date : 2022-05-02 DOI: 10.1017/ice.2022.29
M. DiLorenzo, E. Schechter-Perkins
Although we had all hoped we might not reach this pandemic point again, much of the world is seeing rising numbers of coronavirus disease 2019 (COVID-19) cases. Healthcare systems across the United States and elsewhere are strained, and the findings of Mansbridge et al1 regarding the use of FebriDx (Lumos Diagnostics, Sarasota, FL) in the emergency department (ED) to quickly separate patients infected with severe acute respiratory coronavirus virus 2 (SARS-CoV-2) from other patients provides us with a welcome tool in our hospital management of COVID-19. The SARS-CoV-2 omicron variant is ∼3.3 times more transmissible than the previous delta variant, and it has created a surge that has overwhelmed hospitals worldwide since November 2021.2,3 The United States is now recording >800,000 COVID-19 cases per day, and this is likely an underestimate given the high number of rapid tests being performed outside healthcare settings that report results.4 Although many of these cases are asymptomatic or mild and do not prompt a visit to the ED, many of them aremore severe, and do. Additionally, when the community prevalence of the disease is high, the number of people incidentally infected with severe acute respiratory coronavirus virus 2 (SARSCoV-2) that need to visit the ED for other reasons is high as well. The influx of COVID-19 patients into EDs during the current omicron surge has exacerbated the long-standing problem of ED overcrowding.5 Burnt-out healthcare workers and those who may be absent due to quarantine, isolation, or caring for a child whose school has been canceled lead to shortages of staff.6,7 This shortage frequently results in insufficient capacity to open certain areas of the ED where isolation rooms might exist. Nationwide, this situation has led to EDs to resort to using hallway spaces for patient care.8,9 Patients may wait anywhere from 2 to 6 hours before seeing a provider and continue to receive care in those spots even longer. Those who need to be admitted remain in the ED while waiting for inpatient hospital beds to become available and, in some hospitals, admitted patients are being boarded in the ED for days due to a lack of beds elsewhere. Unfortunately, the symptoms of SARS-CoV-2 are protean and not easily distinguished from other disease entities. Thus, patients with mixed infection status may be placed in stretchers near each other. Consistently wearing a mask for long periods of time while in this setting can be very challenging for patients, particularly those who are very ill. All these factors make preventing nosocomial transmission challenging, particularly in high-prevalence areas, as we are seeing throughout much of the United States. For example, in New York City at the peak of the omicron surge, 31% of patients tested for SARS-CoV-2 were positive.10 Quickly identifying and isolating patients with COVID-19 individually or in cohorts could dramatically reduce nosocomial transmission in the ED. However, we cannot rely o
尽管我们都希望我们不会再次达到这种大流行的程度,但世界上大部分地区的2019年冠状病毒病(COVID-19)病例数量正在上升。美国和其他地方的医疗保健系统都很紧张,Mansbridge等人关于在急诊科(ED)使用FebriDx (Lumos Diagnostics, Sarasota, FL)快速将感染严重急性呼吸道冠状病毒2 (SARS-CoV-2)的患者与其他患者分开的研究结果,为我们的医院管理COVID-19提供了一个受欢迎的工具。SARS-CoV-2组微粒变体的传染性是之前的delta变体的3.3倍,自2021年11月以来,它已经造成了一种激增,使世界各地的医院不堪重负,3美国现在每天记录80万例COVID-19病例,考虑到在报告结果的医疗机构之外进行的大量快速检测,这可能被低估了虽然这些病例中有许多是无症状或轻微的,不需要去急诊室,但其中许多病例更严重,也需要去急诊室。此外,当该疾病的社区患病率较高时,因其他原因意外感染严重急性呼吸道冠状病毒2 (SARSCoV-2)的人数也较高。在当前的疫情高峰期,COVID-19患者涌入急诊科,加剧了急诊科长期存在的过度拥挤问题体力不支的医护人员和因隔离、隔离或照顾学校停课的孩子而可能缺席的医护人员导致了人员短缺。6,7这种短缺往往导致没有足够的能力开放急诊室可能存在隔离室的某些区域。在全国范围内,这种情况导致急诊科使用走廊空间进行病人护理。患者可能在任何地方等待2到6个小时才能见到提供者,并在这些地点继续接受治疗更长时间。那些需要入院的人在等待住院病床的时候留在急诊科,在一些医院,由于其他地方床位不足,入院的病人在急诊科呆了好几天。不幸的是,SARS-CoV-2的症状是多种多样的,不易与其他疾病实体区分开来。因此,混合感染状态的患者可以放在担架上彼此靠近。在这种环境下长时间戴口罩对患者来说是非常具有挑战性的,尤其是那些病得很重的患者。所有这些因素使预防院内传播具有挑战性,特别是在高流行地区,正如我们在美国大部分地区所看到的那样。例如,在纽约市,在组粒激增的高峰期,31%的SARS-CoV-2患者检测呈阳性快速识别和隔离COVID-19患者个体或队列可以显着减少急诊科的院内传播。然而,我们不能依赖于大流行早期使用的方法,例如体温检查和症状筛查,这些方法已被证明基本上无效。11,12即使是结合实验室和成像数据的更先进的临床算法,在确定患者感染COVID-19.13的可能性方面也不是很准确。考虑到大量无症状患者,这种情况预计在组粒变异中会更加普遍相比之下,快速点护理检测(POCTs)的周转时间为10-15分钟,可用于快速识别和分离COVID-19.15患者。在他们的手稿中,Mansbridge等人研究了1 POCT的使用,即横向流动测定法FebriDx,该方法被设计用于区分细菌和病毒性疾病。他们研究了它在高患病率环境中的使用情况,类似于我们现在在美国一些地区看到的情况,他们发现它有助于减少因担心COVID-19而被分流到急诊室的患者在高风险、拥挤区域的时间。虽然FebriDx目前还没有被美国食品和药物管理局批准在美国使用,但其他的护理点(POC)横向流动检测已经被批准,特别是各种抗原检测。这类测试同样被证明在检测感染性病毒方面具有高灵敏度和阴性预测值,16-18,这些测试可以考虑以类似于FebriDx的方式使用。SARS-CoV-2抗原检测在检测特定病毒方面比特异性较低的检测具有优势。随着SARS-CoV-2以外的呼吸道病毒的流行率增加,SARS-CoV-2抗原检测将允许更准确地将患者分组。 在初次急诊科就诊时,使用快速POC测定法(抗原或抗病毒宿主反应试验)的另一个主要优点是,它们比PCR检测更不可能从已经康复的患者的先前感染中提取残留病毒。作者:Elissa M. Schechter-Perkins, E-mail: elissa.perkins@bmc。本文引用自:马志强,谢克特-珀金斯(2022)。FebriDx宿主反应点护理测试改善了急诊科2019冠状病毒病(COVID-19)的患者分诊。感染控制与医院流行病学,43:1049-1050,https://doi.org/10.1017/ice.2022.29
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引用次数: 0
ICE volume 43 issue 5 Cover and Front matter ICE第43卷第5期封面和封面问题
Pub Date : 2022-05-01 DOI: 10.1017/ice.2022.113
N. Buetti, J. Marschall, Marci Drees, M. Fakih, L. Hadaway, L. Maragakis, Elizabeth A. Monsees, Shannon Novosad, Naomi P. O’Grady, M. Rupp, Joshua Wolf, D. Yokoe, L. Mermel, Valeria Fabre, S. Karaba, Joe Amoah, Matthew Robinson, George F. Jones, Kathryn Dzintars, Morgan J Katz, S. Qasba, D. Livorsi, K. S. Steffensmeier, E. Perencevich, M. Goetz
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引用次数: 0
ICE volume 43 issue 5 Cover and Back matter ICE第43卷第5期封面和封底
Pub Date : 2022-05-01 DOI: 10.1017/ice.2022.114
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引用次数: 0
Is there still a room for improvement in antimicrobial use in a setting where use of broad-spectrum antibiotics require approval of an infectious diseases physician? 在使用广谱抗生素需要传染病医生批准的情况下,抗菌药物的使用是否还有改进的余地?
Pub Date : 2022-04-11 DOI: 10.1017/ice.2022.81
G. Metan, Ö. Uzun, G. Telli Dizman, M. Ç. Sönmezer, A. Inkaya, G. Hazırolan, M. Akova, S. Ünal
Gökhan Metan MD12 , Ömrüm Uzun MD2 , Gülçin Telli Dizman MD12, Meliha Çağla Sönmezer MD2 , Ahmet Çağkan İnkaya MD2 , Gülşen Hazırolan MD3, Murat Akova MD2 and Serhat Ünal MD12 1Infection Control Committee Hacettepe University Hospitals, Ankara, Turkey, 2Department of Infectious Diseases and Clinical Microbiology, Hacettepe University Faculty of Medicine, Ankara, Turkey and 3Department of Medical Microbiology, Hacettepe University Faculty of Medicine, Ankara, Turkey
Gökhan Metan MD12, Ömrüm Uzun MD2, g l in Telli Dizman MD12, Meliha Çağla Sönmezer MD2, Ahmet Çağkan İnkaya MD2, g l en Hazırolan MD3, Murat Akova MD2和Serhat Ünal MD12 1土耳其安卡拉Hacettepe大学医院感染控制委员会,2土耳其安卡拉Hacettepe大学医学院传染病和临床微生物学系,土耳其安卡拉Hacettepe大学医学院医学微生物学系,土耳其安卡拉
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引用次数: 0
ICE volume 43 issue 4 Cover and Back matter ICE第43卷第4期封面和封底
Pub Date : 2022-04-01 DOI: 10.1017/ice.2022.86
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引用次数: 0
期刊
Infection Control & Hospital Epidemiology
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