重症监护室中的医院内感染

IF 0.2 Q4 ANESTHESIOLOGY Anaesthesia and Intensive Care Medicine Pub Date : 2024-10-01 DOI:10.1016/j.mpaic.2024.07.003
Frances Lanaghan, Peter Stenhouse
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引用次数: 0

摘要

非医院感染对重症监护病房的发病率、死亡率、资源和经济造成了巨大负担。与医院其他科室的病人相比,重症监护病人因其潜在的并发症、急性疾病过程和所需治疗而发生感染的风险更高。重症监护病房的病人与留置装置有很大关系。因此,我们提倡每天对侵入性装置的持续需求进行检查,应用护理捆绑包,并引入针对手部卫生和感染控制协议的地方政策,以控制感染。呼吸机获得性肺炎和导管相关感染最为常见。对这些感染的处理通常采用经验性抗菌药物,但建议根据培养敏感性以及当地微生物学团队和感染控制团队的意见进行有针对性的治疗。抗菌素耐药性的负担越来越重,部分原因是重症监护病房患者的临床状况和经验性广谱抗菌素的频繁使用。
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Nosocomial infections in the intensive care unit
Nosocomial infections are associated with a significant morbidity, mortality, resource and financial burden in ICU. Critical care patients are at an increased risk of developing infections compared to patients elsewhere in hospital due to underlying comorbidities of the patient, the acute disease process and treatments required. There is a strong association with indwelling devices in the ICU population. As such, daily review of ongoing requirement for the invasive device and the application of care bundles, as well as the introduction of local policies targeting hand hygiene and infection control protocols to manage infections have been promoted. Ventilator-acquired pneumonia and catheter-related infections are most common. Management of these frequently involves empirical antimicrobials, although targeted therapy based on culture sensitivities and input from the local microbiology team and infection control team are suggested. There is an increasing burden of antimicrobial resistance in part due to the clinical condition of ICU patients and the frequent use of empirical broad-spectrum antibiotics.
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来源期刊
CiteScore
0.50
自引率
0.00%
发文量
152
期刊介绍: Anaesthesia and Intensive Care Medicine, an invaluable source of up-to-date information, with the curriculum of both the Primary and Final FRCA examinations covered over a three-year cycle. Published monthly this ever-updating text book will be an invaluable source for both trainee and experienced anaesthetists. The enthusiastic editorial board, under the guidance of two eminent and experienced series editors, ensures Anaesthesia and Intensive Care Medicine covers all the key topics in a comprehensive and authoritative manner. Articles now include learning objectives and eash issue features MCQs, facilitating self-directed learning and enabling readers at all levels to test their knowledge. Each issue is divided between basic scientific and clinical sections. The basic science articles include anatomy, physiology, pharmacology, physics and clinical measurement, while the clinical sections cover anaesthetic agents and techniques, assessment and perioperative management. Further sections cover audit, trials, statistics, ethical and legal medicine, and the management of acute and chronic pain.
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Editorial Board Contents Medical gases Spinal anaesthesia Premedication
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