Zhou Juyan, Garber Elizabeth, Saiman Lisa
Department of Pediatrics, Columbia University, New York, NY 10032, USA.
Am J Infect Control. 2008 Apr;36(3):220-2. doi: 10.1016/j.ajic.2007.05.009.
Written infection control policies used at cystic fibrosis (CF) care sites in the United States were compared with recently published guidelines. Most policies recommended contact precautions for hospitalized patients infected with Burkholderia cepacia complex (73%), multidrug-resistant organisms (63%), and methicillin-resistant Staphylococcus aureus (64%). Socializing among CF patients was discouraged in 80% of inpatient policies and 55% of outpatient policies. Although routine mask use by patients remains an unresolved issue, many policies advocated this practice. Future studies should address barriers to implementation of these evidence-based guidelines and continue to monitor implementation.
美国囊性纤维化(CF)护理场所使用的书面感染控制政策与最近发布的指南进行了比较。大多数政策建议对感染洋葱伯克霍尔德菌复合体(73%)、多重耐药菌(63%)和耐甲氧西林金黄色葡萄球菌(64%)的住院患者采取接触预防措施。80%的住院政策和55%的门诊政策不鼓励CF患者之间进行社交活动。尽管患者常规佩戴口罩仍是一个未解决的问题,但许多政策提倡这种做法。未来的研究应解决实施这些循证指南的障碍,并继续监测实施情况。