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综合医院内的疫情爆发及其有效控制

Outbreak and Its Effective Control in a General Hospital.

作者信息

Kontopidou Flora V, Antonopoulou Maria, Votsi Anastasia, Papoutsaki Vassiliki, Bereri Vassiliki, Kourkoulou Evangelia, Rompola Amalia, Tsokou Georgia, Pavli Anna, Koutantelia Olga Maria, Siopi Maria, Leventaki Sevasti, Meletiadis Joseph, Daikos George L

机构信息

Infection Control Committee, Mitera General Hospital, 15123 Athens, Greece.

Clinical Microbiology Laboratory, Mitera General Hospital, 15123 Athens, Greece.

出版信息

Antibiotics (Basel). 2025 Jun 5;14(6):579. doi: 10.3390/antibiotics14060579.

Abstract

() is a multidrug-resistant pathogen recognized as a serious global public health threat. Herein, we report a outbreak that was successfully contained in a general hospital located in Athens, Greece. This study was conducted between December 2021 and December 2023. Upon identification of the first imported case of , the following infection control measures were applied in a stepwise approach: the promotion of hand hygiene, contact precautions and isolation, chlorhexidine gluconate bathing of patients, enhanced environmental cleaning, and active surveillance cultures of all high-risk patients upon admission. Active surveillance cultures were performed weekly in non-colonized ICU patients. A total of 1564 screening samples from 890 patients were analyzed. Sixty-three patients were identified to be colonized and three to be infected with After implementing screening and enhanced environmental cleaning, the quarterly incidence of hospital-acquired cases decreased from 0.37 to 0.04 cases per 1000 patient-days (slope of linear trend: -0.08; 95% CI: -0.16 to -0.0004; = 0.05), despite the continuous inflow of already colonized patients. A bundle of infection control measures, including active surveillance cultures upon admission and enhanced environmental cleaning, can contain dissemination in acute healthcare settings.

摘要

(某病原体名称)是一种多重耐药病原体,被认为是对全球公共卫生的严重威胁。在此,我们报告了在希腊雅典一家综合医院成功控制的一次(该病原体)暴发。本研究于2021年12月至2023年12月期间进行。在识别出首例输入性(该病原体)病例后,采取了以下逐步的感染控制措施:促进手部卫生、接触预防和隔离、对患者进行葡萄糖酸氯己定沐浴、加强环境清洁以及对所有高危患者入院时进行主动监测培养。对非定植的重症监护病房患者每周进行主动监测培养。共分析了来自890名患者的1564份筛查样本。确定63名患者被定植,3名患者感染(该病原体)。在实施筛查和加强环境清洁后,医院获得性病例的季度发病率从每1000患者日0.37例降至0.04例(线性趋势斜率:-0.08;95%置信区间:-0.16至-0.0004;P = 0.05),尽管已有定植患者持续流入。包括入院时主动监测培养和加强环境清洁在内的一系列感染控制措施,可以在急性医疗环境中遏制(该病原体)的传播。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/caf9/12189113/4d5a05b75abb/antibiotics-14-00579-g001.jpg

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