ICU(重症监护病房)一直是医院的感染重灾区,不仅源头上有重症感染患者输入,而且ICU内获得性感染发生率也居高不下。江湖流传一句话:进了ICU,感染是迟早的事儿…… 在我国,ICU内感染率是普通科室的5~10倍,感染发生率可超过25%。实际上,ICU感染问题具有普遍性,增加了世界各国的医疗负担。 全球ICU感染情况如何?EPIC III研究给出答案。 参考资料: 1. 季亚玲,王一,吴苏春,等: ICU住院患者多药耐药菌感染病原菌耐药性与免疫功能分析.中华医院感染学杂志 2018,28(12):1779—1782. 2. Vincent JL, Sakr Y, Singer M, Martin-Loeches I, Machado FR, Marshall JC, Finfer S, Pelosi P, Brazzi L, Aditianingsih D et al: Prevalence and Outcomes of Infection Among Patients in Intensive Care Units in 2017. Jama 2020. 3. https://www.docin.com/p-1982882915.html 4. Schultz MJ, Dunser MW, Dondorp AM, Adhikari NK, Iyer S, Kwizera A, Lubell Y, Papali A, Pisani L, Riviello BD et al: Current challenges in the management of sepsis in ICUs in resource-poor settings and suggestions for the future. Intensive care medicine 2017, 43(5):612-624. 5. Vincent JL, Rello J, Marshall J, Silva E, Anzueto A, Martin CD, Moreno R, Lipman J, Gomersall C, Sakr Y et al: International study of the prevalence and outcomes of infection in intensive care units. Jama 2009, 302(21):2323-2329 6. Vincent JL, Bihari DJ, Suter PM, Bruining HA, White J, Nicolas-Chanoin MH, Wolff M, Spencer RC, Hemmer M: The prevalence of nosocomial infection in intensive care units in Europe. Results of the European Prevalence of Infection in Intensive Care (EPIC) Study. EPIC International Advisory Committee. Jama 1995, 274(8):639-644. 7. https://www./infectioncontrol 8. Sender R, Fuchs S: Revised Estimates for the Number of Human and Bacteria Cells in the Body. 2016, 14(8):e1002533. 9. Bassetti M, Poulakou G, Ruppe E, Bouza E, Van Hal SJ, Brink A: Antimicrobial resistance in the next 30 years, humankind, bugs and drugs: a visionary approach. Intensive care medicine 2017, 43(10):1464-1475 10. Jernigan JA, Hatfield KM, Wolford H, Nelson RE, Olubajo B, Reddy SC, McCarthy N, Paul P, McDonald LC, Kallen A et al: Multidrug-Resistant Bacterial Infections in U.S. Hospitalized Patients, 2012-2017. The New England journal of medicine 2020, 382(14):1309-1319 11. Fang FC, Schooley RT: Antimicrobial Resistance - The Glass Is Half Full. The New England journal of medicine 2020, 382(14):1363-1365. 本文首发:医学界呼吸频道 本文作者:马特洪峰 |
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