护理院院内感染的研究进展
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摘要
综述了国内外护理院院内感染的概况、危险因素、评估工具和干预措施,为建立护理院校内感染风险评估工具、早期识别高危人群提供参考。
引文
[1]卫生部医政司.卫生部关于印发《护理院基本标准(2011版)》的通知[EB/OL].(2011-03-21)[2018-05-06]. http://www.gov.cn/gzdt/2011-03/21/content_1828316.htm.
[2]曹培叶,赵庆华,肖明朝,等.护理院失能老年人长期照护需求评估指标的研究[J].中华护理杂志,2017,52(8):980-985.
[3] Ugajin M,Yamaki K,Hirasawa N,et al. Prognostic value of severity indicators of nursing-home-acquired pneumonia versus community-acquired pneumonia in elderly patients[J]. Clin Interv Aging,2014,9:267-274.
[4]沈志莹,段应龙,钟竹青,等.综合安全项目在控制院内感染和建立安全文化中的应用现状[J].中华护理杂志,2016,51(12):1491-1495.
[5]张群.某区老年护理院医院感染及抗菌药物应用情况的分析[J].中国医药指南,2013,1(4):65-67.
[6]方秋蓓.长征镇老年护理院院内感染63例分析[J].上海医药,2014,35(2):46-48.
[7]凡芸.老年护理院院内感染综合干预效果评价[J].中国老年学杂志,2012,32(11):2404-2406.
[8] Rosello A,Horner C,Hopkins S,et al. Understanding the impact of interventions to prevent antimicrobial resistant infections in the long-term care facility:a review and practical guide to mathematical modeling[J]. Infect Control Hosp Epidemiol,2017,38(2):216-225.
[9] El-Solh AA. Nursing home acquired pneumonia:approach to management[J]. Curr Opin Infect Dis,2011,24(2):148-151.
[10] Kahn KL,Peter M,Weinberg DA,et al. Approach for conducting the longitudinal program evaluation of the US department of health and human services national action plan to prevent healthcare-associated infections:road map to elimination[J].Med Care,2014,52(1):9-16.
[11] Zorman JV,Lusa L,Strle F,et al. Bacterial infection in elderly nursing home and community-based patients:a prospective cohort study[J]. Infection,2013,4(5):909-916.
[12] Herzig CTA,Dick AW,Sorbero M,et al. Infection trends in US nursing homes,2006-2013[J]. J Am Dir Assoc,2017,18(7):635.e9-635.e20.
[13] Montoya A,Cassone M,Mody L. Infections in nursing homes epidemiology and prevention programs[J]. Clin Geriatr Med,2016,32(3):585-607.
[14] Gavazzi G,Baud O,Armand I,et al. EPIPA,a point prevalence survey of urinary,pulmonary and skin infection in 332nursing homes in five French regions[J].Eur Geriatr Med,2012,3(1):S1-S32.
[15] Richards C. Infections in residents of long-term care facilities:an agenda for research. Report of an expert panel[J]. J Am Geriatr Soc,2002,50(3):570-576.
[16] El-Solh AA,Niederman MS,Drinka P. Manage ment of pneumonia in the nursing home[J]. Chest,2010,138(6):1480-1485.
[17] Kahvecioglu D,Ramiah K,Mcmaughan D,et al. Multidrug-resistant organism infections in US nursing homes:a national study of prevalence,onset,and transmission across care settings,October 1,2010-December 31,2011[J]. Infect Control Hosp Epidemiol,2014,35(S3):S48-S55.
[18] Venkatachalam I,Yang HL,Fisher D,et al. Multidrug-resistant gram-negative bloodstream infections among residents of longterm care facilities[J]. Infect Control Hosp Epidemiol,2014,35(5):519-926.
[19] US Department of Health and Human Services,Centers for Disease Control and Prevention. Core elements of hospital antibiotic stewardship programs[EB/OL].[2018-05-06]. https://www.cdc.gov/antibiotic-use/healthcare/implementation/core-elements.html.
[20] Manning S,Lautenbach E,Tolomeo P,et al. Risk factors for infection with Escherichia coli in nursing home residents colonized with fluoroquinolone-resistant Ecoli[J]. Infect Control Hosp Epidemiol,2015,36(5):575-577.
[21] Lim CW,Choi Y,An CH,et al. Facility characteristics as independent prognostic factors of nursing home-acquired pneumonia[J]. Korean J Intern Med,2016,31(2):296-304.
[22] Peters C,Dulon M,Kleinmuller O,et al. MRSA prevalence and risk factors among health personnel and residents in nursing homes in Hamburg,Germany-a cross-sectional study[J]. PLoS One,2017,12(1):e0169425.
[23] Zomer TP,van Der Maaden T,van Gageldonk-Lafeber AB,et al. Incidence of pneumonia in nursing home residents with dementia in the Netherlands:an estimation based on three differently designed studies[J]. Epidemiol Infect,2017,145(11):2400-2408.
[24] Bellini C,Petignat C,Masserey E,et al. Universal screening and decolonization for control of MRSA in nursing homes:a cluster randomized controlled study[J]. Infect Control Hosp Epidemiol,2015,36(4):401-408.
[25]唐志红,于卫华,饶晓岚,等.医养结合-四元联动整合照护模型的实践[J].中华护理杂志,2017,52(1):40-43.
[26] Epstein L,Stone ND,Laplace L,et al. Comparison of data collection for healthcare-associated infection surveillance in nursing homes[J]. Infect Control Hosp Epidemiol,2016,37(12):1440-1445.
[27] Mody L,Crnich C. Effects of excessive antibiotic use in nursing homes[J]. JAMA Intern Med,2015,175(8):1339-1341.
[28] Mody L,Greene MT,Saint S,et al. Comparing catheter-associated urinary tract infection prevention programs between veterans affairs nursing homes and non-veterans affairs nursing homes[J]. Infect Control Hosp Epidemiol,2017,38(3):287-293.
[29] McGeer A,Campbell B,Emori TG,et al. Definitions of infection for surveillance in long-term care facilities[J]. Am J Infect Control,1991,19(1):1-7.
[30] Stone ND,Ashraf MS,Calder J,et al. Surveillance definitions of infections in long-term care facilities:revisiting the McGeer criteria[J]. Infect Control Hosp Epidemiol,2012,33(10):965-977.
[31] Bennett NJ,Johnson SA,Richards MJ,et al. Infections in Australian aged-care facilities:evaluating the impact of revised McGeer criteria for surveillance of urinary tract infections[J].Infect Control Hosp Epidemiol,2016,37(5):610-612.
[32] Feldstein D,Sloane PD,Weber D,et al. Current prescribing practices for skin and soft tissue infections in nursing homes[J].J Am Med Dir Assoc,2017,18(3):265-270.
[33] Ma HM,Wah JL,Woo J. Should nursing home-acquired pneumonia be treated as nosocomial pneumonia?[J]. J Am Med Dir Assoc,2012,13(8):727-731.
[34] Fine MJ,Auble TE,Yealy DM,et al. A prediction rule to identify low-risk patients with community-acquired pneumonia[J].N Engl J Med,1997,336(4):243-250.
[35] Lim WS,van Der Eerden MM,Laing R,et al. Defining community acquired pneumonia severity on presentation to hospital:an international derivation and validation study[J]. Thorax,2003,58(5):377-382.
[36] Miyashita N,Matsushima T,0ka M. The JRS guidelines for the management of community-acquired pneumonia in adults:an update and new recommendations[J]. Intern Med,2006,45(7):419-428.
[37] Porfyridis I,Georgiadis G,Vogazianos P,et al. Creactive protein,procalcitonin,clinical pulmonary infection score,and pneumonia severity scores in nursing home acquired pneumonia[J].Respir Care,2014,59(4):574-581.
[38] Porfyridis I,Plachouras D,Karagianni V,et al. Diagnostic value of triggering receptor expressed on myeloid cells-1 and Creactive protein for patients with lung infiltrates:an observational study[J]. BMC Infect Dis,2010,10(1):286.
[39] Myint PK,Kamath AV,Vowler SL,et al. Severity assessment criteria recommended by the British Thoracic Society(BTS)for community-acquired pneumonia(CAP)and older patients.Should SOAR(systolic blood pressure,oxygenation,age and respiratory rate)criteria be used in older people? A compilation study of two prospective cohorts[J]. Age Ageing,2006,35(3):286-291.
[40] El-Solh AA,Alhajhusain A,Drinka P,et al. Validity of severity scores in hospitalized patients with nursing home-acquired pneumonia[J]. Chest,2010,138(6):1371-1376.
[41] Kim SH,Chung JH,Lee JC,et al. Carboxy-terminal provasopressin may predict prognosis in nursing home acquired pneumonia[J]. Clin Chim Acta,2013,421:226-229.
[42] Naughton BJ,Mylotte JM,Tayara A. Outcome of nursing homeacquired pneumonia:derivation and application of a practical model to predict 30 day mortality[J]. J Am Geriatr Soc,2000,48(10):1292-1299.
[43] El-Solh AA,Niederman MS,Drinka P. Nursing home-acquired pneumonia:a review of risk factors and therapeutic approaches[J]. Curr Med Res Opin,2010,26(12):2707-2714.
[44] Smith PW,Bennett G,Bradley S,et al. SHEA/APIC Guideline:infection prevention and control in the long-term care facility[J]. Am J Infect Control,2008,36(7):504-535.
[45]谢红养老研究室.养老机构质量提升从控制机构院感开始[EB/OL].(2017-03-14)[2018-05-06]. https://mp.weixin.qq.com/s/89UmH78f31zL4wLY7JO0Jw.
[46]谢红养老研究室.养老机构院内感染预防永远重于应对[EB/OL].(2017-03-17)[2018-05-06]. https://mp.weixin.qq.com/s/EBZh4OrRElp1LtS8U9Aruw.
[47]戴爱武.老年护理院预防医院感染的细节管理[J].当代护士(中旬刊),2016(4):108-109.
[48] Hughes C,Smith M,Tunney M,et al. Infection control strategies for preventing the transmission of meticillin-resistant Staphylococcus aureus(MRSA)in nursing homes for older people[J].Cochrane Database Syst Rev,2013,11(2):CD006354.
[49] Roghmann MC,Lydecker A,Mody L,et al. Strategies to prevent MRSA transmission in community-based nursing homes:a cost analysis[J]. Infect Control Hosp Epidemiol,2016,37(8):962-966.
[50] Kovach CR,Taneli Y,Neiman T,et al. Evaluation of an ultraviolet room disinfection protocol to decrease nursing home microbial burden,infection and hospitalization rates[J]. BMC Infect Dis,2017,17(1):186.
[51] Fisch J,Mcnamara SE,Lansing BJ,et al. The 24-hour report as an effective monitoring and communication tool in infection prevention and control in nursing homes[J]. Am J Infect Control,2014,42(10):1112-1114.
[52] Cohen CC,Engberg J,Herzig CT,et al. Nursing homes in states with infection control training or infection reporting have reduced infection control deficiency citations[J]. Infect Control Hosp Epidemiol,2015,36(12):1475-1476.
[53] Cohen CC,Herzig CT,Carter EJ,et al. State focus on health care-associated infection prevention in nursing homes[J]. Am J Infect Control,2014,42(4):360-365.
[54] O'fallon E,Schreiber R,Kandel R,et al. Multidrug-resistant gramnegative bacteria at a long-term care facility:assessment of residents,healthcare workers,and inanimate surfaces[J]. Infect Control Hosp Epidemiol,2009,30(12):1172-1179.
[2]曹培叶,赵庆华,肖明朝,等.护理院失能老年人长期照护需求评估指标的研究[J].中华护理杂志,2017,52(8):980-985.
[3] Ugajin M,Yamaki K,Hirasawa N,et al. Prognostic value of severity indicators of nursing-home-acquired pneumonia versus community-acquired pneumonia in elderly patients[J]. Clin Interv Aging,2014,9:267-274.
[4]沈志莹,段应龙,钟竹青,等.综合安全项目在控制院内感染和建立安全文化中的应用现状[J].中华护理杂志,2016,51(12):1491-1495.
[5]张群.某区老年护理院医院感染及抗菌药物应用情况的分析[J].中国医药指南,2013,1(4):65-67.
[6]方秋蓓.长征镇老年护理院院内感染63例分析[J].上海医药,2014,35(2):46-48.
[7]凡芸.老年护理院院内感染综合干预效果评价[J].中国老年学杂志,2012,32(11):2404-2406.
[8] Rosello A,Horner C,Hopkins S,et al. Understanding the impact of interventions to prevent antimicrobial resistant infections in the long-term care facility:a review and practical guide to mathematical modeling[J]. Infect Control Hosp Epidemiol,2017,38(2):216-225.
[9] El-Solh AA. Nursing home acquired pneumonia:approach to management[J]. Curr Opin Infect Dis,2011,24(2):148-151.
[10] Kahn KL,Peter M,Weinberg DA,et al. Approach for conducting the longitudinal program evaluation of the US department of health and human services national action plan to prevent healthcare-associated infections:road map to elimination[J].Med Care,2014,52(1):9-16.
[11] Zorman JV,Lusa L,Strle F,et al. Bacterial infection in elderly nursing home and community-based patients:a prospective cohort study[J]. Infection,2013,4(5):909-916.
[12] Herzig CTA,Dick AW,Sorbero M,et al. Infection trends in US nursing homes,2006-2013[J]. J Am Dir Assoc,2017,18(7):635.e9-635.e20.
[13] Montoya A,Cassone M,Mody L. Infections in nursing homes epidemiology and prevention programs[J]. Clin Geriatr Med,2016,32(3):585-607.
[14] Gavazzi G,Baud O,Armand I,et al. EPIPA,a point prevalence survey of urinary,pulmonary and skin infection in 332nursing homes in five French regions[J].Eur Geriatr Med,2012,3(1):S1-S32.
[15] Richards C. Infections in residents of long-term care facilities:an agenda for research. Report of an expert panel[J]. J Am Geriatr Soc,2002,50(3):570-576.
[16] El-Solh AA,Niederman MS,Drinka P. Manage ment of pneumonia in the nursing home[J]. Chest,2010,138(6):1480-1485.
[17] Kahvecioglu D,Ramiah K,Mcmaughan D,et al. Multidrug-resistant organism infections in US nursing homes:a national study of prevalence,onset,and transmission across care settings,October 1,2010-December 31,2011[J]. Infect Control Hosp Epidemiol,2014,35(S3):S48-S55.
[18] Venkatachalam I,Yang HL,Fisher D,et al. Multidrug-resistant gram-negative bloodstream infections among residents of longterm care facilities[J]. Infect Control Hosp Epidemiol,2014,35(5):519-926.
[19] US Department of Health and Human Services,Centers for Disease Control and Prevention. Core elements of hospital antibiotic stewardship programs[EB/OL].[2018-05-06]. https://www.cdc.gov/antibiotic-use/healthcare/implementation/core-elements.html.
[20] Manning S,Lautenbach E,Tolomeo P,et al. Risk factors for infection with Escherichia coli in nursing home residents colonized with fluoroquinolone-resistant Ecoli[J]. Infect Control Hosp Epidemiol,2015,36(5):575-577.
[21] Lim CW,Choi Y,An CH,et al. Facility characteristics as independent prognostic factors of nursing home-acquired pneumonia[J]. Korean J Intern Med,2016,31(2):296-304.
[22] Peters C,Dulon M,Kleinmuller O,et al. MRSA prevalence and risk factors among health personnel and residents in nursing homes in Hamburg,Germany-a cross-sectional study[J]. PLoS One,2017,12(1):e0169425.
[23] Zomer TP,van Der Maaden T,van Gageldonk-Lafeber AB,et al. Incidence of pneumonia in nursing home residents with dementia in the Netherlands:an estimation based on three differently designed studies[J]. Epidemiol Infect,2017,145(11):2400-2408.
[24] Bellini C,Petignat C,Masserey E,et al. Universal screening and decolonization for control of MRSA in nursing homes:a cluster randomized controlled study[J]. Infect Control Hosp Epidemiol,2015,36(4):401-408.
[25]唐志红,于卫华,饶晓岚,等.医养结合-四元联动整合照护模型的实践[J].中华护理杂志,2017,52(1):40-43.
[26] Epstein L,Stone ND,Laplace L,et al. Comparison of data collection for healthcare-associated infection surveillance in nursing homes[J]. Infect Control Hosp Epidemiol,2016,37(12):1440-1445.
[27] Mody L,Crnich C. Effects of excessive antibiotic use in nursing homes[J]. JAMA Intern Med,2015,175(8):1339-1341.
[28] Mody L,Greene MT,Saint S,et al. Comparing catheter-associated urinary tract infection prevention programs between veterans affairs nursing homes and non-veterans affairs nursing homes[J]. Infect Control Hosp Epidemiol,2017,38(3):287-293.
[29] McGeer A,Campbell B,Emori TG,et al. Definitions of infection for surveillance in long-term care facilities[J]. Am J Infect Control,1991,19(1):1-7.
[30] Stone ND,Ashraf MS,Calder J,et al. Surveillance definitions of infections in long-term care facilities:revisiting the McGeer criteria[J]. Infect Control Hosp Epidemiol,2012,33(10):965-977.
[31] Bennett NJ,Johnson SA,Richards MJ,et al. Infections in Australian aged-care facilities:evaluating the impact of revised McGeer criteria for surveillance of urinary tract infections[J].Infect Control Hosp Epidemiol,2016,37(5):610-612.
[32] Feldstein D,Sloane PD,Weber D,et al. Current prescribing practices for skin and soft tissue infections in nursing homes[J].J Am Med Dir Assoc,2017,18(3):265-270.
[33] Ma HM,Wah JL,Woo J. Should nursing home-acquired pneumonia be treated as nosocomial pneumonia?[J]. J Am Med Dir Assoc,2012,13(8):727-731.
[34] Fine MJ,Auble TE,Yealy DM,et al. A prediction rule to identify low-risk patients with community-acquired pneumonia[J].N Engl J Med,1997,336(4):243-250.
[35] Lim WS,van Der Eerden MM,Laing R,et al. Defining community acquired pneumonia severity on presentation to hospital:an international derivation and validation study[J]. Thorax,2003,58(5):377-382.
[36] Miyashita N,Matsushima T,0ka M. The JRS guidelines for the management of community-acquired pneumonia in adults:an update and new recommendations[J]. Intern Med,2006,45(7):419-428.
[37] Porfyridis I,Georgiadis G,Vogazianos P,et al. Creactive protein,procalcitonin,clinical pulmonary infection score,and pneumonia severity scores in nursing home acquired pneumonia[J].Respir Care,2014,59(4):574-581.
[38] Porfyridis I,Plachouras D,Karagianni V,et al. Diagnostic value of triggering receptor expressed on myeloid cells-1 and Creactive protein for patients with lung infiltrates:an observational study[J]. BMC Infect Dis,2010,10(1):286.
[39] Myint PK,Kamath AV,Vowler SL,et al. Severity assessment criteria recommended by the British Thoracic Society(BTS)for community-acquired pneumonia(CAP)and older patients.Should SOAR(systolic blood pressure,oxygenation,age and respiratory rate)criteria be used in older people? A compilation study of two prospective cohorts[J]. Age Ageing,2006,35(3):286-291.
[40] El-Solh AA,Alhajhusain A,Drinka P,et al. Validity of severity scores in hospitalized patients with nursing home-acquired pneumonia[J]. Chest,2010,138(6):1371-1376.
[41] Kim SH,Chung JH,Lee JC,et al. Carboxy-terminal provasopressin may predict prognosis in nursing home acquired pneumonia[J]. Clin Chim Acta,2013,421:226-229.
[42] Naughton BJ,Mylotte JM,Tayara A. Outcome of nursing homeacquired pneumonia:derivation and application of a practical model to predict 30 day mortality[J]. J Am Geriatr Soc,2000,48(10):1292-1299.
[43] El-Solh AA,Niederman MS,Drinka P. Nursing home-acquired pneumonia:a review of risk factors and therapeutic approaches[J]. Curr Med Res Opin,2010,26(12):2707-2714.
[44] Smith PW,Bennett G,Bradley S,et al. SHEA/APIC Guideline:infection prevention and control in the long-term care facility[J]. Am J Infect Control,2008,36(7):504-535.
[45]谢红养老研究室.养老机构质量提升从控制机构院感开始[EB/OL].(2017-03-14)[2018-05-06]. https://mp.weixin.qq.com/s/89UmH78f31zL4wLY7JO0Jw.
[46]谢红养老研究室.养老机构院内感染预防永远重于应对[EB/OL].(2017-03-17)[2018-05-06]. https://mp.weixin.qq.com/s/EBZh4OrRElp1LtS8U9Aruw.
[47]戴爱武.老年护理院预防医院感染的细节管理[J].当代护士(中旬刊),2016(4):108-109.
[48] Hughes C,Smith M,Tunney M,et al. Infection control strategies for preventing the transmission of meticillin-resistant Staphylococcus aureus(MRSA)in nursing homes for older people[J].Cochrane Database Syst Rev,2013,11(2):CD006354.
[49] Roghmann MC,Lydecker A,Mody L,et al. Strategies to prevent MRSA transmission in community-based nursing homes:a cost analysis[J]. Infect Control Hosp Epidemiol,2016,37(8):962-966.
[50] Kovach CR,Taneli Y,Neiman T,et al. Evaluation of an ultraviolet room disinfection protocol to decrease nursing home microbial burden,infection and hospitalization rates[J]. BMC Infect Dis,2017,17(1):186.
[51] Fisch J,Mcnamara SE,Lansing BJ,et al. The 24-hour report as an effective monitoring and communication tool in infection prevention and control in nursing homes[J]. Am J Infect Control,2014,42(10):1112-1114.
[52] Cohen CC,Engberg J,Herzig CT,et al. Nursing homes in states with infection control training or infection reporting have reduced infection control deficiency citations[J]. Infect Control Hosp Epidemiol,2015,36(12):1475-1476.
[53] Cohen CC,Herzig CT,Carter EJ,et al. State focus on health care-associated infection prevention in nursing homes[J]. Am J Infect Control,2014,42(4):360-365.
[54] O'fallon E,Schreiber R,Kandel R,et al. Multidrug-resistant gramnegative bacteria at a long-term care facility:assessment of residents,healthcare workers,and inanimate surfaces[J]. Infect Control Hosp Epidemiol,2009,30(12):1172-1179.