高致病性感染性疾病的感染控制与管理：2009年欧洲感染防治网络共识

David

The Lancet Infectious Diseases
Volume 9, Issue 5, May 2009, Pages 301-311

Review
Infection control in the management of highly pathogenic infectious diseases: consensus of the European Network of Infectious Disease
高致病性感染性疾病的感染控制与管理：欧洲感染防治网络共识
Philippe Brouqui MDa, , , Vincenzo Puro MDb, Francesco M Fusco MDb, Barbara Bannister MScc, Stephan Schilling MDd, Per Follin MDe, René Gottschalk MDf, Robert Hemmer MDg, Helena C Maltezou MDh, Kristi Ott MDi, Renaat Peleman MDj, Christian Perronne MDk, Gerard Sheehan MDl, Heli Siikamäki MDm, Peter Skinhoj MDn, Giuseppe Ippolito MDb and for the EUNID Working Group‡

aDepartment of Infectious Diseases and Tropical Medicine, CHU Nord and URMITE IRD-CNRS UMR 6236, Marseille, France

bNational Institute for Infectious Diseases “L Spallanzani”, Rome, Italy

cInfectious Diseases Service, Department of Infectious Diseases, Royal Free Hospital, London, UK

dDepartment of Infectious Diseases, J W Goethe University, Frankfurt, Germany

eFaculty of Health Sciences, University Hospital, Linköping, Sweden

fDepartment of Infection Control, Public Health Office, Frankfurt, Germany

gNational Service of Infectious Diseases, Luxembourg Central Hospital, Luxembourg

hHellenic Centre for Diseases Control and Prevention, Athens, Greece

iDepartment of Infectious Diseases, West Tallinn Central Hospital, Tallinn, Estonia

jDivision of Infectious Diseases, University Hospital of Gent, Gent, Belgium

kInfectious Diseases Unit, Raymond Poincaré University Hospital, Paris, France

lDepartment of Medicine/Therapeutics and Infectious Diseases, Mater Misericordiae Hospital, University College Dublin, Dublin, Ireland

mDivision of Infectious Diseases, Department of Medicine, Helsinki University Central Hospital, Helsinki, Finland

nDepartment of Infectious Diseases, Rigshospitalet, Copenhagen, Denmark


Available online 22 April 2009.

Summary
The European Network for Infectious Diseases (EUNID) is a network of clinicians, public health epidemiologists, microbiologists, infection control, and critical-care doctors from the European member states, who are experienced in the management of patients with highly infectious diseases. We aim to develop a consensus recommendation for infection control during clinical management and invasive procedures in such patients. After an extensive literature review, draft recommendations were amended jointly by 27 partners from 15 European countries. Recommendations include repetitive training of staff to ascertain infection control, systematic use of cough and respiratory etiquette at admission to the emergency department, fluid sampling in the isolation room, and analyses in biosafety level 3/4 laboratories, and preference for point-of-care bedside laboratory tests. Children should be cared for by paediatricians and intensive-care patients should be cared for by critical-care doctors in high-level isolation units (HLIU). Invasive procedures should be avoided if unnecessary or done in the HLIU, as should chest radiography, ultrasonography, and renal dialysis. Procedures that require transport of patients out of the HLIU should be done during designated sessions or hours in secure transport. Picture archiving and communication systems should be used. Post-mortem examination should be avoided; biopsy or blood collection is preferred.