【呼吁】针对儿童医院获得性感染，呼唤CDC指南更新(JAMA，2011)

蓝鱼o_0

Foster CB, Sabella C.两位作者在JAMA上发表论文，致信JAMA编辑，概述儿童HAIS的情况，并呼唤CDC对医院感染控制指南就儿童医院感染（尤其是<1year）进行更新！

文献出处：

Foster CB, Sabella C.

Health care--associated infections in children.

JAMA. 2011 Apr 13;305(14):1480-1.

新闻报道：
Pediatric patients require different treatment and prevention efforts than adults when it comes to preventing health care-associated infections, and guidelines that are specific to this population are needed, according to an editorial appearing online this week.

In the editorial, Camille Sabella, MD, and Charles B. Foster, MD, both of the Cleveland Clinic Children’s Hospital, urge pediatric-specific measures to guarantee quality care in the areas of infection control and prevention practices.

The rates of hospital-related infections between adults and children differ because of the unique susceptibilities of each population.
Currently, the CDC defines hospital-acquired infections in children and adults almost identically, with some slight variations for children aged younger than 1 year.

儿童和成人的医院获得性感染率是不同的，因为不同人群的易感性。目前，CDC对于医院感染的定义并未就两个年龄组做清晰的区分，体现在预防措施和危险因素，尤其对于不足1岁的儿童。

“The commonality of definitions, however, belies the fact that children and adults differ in both susceptibility to infection and in the steps necessary to prevent these infections,” Sabella and Foster wrote. “Furthermore, identification of pediatric-specific risk factors for infection and the solutions needed to reduce pediatric [health care-associated infections] have not been well investigated.”
目前对于成人的医院感染的危险因素探讨的比较多，也比较透彻（针对于不同的HAIS，如VAP，UTI,BSI等等），然而对于儿童特定的危险因素和治疗、预防措施的研究尚显不足。
They said Surgical Care Improvement Project standards may fall short for reducing infections in children.
In their commentary, Sabella and Foster urged health officials “to separately address the issue of health care-associated infections in children,” and to devote “equal resources and energy” to the pediatric effort.
“Legislators and funding agencies need to encourage pediatric research by providing direct support for collaborative networks of children’s hospitals,” Foster said.

对于儿童医院感染，两位作者呼吁，应该给予更多的重视，同等的资源和能源，立法和基金机构应该鼓励儿童医院合作组织从事相关研究，并给予支持和资助！

（新闻为快译，切勿对词入座，谢谢理解！）

青霉素

确实是现状，有些新生儿科拥挤不堪,除了病人本来就多，而家属同样是一个头疼的问题。

蓝鱼o_0

回复 2# 青霉素

是啊。我看过一家医院，患护比>10，如果算上陪床的人，可想而知的拥挤。
NICU跟公交有一拼了