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October 2008 Supplement Volume 29, Number S1
Table of Contents
A Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals
急救医院预防医院感染策略提要
S1Editorial: Primum Non Nocere
评论:首先要无害
Nalini Singh, MD, MPH; Patrick J. Brennan, MD; Michael Bell, MD
Infect Control Hosp Epidemiol 2008;29:S3–S11
Introduction
Improving Patient Safety Through Infection Control: A New Healthcare Imperative
通过感孔改善患者安全:新的医护规则
Deborah S. Yokoe, MD, MPH; David Classen, MD, MS
From Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts (D.S.Y.); and University of Utah, Salt Lake City (D.C.).
Many healthcare organizations, professional associations, government and accrediting agencies, legislators, regulators, payers, and consumer advocacy groups have advanced the prevention of healthcare-associated infections as a national imperative, stimulating the creation of “A Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals” in this supplement. In this introduction, we provide background and context and discuss the major issues that shaped the recommendations included in the compendium.
SHEA/IDSA Practice Recommendations
Infect Control Hosp Epidemiol 2008;29:S12–S21
Supplement Article: Executive Summary
A Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals
急救医院预防医院感染策略提要
Deborah S. Yokoe, MD, MPH;
Leonard A. Mermel, DO, ScM;
Deverick J. Anderson, MD, MPH;
Kathleen M. Arias, MS, CIC;
Helen Burstin, MD;
David P. Calfee, MD, MS;
Susan E. Coffin, MD, MPH;
Erik R. Dubberke, MD;
Victoria Fraser, MD;
Dale N. Gerding, MD;
Frances A. Griffin, RRT, MPA;
Peter Gross, MD;
Keith S. Kaye, MD;
Michael Klompas, MD;
Evelyn Lo, MD;
Jonas Marschall, MD;
Lindsay Nicolle, MD;
David A. Pegues, MD;
Trish M. Perl, MD;
Kelly Podgorny, RN, MS, CPHQ;
Sanjay Saint, MD;
Cassandra D. Salgado, MD, MS;
Robert A. Weinstein, MD;
Robert Wise, MD;
David Classen, MD, MS
From the Brigham and Women's Hospital and Harvard Medical School, Boston (D.S.Y., M.K.), and the Institute for Healthcare Improvement, Cambridge (F.A.G.), Massachusetts; the Warren Alpert Medical School of Brown University and Rhode Island Hospital, Providence, Rhode Island (L.A.M.); the Duke University Medical Center, Durham, North Carolina (D.J.A., K.S.K.); the Association for Professionals in Infection Control and Epidemiology (K.M.A.) and the National Quality Forum (H.B.), Washington, D.C.; the Mount Sinai School of Medicine, New York, New York (D.P.C.); the Children's Hospital of Philadelphia and University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania (S.E.C.); the Washington University School of Medicine, St. Louis, Missouri (E.R.D., V.F., J.M.); the Loyola University Chicago Stritch School of Medicine (D.N.G.), the Stroger (Cook County) Hospital and the Rush University Medical Center (R.A.W.), Chicago, the Joint Commission, Oakbrook Terrace (K.P., R.W.), and the Hines Veterans Affairs Medical Center, Hines (D.N.G.), Illinois; the Hackensack University Medical Center, Hackensack (P.G.), and the University of Medicine and Dentistry–New Jersey Medical School, Newark (P.G.), New Jersey; the David Geffen School of Medicine at the University of California, Los Angeles (D.A.P.); the Johns Hopkins Medical Institutions and University, Baltimore, Maryland (T.M.P.); the Ann Arbor Veterans Affairs Medical Center and the University of Michigan Medical School, Ann Arbor, Michigan (S.S.); the Medical University of South Carolina, Charleston (C.D.S.); the University of Utah, Salt Lake City (D.C.); and the University of Manitoba, Winnipeg, Canada (E.L., L.N.).
Preventable healthcare-associated infections (HAIs) occur in US hospitals. Preventing these infections is a national priority, with initiatives led by healthcare organizations, professional associations, government and accrediting agencies, legislators, regulators, payers, and consumer advocacy groups. To assist acute care hospitals in focusing and prioritizing efforts to implement evidence-based practices for prevention of HAIs, the Society for Healthcare Epidemiology of America and the Infectious Diseases Society of America Standards and Practice Guidelines Committee appointed a task force to create a concise compendium of recommendations for the prevention of common HAIs. This compendium is implementation focused and differs from most previously published guidelines in that it highlights a set of basic HAI prevention strategies plus special approaches for use in locations and/or populations within the hospital when infections are not controlled by use of basic practices, recommends that accountability for implementing infection prevention practices be assigned to specific groups and individuals, and includes proposed performance measures for internal quality improvement efforts.
S22
Strategies to Prevent Central Line–Associated Bloodstream Infections in Acute Care Hospitals •
急救医院预防中心导管相关的血流感染的策略
Jonas Marschall, MD; Leonard A. Mermel, DO, ScM; David Classen, MD, MS; Kathleen M. Arias, MS, CIC; Kelly Podgorny, RN, MS, CPHQ; Deverick J. Anderson, MD, MPH; Helen Burstin, MD; David P. Calfee, MD, MS; Susan E. Coffin, MD, MPH; Erik R. Dubberke, MD; Victoria Fraser, MD; Dale N. Gerding, MD; Frances A. Griffin, RRT, MPA; Peter Gross, MD; Keith S. Kaye, MD; Michael Klompas, MD; Evelyn Lo, MD; Lindsay Nicolle, MD; David A. Pegues, MD; Trish M. Perl, MD; Sanjay Saint, MD; Cassandra D. Salgado, MD, MS; Robert A. Weinstein, MD; Robert Wise, MD; Deborah S. Yokoe, MD, MPH
S31
Strategies to Prevent Ventilator-Associated Pneumonia in Acute Care Hospitals •
急救医院预防呼吸机相关肺炎的策略
Susan E. Coffin, MD, MPH; Michael Klompas, MD; David Classen, MD, MS; Kathleen M. Arias, MS, CIC; Kelly Podgorny, RN, MS, CPHQ; Deverick J. Anderson, MD, MPH; Helen Burstin, MD; David P. Calfee, MD, MS; Erik R. Dubberke, MD; Victoria Fraser, MD; Dale N. Gerding, MD; Frances A. Griffin, RRT, MPA; Peter Gross, MD; Keith S. Kaye, MD; Evelyn Lo, MD; Jonas Marschall, MD; Leonard A. Mermel, DO, ScM; Lindsay Nicolle, MD; David A. Pegues, MD; Trish M. Perl, MD; Sanjay Saint, MD; Cassandra D. Salgado, MD, MS; Robert A. Weinstein, MD; Robert Wise, MD; Deborah S. Yokoe, MD, MPH
S41
Strategies to Prevent Catheter-Associated Urinary Tract Infections in Acute Care Hospitals •
急救医院预防导管相关尿路感染的策略
Evelyn Lo, MD; Lindsay Nicolle, MD; David Classen, MD, MS; Kathleen M. Arias, MS, CIC; Kelly Podgorny, RN, MS, CPHQ; Deverick J. Anderson, MD, MPH; Helen Burstin, MD; David P. Calfee, MD, MS; Susan E. Coffin, MD, MPH; Erik R. Dubberke, MD; Victoria Fraser, MD; Dale N. Gerding, MD; Frances A. Griffin, RRT, MPA; Peter Gross, MD; Keith S. Kaye, MD; Michael Klompas, MD; Jonas Marschall, MD; Leonard A. Mermel, DO, ScM; David A. Pegues, MD; Trish M. Perl, MD; Sanjay Saint, MD; Cassandra D. Salgado, MD, MS; Robert A. Weinstein, MD; Robert Wise, MD; Deborah S. Yokoe, MD, MPH
S51
Strategies to Prevent Surgical Site Infections in Acute Care Hospitals •
急救医院预防手术部位感染的策略
Deverick J. Anderson, MD, MPH; Keith S. Kaye, MD; David Classen, MD, MS; Kathleen M. Arias, MS, CIC; Kelly Podgorny, RN, MS, CPHQ; Helen Burstin, MD; David P. Calfee, MD, MS; Susan E. Coffin, MD, MPH; Erik R. Dubberke, MD; Victoria Fraser, MD; Dale N. Gerding, MD; Frances A. Griffin, RRT, MPA; Peter Gross, MD; Michael Klompas, MD; Evelyn Lo, MD; Jonas Marschall, MD; Leonard A. Mermel, DO, ScM; Lindsay Nicolle, MD; David A. Pegues, MD; Trish M. Perl, MD; Sanjay Saint, MD; Cassandra D. Salgado, MD, MS; Robert A. Weinstein, MD; Robert Wise, MD; Deborah S. Yokoe, MD, MPH
S62
Strategies to Prevent Transmission of Methicillin-Resistant Staphylococcus aureus in AcuteCare Hospitals •
急救医院预防MRSA传播的策略
David P. Calfee, MD, MS; Cassandra D. Salgado, MD, MS; David Classen, MD, MS; Kathleen M. Arias, MS, CIC; Kelly Podgorny, RN, MS, CPHQ; Deverick J. Anderson, MD, MPH; Helen Burstin, MD; Susan E. Coffin, MD, MPH; Erik R. Dubberke, MD; Victoria Fraser, MD; Dale N. Gerding, MD; Frances A. Griffin, RRT, MPA; Peter Gross, MD; Keith S. Kaye, MD; Michael Klompas, MD; Evelyn Lo, MD; Jonas Marschall, MD; Leonard A. Mermel, DO, ScM; Lindsay Nicolle, MD; David A. Pegues, MD; Trish M. Perl, MD; Sanjay Saint, MD; Robert A. Weinstein, MD; Robert Wise, MD; Deborah S. Yokoe, MD, MPH
S81
Strategies to Prevent Clostridium difficile Infections in Acute Care Hospitals •
急救医院预防艰难梭菌感染的策略
Erik R. Dubberke, MD; Dale N. Gerding, MD; David Classen, MD, MS; Kathleen M. Arias, MS, CIC; Kelly Podgorny, RN, MS, CPHQ; Deverick J. Anderson, MD, MPH; Helen Burstin, MD; David P. Calfee, MD, MS; Susan E. Coffin, MD, MPH; Victoria Fraser, MD; Frances A. Griffin, RRT, MPA; Peter Gross, MD; Keith S. Kaye, MD; Michael Klompas, MD; Evelyn Lo, MD; Jonas Marschall, MD; Leonard A. Mermel, DO, ScM; Lindsay Nicolle, MD; David A. Pegues, MD; Trish M. Perl, MD; Sanjay Saint, MD; Cassandra D. Salgado, MD, MS; Robert A. Weinstein, MD; Robert Wise, MD; Deborah S. Yokoe, MD, MPH
[ 本帖最后由 David 于 2008-10-17 11:01 编辑 ]
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