医院获得性感染的预防更新指南.docxVIP

医院获得性感染的预防：更新指南2014年12月21日???/?cat=25指南导读,? Prevention of Healthcare-Associated Infections: Updated GuidanceLaura A. Stokowski, RN, MSReviewed by:?Deborah S. Yokoe, MD, MPHDecember 10, 2014From MEDSCAPE website2008年，美国健康卫生流行病学会(Society for Healthcare Epidemiology of America, SHEA)与其合作者美国感染性疾病学会，美国医院协会，感染控制和流行病学专业协会以及联合委员会共同发布了有关预防医院获得性感染(HAI)循证策略的综合概要。2014年，对这一概要进行了更新，以反映HAI预防领域的最新证据。In 2008, the Society for Healthcare Epidemiology of America (SHEA) published a comprehensive compendium of evidence-based strategies to prevent healthcare-associated infections (HAIs) with its partners, the Infectious Diseases Society of America, the American Hospital Association, the Association for Professionals in Infection Control and Epidemiology, and the Joint Commission.[1]?In 2014, this compendium was updated to reflect new evidence in the field of HAI prevention.[2]本套幻灯片总结了有关预防HAI的基本和最新策略的推荐意见，为一线医疗工作者(HCP)提供参考。全部概要针对各种HAI分为不同章节，并有单独一章讨论手卫生。This slideshow provides the highlights of recommended basic and advanced strategies to prevent HAIs, and are aimed at frontline healthcare personnel (HCP). The complete compendium, divided into separate chapters on each HAI with an additional chapter on hand hygiene, is available?/PriorityTopics/CompendiumofStrategiestoPreventHAIs.aspxhere.概要全文涉及预防策略、行为指标、监测、报告、实施策略、干预实例的细节，以及不予推荐的措施。Full-text chapters provide further details on prevention strategies, performance measures, surveillance, reporting, implementation strategies, and examples of interventions and approaches that are not recommended.Images from CDC/Alamy/Science Source导管相关性泌尿系感染Catheter-Associated Urinary Tract Infection (CAUTI)CAUTI最主要的危险因素是尿管(UC)留置时间。为减少UC过度应用：The chief risk factor for CAUTI is the duration that a urinary catheter (UC) remains in situ. To reduce overuse of UCs:明确本单位使用UC的适应症Develop facility indications for use of UCs;教育HCP有关替代UC的其他措施；以及Educate HCP about alternatives to UCs; and仅在必要时置入UC，且仅当有适应症时继续保留Insert UCs only when necessary, and leave in only as long as indic