如何开展高质量的医疗机构环境感染干预研究

How to conduct a high-quality environmental intervention study of nosocomial infections

  • 摘要: 近十年来,有关医院环境表面清洁与消毒对医院相关性感染(HAIs)影响的研究越来越受到人们的关注,但受到众多因素的影响,诸如临床研究设计的思路、环境表面微生物学检测技术,以及医院保洁人员队伍的业务素质等,导致该领域的研究结果证据等级总体偏低,论文质量也普遍不高。2017年1月国际著名的《柳叶刀》杂志上发表了由十余名美国感控界的专家学者联合撰写的《强化的终末消毒与获得和感染多药耐药菌及艰难梭菌(强化终末消毒的效益):一项集群–随机、多中心、交叉研究》,这一研究不仅表明医院终末消毒的重要性,同时也展示如何设计和实施高质量的医疗机构环境感染干预研究,本文对此进行点评。

     

    Abstract: HT5"SSIn recent ten years, an increasing number of people have been paid attention to the researches on the influence of hospital environmental cleaning and disinfection on healthcare associated infection (HAI). However, the overall level of evidence in this field is generally low and the quality of papers is generally not high. This is because of some factors, such as clinical research design, environmental surface microbiological testing technology and the professional competence of cleaning staff. In January 2017, "Enhanced terminal room disinfection and acquisition and infection caused by multidrug-resistant organisms and Clostridium difficile (the Benefits of Enhanced Terminal Room Disinfection study): a cluster-randomised, multicentre, crossover study", written by more than ten American infection control experts, was published on the Lancet. It not only showed that the importance of terminal room disinfection, but also showed how to design and implement high-quality environmental intervention study. Thus, this article commented on this paper.

     

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