耐碳青霉烯类肠杆菌主动筛查及多学科协作管理模式研究进展

Progress of research on active screening and multidisciplinary collaborative management mode of carbapenem-resistant Enterobacteriaceae

  • 摘要: 耐碳青霉烯类肠杆菌(CRE)已成为全球公共卫生领域的一大威胁,具有传播速度快、感染后病死率高等特点,医院获得性感染是其感染的主要途径之一,CRE的传播与感染严重威胁患者健康,做好CRE预防与管理是控制CRE传播与感染的重要环节。本文从CRE感染与定植的危险因素、医院患者与环境CRE主动筛查策略及多学科协作管理模式方面进行综述。汇总CRE患者感染与定植危险因素和CRE医院患者主动筛查的筛查人群、筛查方式、筛查方法、筛查时机与频率;梳理CRE医院环境主动筛查的筛查范围、筛查方式与频率、主动筛查终止时机及多学科协作管理模式的发展情况。便于临床了解CRE主动筛查策略及多学科协作防控的最新进展,以期为临床CRE防控提供理论支持。

     

    Abstract: Carbapenem-resistant Enterobacteriaceae (CRE) has become a major threat to global public health and is characterized by rapid transmission and high mortality after infection. Hospital-acquired infection is one of the main routes of infection. The transmission and infection of CRE pose a serious threat to the health of patients. The prevention and management of CRE is an important part of controlling the transmission and infection of CRE. The risk factors for CRE infection and colonization, active screening strategies of CRE for patients and environment and multidisciplinary collaborative management model were reviewed in the article. The risk factors for CRE infection and colonization, active screening population, screening methods, screening time points and screening frequencies were summarized. The active screening scope, screening method, screening frequency, termination time point of active screening and development of multidisciplinary collaborative management mode were sorted out so as to understand the active screening strategies and latest progress of multidisciplinary collaborative prevention and control and provide theoretical support for clinical prevention and control of CRE.

     

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