医疗建筑内患者释放病原体对呼吸道病原微生物传播的影响研究进展

Research progress on impact of pathogen-releasing behavior of patients on transmission of respiratory pathogenic microorganisms in healthcare buildings

  • 摘要: 医院感染已成为日益显著且难以彻底避免的问题, 其复杂性和挑战性不断加剧。作为重大的公共卫生议题, 医院感染严重威胁着医院内人员的安全。其中, 空气传播是导致医院感染的重要途径之一。多种致病性病毒能附着于人体产生的感染性呼吸道颗粒上, 并通过这些颗粒进行传播。医院内的患者, 作为释放感染性呼吸道颗粒的主要群体, 他们的行为(如呼吸、咳嗽、说话等)与病原微生物的传播、扩散和蔓延紧密相关。一般认为, 病原体由患者释放到空气中后, 会随着气流进行传播和扩散, 从而增加了感染的风险。为全面保障医护人员与患者的安全, 有效遏制医院感染的发生, 有必要探究患者释放病原体对病原微生物传播的影响。本文旨在综述医疗建筑内部患者释放病原体对呼吸道病原微生物传播影响的研究进展, 同时对未来研究方向进行展望。

     

    Abstract: OBJECTIVE Hospital-acquired infections have emerged as an increasingly prominent and hard-to-completely-avoid problem, with their complexity and challenges continuing to intensify. As a major public health concern, these hospital-acquired infections pose a serious threat to the safety of individuals within hospitals. Among the various routes of transmission, airborne transmission is one of the most important pathways leading to hospital-acquired infections. A variety pathogenic viruses can attach to infectious respiratory particles produced by human body and spread through these particles. Patients in hospitals, as the primary group releasing respiratory infectious particles, have behaviors (such as breathing, coughing, talking, etc.) that are closely related to the transmission, dissemination and spread of pathogenic microorganisms. It is generally believed that pathogens released into the air by patients will propagate and spread with air currents, thereby elevating the risk of infection. In order to comprehensively safeguard the safety of healthcare workers and patients, and effectively curb the occurrence of hospital-acquired infections, it is essential to investigate the impact of pathogen-releasing behaviors on the transmission of pathogenic microorganisms. This paper aims to review the research progress on the impact of pathogen-releasing behaviors of patients on the transmission of respiratory pathogenic microorganisms within healthcare buildings, as well as to provide an outlook for further research directions.

     

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