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消化内镜相关感染危险因素及其防护策略研究进展

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消化内镜中心发生医院感染是医院安全管理的重要问题,其危险因素及防护策略备受关注。由于患者自身状况、消化内镜清洗消毒失败、诊疗区和洗消区的气溶胶扩散,以及医务人员操作等多重因素影响,消化内镜中心感染风险不容忽视。为降低感染发生率,多项预防措施得以实施,包括加强患者管理、提高消化内镜再处理质量、气溶胶的控制与消除及提升医务人员操作技能与防护意识等。本文综述了国内外研究中消化内镜中心医院感染的危险因素,并对现行防护策略进行了讨论与评估,以期为临床实践提供指导与借鉴。
Risk factors for gastrointestinal endoscope-associated infections and progress of research on protective strategies
The occurrence of hospital-acquired infections in gastrointestinal endoscopy centres is an important issue for safety management of hospitals,and its risk factors and protection strategies are of great concern.The risk of infection in gastrointestinal endoscopy centres cannot be ignored due to multiple factors such as the patient's own condition,failure of cleaning and disinfection of gastrointestinal endoscopes,diffusion of aerosols in the consulta-tion and decontamination areas,and the operation of healthcare personnel.A number of preventive measures have been implemented to reduce the incidence of infection,including strengthening patient management,improving the quality of gastrointestinal endoscopic reprocessing,controlling and eliminating aerosols,and improving the operat-ing skills and protective awareness of medical staff.This article reviews the risk factors for hospital-acquired infec-tions in gastrointestinal endoscopy centres in both domestic and international studies,and discusses and evaluates the current protection strategies with the aim of providing guidance and reference for clinical practice.

Digestive endoscopy centerHospital-acquired infectionRisk factorPrevention and control strategy

刘丹丹、刘晶晶、席惠君

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海军军医大学研究生院,上海 200433

海军军医大学第一附属医院医务处,上海 200433

消化内镜 医院感染 危险因素 防控策略

上海市青年科技英才扬帆计划基金资助项目海军军医大学深蓝护理科研基金资助项目

21YF14573002022KYP05

2024

中华医院感染学杂志
中华预防医学会 中国人民解放军总医院

中华医院感染学杂志

CSTPCD北大核心
影响因子:1.885
ISSN:1005-4529
年,卷(期):2024.34(20)