Challenges and Strategies for Prevention of Multidrug-Resistant Organism Transmission in Nursing Homes.
Challenges and Strategies for Prevention of Multidrug-Resistant Organism Transmission in Nursing Homes.
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DOI：
10.1007/s11908-017-0576-7
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发表时间：
2017-04
影响因子：
3.1
通讯作者：
Jump RL
中科院分区：
文献类型：
--
作者：
Dumyati G;Stone ND;Nace DA;Crnich CJ;Jump RL
养老院居民是在高风险的殖民和感染的细菌病原体，是多药耐药生物体（MDRO）。我们讨论的挑战和潜在的解决方案，以支持实施有效的感染预防和控制的做法，在养老院。面临的挑战包括缺乏证据，解决MDRO传播护理期间的居民，有限的工作人员资源在养老院，在养老院感染预防教育不足，以及养老院工作人员的隔离和接触预防措施产生负面影响的健康养老院居民。少数研究提供了专门解决这些挑战的证据。他们的结果支持一种范式转变，即感染预防和控制实践从病原体特异性方法转向关注居民风险因素的方法。
Nursing home residents are at high risk for colonization and infection with bacterial pathogens that are multidrug-resistant organisms (MDROs). We discuss challenges and potential solutions to support implementing effective infection prevention and control practices in nursing homes. Challenges include a paucity of evidence that addresses MDRO transmission during the care of nursing home residents, limited staff resources in nursing homes, insufficient infection prevention education in nursing homes, and perceptions by nursing home staff that isolation and contact precautions negatively influence the well being of their residents. A small number of studies provide evidence that specifically address these challenges. Their outcomes support a paradigm shift that moves infection prevention and control practices away from a pathogen-specific approach and toward one that focuses on resident risk factors.