Infection control during GI endoscopy

Infection control during GI endoscopy
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DOI:
10.1016/j.gie.2008.01.027
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发表时间:
2008-05-01
影响因子:
7.7
通讯作者:
Stewart, Leslie E.
Stewart, Leslie E.
中科院分区:
医学1区
文献类型:
--
作者:
Banerjee, Subhas;Shen, Bo;Stewart, Leslie E.

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这是讨论在常见临床情况下使用胃肠道内窥镜的一系列陈述之一。美国胃肠内窥镜学会(ASGE)的实践标准委员会准备了这个文本。在编制本指南时,使用PubMed检索医学文献,并通过访问PubMed的“相关文章”功能进行补充。其他参考文献来自已确定文章的参考书目和专家顾问的建议。当设计良好的前瞻性试验数据很少或没有数据时,重点是来自大系列的结果和公认专家的报告。适当使用内窥镜检查的指南是基于对现有数据的严格审查和起草指南时的专家共识。可能需要进一步的对照临床研究来阐明本指南的各个方面。本指南可根据技术、新数据或临床实践的其他方面的变化进行必要的修订。这些建议是基于经过审查的研究,并根据支持证据的强度进行评分(表1)。本指南旨在作为一种教育手段,为内窥镜医师为患者提供护理提供信息。本指南不是一项规则,不应被解释为建立一种法律上的护理标准,也不应被解释为鼓励、提倡、要求或不鼓励任何特定治疗。在任何特殊情况下的临床决策都涉及对患者病情和可用行动方案的复杂分析。因此,临床考虑可能导致内窥镜医师采取不同于这些指南的行动方案。
This is one of a series of statements discussing the use of GI endoscopy in common clinical situations. The Standards of Practice Committee of the American Society for Gastrointestinal Endoscopy (ASGE) prepared this text. in preparing this guideline, a search of the medical literature was performed by using PubMed, supplemented by accessing the "related articles" feature of PubMed Additional references were obtained from the bibliographies of the of the idenified articles and from recommendations of expert consultants. When little or no data exist from well-designed prospective trials, emphasis is given to results from large series and reports from recognized experts. Guidelines for appropriate use of endoscopy are based on a critical review of the available data and expert consensus at the time the guidelines are drafted. Further controlled clinical studies may be needed to clarify aspects of this guideline. This guideline may be revised as necessary account for changes in technology, new data, or other other aspects of clinical practice. The recommendations were based on reviewed studies and were graded on the strength of the supporting evidence (Table 1).This guideline is intended to be an educational device to provide information that may assist endoscopists in providing care to patients. This guideline is not a rule and should not be construed as establishing a legal standard of care or as encouraging, advocating, requiring, or discouraging any particular treatment. Clinical decisions in any particular case involve a complex analysis of the patients condition and available courses of action. Therefore, clinical considerations may lead an endoscopist to take a course of action that varies from these guidelines.