A review of isolation practices and procedures in healthcare settings.
A review of isolation practices and procedures in healthcare settings.
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DOI：
10.12968/bjon.2018.27.3.137
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发表时间：
2018-02-08
期刊：
影响因子：
--
通讯作者：
Hunt, Julian
中科院分区：
文献类型：
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作者：
Gammon, John;Hunt, Julian
传染病中的“隔离”概念是指已知或疑似感染的人与更广泛人群的可能性，历史上曾被用于控制和预防传染病的传播。医疗机构中的隔离实践在世纪不断发展，导致重点关注潜在传播的已知途径的破坏。世纪之交，在高调的报告承认IPC作为高质量临床护理的关键指标的重要性以及医疗获得性感染的影响之后，英国重新关注感染预防和控制（IPC）。从隔离病房转向普通病房的单间隔离。对于通过空气、飞沫或接触途径传播的感染，将患者置于单间隔离被认为是基于传播的预防措施（TBP）的重要组成部分。然而，在实践中，隔离是复杂的，在实施IPC程序时涉及许多挑战。
The notion of 'isolation' in infectious diseases refers to the possibility of people known or suspected to be infected from the wider population, and has historically been used to control and prevent the spread of infectious diseases. Isolation practices in healthcare settings evolved over the 20th century resulting in a focus on the disruption of known routes of potential transmission. There was renewed attention to infection prevention and control (IPC) in the UK at the turn of the 20th century after high-profile reports acknowledged the importance of IPC as a key indicator of high-quality clinical care, and the impact of healthcare-acquired infections. There has been a shift away from isolation wards towards isolation in single rooms on general wards. For infections that are spread by the airborne, droplet or contact routes, placing the patient in single-room isolation is considered to be an important component of transmission-based precautions (TBPs). However, in practice isolation is complex and a number of challenges are involved in implementing IPC procedures.