Using the hierarchy of control technologies to improve healthcare facility infection control: Lessons from severe acute respiratory syndrome
Using the hierarchy of control technologies to improve healthcare facility infection control: Lessons from severe acute respiratory syndrome
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DOI：
10.1097/01.jom.0000134191.92225.f2
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发表时间：
2004-07-01
影响因子：
3.2
通讯作者：
McDiarmid, MA
中科院分区：
文献类型：
--
作者：
Thorne, CD;Khozin, S;McDiarmid, MA
卫生保健机构需要审查其感染控制计划，为严重急性呼吸综合征、其他新出现的病原体、结核病和流感等常见传染源以及生物恐怖分子威胁可能卷土重来做好准备。本文介绍了经典的“控制技术层次结构”，该技术在 20 世纪 90 年代结核病死灰复燃期间被职业和环境医学专业人员成功地用来保护工人免受疾病和死亡的影响。还讨论了建筑和设备专业组织的相关指南以及亚洲、加拿大和美国各医院在 2003 年严重急性呼吸综合征流行期间成功使用的新型感染控制技术。总而言之，他们提出了一个框架，在此框架上可以制定全面的感染控制计划，以防止致命的传染原传播给医护人员（临床医生和辅助专业人员）、未感染的患者和访客。
Health care facilities need to review their infect on control plans to prepare for the possible resurgence of severe acute respiratory syndrome, other emerging pathogens, familiar infectious agents such as tuberculosis and influenza, and bioterrorist threats. This article describes the classic "hierarchy of control technologies" that was successfully used by occupational and environmental medicine professionals to protect workers from illness and death during the resurgence of tuberculosis in the 1990s. Also discussed are related guidelines from building and equipment professional organizations and novel infection control techniques used successfully by various hospitals in Asia, Canada, and the United States during the 2003 severe acute respiratory syndrome epidemic. Taken together, they suggest a framework upon which a comprehensive infection control plan can be crafted to prevent the spread of deadly infectious agents to health care workers (clinicians and paraprofessionals), uninfected Patients and visitors.