Variations in infection control practices suggest a need for guidelines in primary ciliary dyskinesia patient care.
Variations in infection control practices suggest a need for guidelines in primary ciliary dyskinesia patient care.
复制标题
感染控制实践的变化表明需要制定原发性纤毛运动障碍患者护理指南。
DOI：
10.1002/ppul.25836
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发表时间：
2022
影响因子：
3.1
通讯作者：
Brody,StevenL
中科院分区：
文献类型：
--
作者：
Caliskan,AyseB;Horani,Amjad;Manion,Michele;Brody,StevenL
原发性睫状体运动障碍(PCD)是一种常染色体隐性遗传性疾病，与纤毛结构和功能缺陷引起的粘液纤毛清除障碍有关。PCD的主要临床特征是反复或持续的呼吸道感染。耐药生物在呼吸道的定植影响感染频率和肺功能下降。护理人员已经使用了防护装备来试图控制囊性纤维化患者之间的呼吸道细菌传播，但在PCD中的使用尚不清楚。我们进行了一项基于网络的调查，调查北美心脑血管疾病中心的感染控制和预防做法，以及这种做法是如何受到新冠肺炎大流行的影响的。有效率为87.0%。在新冠肺炎大流行之前，手套、长袍和口罩的使用是可变的，只有3.7%的中心在接触PCD门诊患者时使用口罩。新冠肺炎规定取消后，48.1%的中心计划在门诊期间继续使用口罩，而使用手套和礼服的做法并未受到当前疫情的影响。PCD护理中的感染控制没有统一的做法，这表明需要制定实践指南。在新冠肺炎大流行期间了解到的缓解呼吸道病毒传播可能会影响未来用于心脑血管疾病和其他肺部疾病患者的感染控制方法。
Primary ciliary dyskinesis (PCD) is an autosomal recessive disorder associated with impaired mucociliary clearance caused by defects in ciliary structure and function. The major clinical feature of PCD is recurring or persistent respiratory tract infection. Respiratory tract colonization with drug‐resistant organisms impacts the frequency of infections and lung function decline. Protective gear has been employed by caregivers in an attempt to control respiratory tract bacterial spread between patients with cystic fibrosis, but use in PCD is not known. We conducted a web‐based survey to investigate infection control and prevention practices of PCD centers in North America, and how practices have been influenced by the COVID‐19 pandemic. The response rate was 87.0%. Before the COVID‐19 pandemic, glove, gown, and mask use were variable, and only 3.7% of centers used masks during encounters with PCD outpatients. After COVID‐19 mandates are lifted, 48.1% of centers plan to continue to use masks during outpatient care, while the practice regarding the use of gloves and gowns was not influenced by the current pandemic. There is no uniform practice for infection control in PCD care indicating the need for practice guidelines. Mitigation of respiratory virus transmission learned during the COVID‐19 pandemic may impact future infection control approaches used for patients with PCD and other lung diseases.