Recommendations for Metrics for Multidrug-Resistant Organisms in Healthcare Settings: SHEA/HICPAC Position Paper

Recommendations for Metrics for Multidrug-Resistant Organisms in Healthcare Settings: SHEA/HICPAC Position Paper
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DOI:
10.1086/591741
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发表时间:
2008-10-01
影响因子:
4.5
通讯作者:
Weinstein, Robert A.
Weinstein, Robert A.
中科院分区:
医学4区
文献类型:
--
作者:
Cohen, Adam L.;Calfee, David;Weinstein, Robert A.

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监测多重耐药微生物(MDRO)及其在医疗保健环境中引起的感染对于检测新出现的抗菌药物耐药性、识别易受影响的患者群体以及评估干预措施的必要性和有效性非常重要;然而,尚不清楚哪些指标最好,因为大多数指标都没有标准化。本文件描述了在医疗机构感染预防和控制实践中测量多重耐药菌及其引起的感染的有用且实用的指标和监测注意事项。这些指标旨在帮助医护人员记录其设施内随时间变化的趋势,不应用于设施间比较。
Monitoring multidrug-resistant organisms (MDROs) and the infections they cause in a healthcare setting is important to detect newly emerging antimicrobial resistance profiles, to identify vulnerable patient populations, and to assess the need for and effectiveness of interventions; however, it is unclear which metrics are the best, because most of the metrics are not standardized. This document describes useful and practical metrics and surveillance considerations for measuring MDROs and the infections they cause in the practice of infection prevention and control in healthcare settings. These metrics are designed to aid healthcare workers in documenting trends over time within their facility and should not be used for interfacility comparison.