Update on Infection Control Practices in Cancer Hospitals

Update on Infection Control Practices in Cancer Hospitals
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DOI:
10.3322/caac.21462
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发表时间:
2018-09-01
影响因子:
254.7
通讯作者:
Chemaly, Roy F.
Chemaly, Roy F.
中科院分区:
医学1区
文献类型:
--
作者:
Ariza-Heredia, Ella J.;Chemaly, Roy F.

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在过去的几年里,肿瘤学的治疗方法发展迅速。与此同时,对接受癌症治疗的患者的支持性护理也有所发展,使患者能够在住院和门诊的基础上安全地接受最新的治疗进展。对感染控制和预防(感染控制和预防)在癌症患者预后中的作用的认识已经成为医院的一项要求,并涉及多学科小组。在过去的几十年里,癌症患者的ICP的一些独特的方面得到了发展,包括导管相关的感染、多药耐药生物、社区获得性病毒感染以及卫生保健环境对生物水平传播的影响。此外,随着感染跨越国际边界的可能性增加,对发生在该地区以外的暴发或新感染保持警惕已成为常态。随着未来的临近,免疫受损宿主中的ICP将继续整合新兴学科,如抗生素管理和微生物组,以及用于环境清洁和控制感染传播的新技术,如全基因组测序。(C)2018年美国癌症协会。
Therapies in oncology have evolved rapidly over the last years. At the same pace, supportive care for patients receiving cancer therapy has also evolved, allowing patients to safely receive the newest advances in treatment in both an inpatient and outpatient basis. The recognition of the role of infection control and prevention (ICP) in the outcomes of patients living with cancer has been such that it is now a requirement for hospitals and involves multidisciplinary groups. Some unique aspects of ICP for patients with cancer that have gained momentum over the past few decades include catheter-related infections, multidrug-resistant organisms, community-acquired viral infections, and the impact of the health care environment on the horizontal transmission of organisms. Furthermore, as the potential for infections to cross international borders has increased, alertness for outbreaks or new infections that occur outside the area have become constant. As the future approaches, ICP in immunocompromised hosts will continue to integrate emerging disciplines, such as antibiotic stewardship and the microbiome, and new techniques for environmental cleaning and for controlling the spread of infections, such as whole-genome sequencing. (C) 2018 American Cancer Society.