| Citation: |
LI Tao, YANG Tongnan, LIU Bao, GAN Kang, LIU Ling, DUAN Jun. Preventing Hospital Acquired Infection of Special Host in the Department of Critical Care Medicine--Organ Transplant Patients[J]. Medical Journal of Peking Union Medical College Hospital, 2024, 15(3): 513-517. DOI: 10.12290/xhyxzz.2024-0054
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With the popularization of transplantation technology, an increasing number of end-stage organ failure patients are undergoing transplantation surgery, and most of these patients need further monitoring and treatment in the department of critical care medicine. Due to immune suppression in transplant patients, the risk of hospital acquired infection is significantly increased. Therefore, for these patients, it is necessary to implement more stringent bundled management measures for the prevention of ventilator-associated pneumonia, catheter-related bloodstream infections, catheter-related urinary tract infections, and surgical site infections. At the same time, stricter institutional and personnel management is needed. This article, taking into account the guideline recommendations and the experience of our center, focuses on the prevention of hospital acquired infection in organ transplant patients, in order to provide reference for clinical practice of critical care medicine.
| [1] |
Fishman J A. Infection in organ transplantation[J]. Am J Transplant, 2017, 17(4): 856-879. DOI: 10.1111/ajt.14208
|
| [2] |
Fishman J A, Issa N C. Infection in organ transplantation: risk factors and evolving patterns of infection[J]. Infect Dis Clin North Am, 2010, 24(2): 273-283. DOI: 10.1016/j.idc.2010.01.005
|
| [3] |
Gudiol C, Sabé N, Carratalà J. Is hospital-acquired pneumonia different in transplant recipients?[J]. Clin Microbiol Infect, 2019, 25(10): 1186-1194. DOI: 10.1016/j.cmi.2019.04.003
|
| [4] |
Wicky P H, Martin-Loeches I, Timsit J F. HAP and VAP after guidelines[J]. Semin Respir Crit Care Med, 2022, 43(2): 248-254. DOI: 10.1055/s-0041-1740246
|
| [5] |
Guerra F, De Martino F, Capocci M, et al. VAP and oral hygiene. A systematic review[J]. Clin Ter, 2016, 167(6): 198-205.
|
| [6] |
Mastrogianni M, Katsoulas T, Galanis P, et al. The impact of care bundles on ventilator-associated pneumonia (VAP) prevention in adult ICUs: a systematic review[J]. Antibiotics (Basel), 2023, 12(2): 227. DOI: 10.3390/antibiotics12020227
|
| [7] |
Torres A, Ewig S, Lode H, et al. Defining, treating and preventing hospital acquired pneumonia: European perspec-tive[J]. Intensive Care Med, 2009, 35(1): 9-29. DOI: 10.1007/s00134-008-1336-9
|
| [8] |
Papazian L, Klompas M, Luyt C E. Ventilator-associated pneumonia in adults: a narrative review[J]. Intensive Care Med, 2020, 46(5): 888-906. DOI: 10.1007/s00134-020-05980-0
|
| [9] |
Oliveira J, Zagalo C, Cavaco-Silva P. Prevention of ventilator-associated pneumonia[J]. Rev Port Pneumol, 2014, 20(3): 152-161. DOI: 10.1016/j.rppneu.2014.01.002
|
| [10] |
O'Grady N P. Prevention of central line-associated bloodstream infections[J]. N Engl J Med, 2023, 389(12): 1121-1131. DOI: 10.1056/NEJMra2213296
|
| [11] |
Bell T, O'Grady N P. Prevention of central line-associated bloodstream infections[J]. Infect Dis Clin North Am, 2017, 31(3): 551-559. DOI: 10.1016/j.idc.2017.05.007
|
| [12] |
Cantón-Bulnes M L, Garnacho-Montero J. Practical approach to the management of catheter-related bloodstream infection[J]. Rev Esp Quimioter, 2019, 32(Suppl 2): 38-41.
|
| [13] |
María L T, Alejandro G S, María Jesús P G. Central venous catheter insertion: review of recent evidence[J]. Best Pract Res Clin Anaesthesiol, 2021, 35(1): 135-140. DOI: 10.1016/j.bpa.2020.12.009
|
| [14] |
Buetti N, Timsit J F. Management and prevention of central venous catheter-related infections in the ICU[J]. Semin Respir Crit Care Med, 2019, 40(4): 508-523. DOI: 10.1055/s-0039-1693705
|
| [15] |
Clarke K, Hall C L, Wiley Z, et al. Catheter-associated urinary tract infections in adults: diagnosis, treatment, and prevention[J]. J Hosp Med, 2020, 15(9): 552-556. DOI: 10.12788/jhm.3292
|
| [16] |
Flores-Mireles A, Hreha T N, Hunstad D A. Pathophysiology, treatment, and prevention of catheter-associated urinary tract infection[J]. Top Spinal Cord Inj Rehabil, 2019, 25(3): 228-240. DOI: 10.1310/sci2503-228
|
| [17] |
Ling M L, Ching P, Apisarnthanarak A, et al. APSIC guide for prevention of catheter associated urinary tract infections (CAUTIs)[J]. Antimicrob Resist Infect Control, 2023, 12(1): 52. DOI: 10.1186/s13756-023-01254-8
|
| [18] |
Tenke P, Köves B, Johansen T E B. An update on prevention and treatment of catheter-associated urinary tract infections[J]. Curr Opin Infect Dis, 2014, 27(1): 102-107. DOI: 10.1097/QCO.0000000000000031
|
| [19] |
Trautner B W, Hull R A, Darouiche R O. Prevention of catheter-associated urinary tract infection[J]. Curr Opin Infect Dis, 2005, 18(1): 37-41. DOI: 10.1097/00001432-200502000-00007
|
| [20] |
Owens C D, Stoessel K. Surgical site infections: epidemiology, microbiology and prevention[J]. J Hosp Infect, 2008, 70(Suppl 2): 3-10.
|
| [21] |
Kolasiński W. Surgical site infections-review of current knowledge, methods of prevention[J]. Pol Przegl Chir, 2018, 91(4): 41-47.
|
| [22] |
Abbo L M, Grossi P A. Surgical site infections: Guidelines from the American Society of Transplantation Infectious Diseases Community of Practice[J]. Clin Transplant, 2019, 33(9): e13589. DOI: 10.1111/ctr.13589
|
| [23] |
Bath M F, Davies J, Suresh R, et al. Surgical site infections: a scoping review on current intraoperative prevention measures[J]. Ann R Coll Surg Engl, 2022, 104(8): 571-576. DOI: 10.1308/rcsann.2022.0075
|
| [24] |
吴少华, 苏月. 医院感染护理技能培训的临床应用[J]. 中国感染与化疗杂志, 2023, 23(3): 417-418. https://www.cnki.com.cn/Article/CJFDTOTAL-KGHL202303027.htm
Wu S H, Su Y. Clinical application of hospital infection nursing skill training[J]. Chin J Infect Chemother, 2023, 23(3): 417-418. https://www.cnki.com.cn/Article/CJFDTOTAL-KGHL202303027.htm
|
| [25] |
彭威军, 赖晓全, 徐敏, 等. 手卫生依从性管理系统在医院感染管理中的效果评价[J]. 中国感染控制杂志, 2023, 22(11): 1340-1344. https://www.cnki.com.cn/Article/CJFDTOTAL-GRKZ202311010.htm
Peng W J, Lai X Q, Xu M, et al. Effectiveness of hand hygiene compliance management system in manage-ment of healthcare-associated infection[J]. Chin J Infect Control, 2023, 22(11): 1340-1344. https://www.cnki.com.cn/Article/CJFDTOTAL-GRKZ202311010.htm
|
| [26] |
赵香梅, 刘延锦, 范秋萍, 等. 某医院1996至2007年环境卫生监测及对医院感染率的影响[J]. 郑州大学学报(医学版), 2009, 44(3): 648-649. https://www.cnki.com.cn/Article/CJFDTOTAL-HNYK200903065.htm
Zhao X M, Liu Y J, Fan Q P, et al. Surveillance of environmental hygiene and its influence on nosocomial infection rate in a certain hospital between year 1996 and 2007[J]. J Zhengzhou Univ (Med Sci), 2009, 44(3): 648-649. https://www.cnki.com.cn/Article/CJFDTOTAL-HNYK200903065.htm
|
| [27] |
徐艳, 杨怀, 郑金鼎, 等. 环境多药耐药菌主动监测模式在医院感染监控中的应用[J]. 中华医院感染学杂志, 2012, 22(21): 4838-4840. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHYY201221070.htm
Xu Y, Yang H, Zheng J D, et al. Application of initiative monitoring mode for environmental multidrug-resistant bacteria in surveillance of nosocomial infections[J]. Chin J Nosocomiol, 2012, 22(21): 4838-4840. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHYY201221070.htm
|
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