Outbreaks in the adult ICUs

被引：8

作者：

Al-Dorzi, Hasan M. ^{[1
]}

Arabi, Yaseen M. ^{[1
]}

机构：

[1] King Saud bin Abdulaziz Univ Hlth Sci, Intens Care Dept, Coll Med, King Abdullah Int Med Res Ctr, Riyadh, Saudi Arabia

来源：

CURRENT OPINION IN INFECTIOUS DISEASES | 2017年 / 30卷 / 04期

关键词：

emerging viruses; healthcare-associated infections; ICU; infection control; multidrug-resistant bacteria; outbreak; EAST RESPIRATORY SYNDROME; INTENSIVE-CARE-UNIT; ILL RETURNING TRAVELERS; SYNDROME CORONAVIRUS; ACINETOBACTER-BAUMANNII; PSEUDOMONAS-AERUGINOSA; KLEBSIELLA-PNEUMONIAE; NOSOCOMIAL OUTBREAK; INFECTION-CONTROL; SYNDROME MERS;

D O I：

10.1097/QCO.0000000000000387

中图分类号：

R51 [传染病];

学科分类号：

100401 ;

摘要：

Purpose of reviewInfectious disease outbreaks in the critical care setting are common and serious consequence. This article reviews and summarizes recent outbreaks in the adult ICUs.Recent findingsOutbreaks of multidrug-resistant bacteria, fungi, and emerging viruses in ICUs from different countries are common. Outbreak investigation relies on epidemiologic methods, microbiologic studies, and molecular typing methods. Overuse of antibiotics, gaps in implementing infection prevention measures, and contaminated environment are common causes of ICU outbreaks. ICU staff awareness of and preparedness for such outbreaks are crucial for outbreak prevention and control. Specific infection control measures vary according to outbreak transmission mode and cause.SummaryOutbreaks remain a significant threat to healthcare systems. Proper implementation of infection prevention practices and judicious use of antibiotics are needed for outbreak prevention in adult ICUs. Surveillance, proper outbreak investigation, adherence to infection prevention and control measures, and thorough disinfection of contaminated areas are required to successfully manage outbreaks.

引用

页码：432 / 439

页数：8

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