Controlling antimicrobial resistance in hospitals: Infection control and use of antibiotics

被引：164

作者：

Weinstein, RA

机构：

[1] Cook Cty Hosp, Div Infect Dis, Chicago, IL 60612 USA

[2] Rush Med Coll, Chicago, IL 60612 USA

来源：

EMERGING INFECTIOUS DISEASES | 2001年 / 7卷 / 02期

关键词：

D O I：

10.3201/eid0702.010206

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

Antimicrobial-drug resistance in hospitals is driven by failures of hospital hygiene, selective pressures created by overuse of antibiotics, and mobile genetic elements that can encode bacterial resistance mechanisms. Attention to hand hygiene is constrained by the time it takes to wash hands and by the adverse effects of repeated handwashing on the skin. Alcohol-based hand rubs can overcome the time problem and actually improve skin condition. Universal glove use could close gaps left by incomplete adherence to hand hygiene. Various interventions have been described to improve antibiotic use. The most effective have been programs restricting use of antibiotics and computer-based order forms for health providers.

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收藏

页码：188 / 192

页数：5

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