INFECTION-CONTROL AND BONE-MARROW TRANSPLANTATION

被引:10
作者
MOONEY, BR
REEVES, SA
LARSON, E
机构
[1] University of Utah Hospital, Salt Lake City, UT
[2] Johns Hopkins School of Nursing, Baltimore, MD
[3] Georgetown University School of Nursing, Washington, DC
关键词
D O I
10.1016/0196-6553(93)90004-N
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background: Bone marrow transplantation for the treatment of malignancies is on the increase. Unfortunately, there are no well-validated infection control guidelines for this highly susceptible population. Methods: Literature was reviewed concerning infection risks and interventions to decrease risks for bone marrow transplant recipients. Results: Definitive information was generally lacking. However, basic ''common sense'' infection control recommendations for bone marrow transplantation were made in the following areas: air ventilation systems, design issues, environmental services, patient care issues, barrier precautions, nosocomial surveillance, and discharge planning. Recommendations must be tailored to each facility or setting. Conclusion: We conclude that validation of many of these recommendations is necessary to provide optimum care for bone marrow transplant recipients.
引用
收藏
页码:131 / 138
页数:8
相关论文
共 72 条
[1]  
Meyers, Infection in bone marrow transplant recipients, Am J Med, 81, pp. 27-38, (1986)
[2]  
Wells, Ferrieri, Weisdorf, Rhame, Importance of surveillance stool cultures during periods of severe neutropenia, Infect Control, 8, pp. 317-319, (1987)
[3]  
Winston, Gale, Meyer, Young, Infectious complications of human bone marrow transplantation, Medicine, 58, pp. 1-31, (1979)
[4]  
Klimowski, Rotstein, Cummings, Incidence of nosocomial aspergillosis in patients with leukemia over a twenty-year period, Infect Control Hosp Epidemiol, 10, pp. 299-305, (1989)
[5]  
Preisler, Bjornsson, Protected environment units in the treatment of acute leukemia, Semin Oncol, 2, pp. 369-377, (1975)
[6]  
Sherertz, Belani, Kramer, Et al., Impact of air filtration on nosocomial Aspergillus infections, Am J Med, 83, pp. 709-718, (1987)
[7]  
Woods, Davis, Vaughn, Failure of the sterile air-flow component of a protected environment detected by demonstration of Chaetomium species colonization of four consecutive immunosuppressed occupants, Infect Control Hosp Epidemiol, 9, pp. 451-456, (1988)
[8]  
Buckner, Clift, Thomas, Early complications in allogenic marrow transplantation recipients with acute leukemia: effects of prophylactic measures, Infection, 11, pp. 243-520, (1983)
[9]  
Buckner, Clift, Sander, Et al., Protective environment for marrow transplant recipients, Ann Intern Med, 89, pp. 893-901, (1978)
[10]  
Mahmoud, Schaefer, Schuning, Et al., Laminar air flow versus barrier nursing in marrow transplant recipients, Blut, 49, pp. 375-381, (1984)