کد مقاله کد نشریه سال انتشار مقاله انگلیسی ترجمه فارسی نسخه تمام متن
1076054 950100 2015 13 صفحه PDF سفارش دهید دانلود کنید
عنوان انگلیسی مقاله
Relationship between shared patient care items and healthcare-associated infections: A systematic review
ترجمه فارسی عنوان
رابطه بین آیتم های مراقبت از بیماران مشترک و عفونت های مربوط به مراقبت های بهداشتی: یک بررسی سیستماتیک
کلمات کلیدی
عفونت متقاطع؛ استعمار؛ آلودگی؛ تجهیزات و لوازم؛ بیمارستان؛ موارد غیربحرانی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی سیاست های بهداشت و سلامت عمومی
چکیده انگلیسی

BackgroundEnvironmental surfaces may contribute to transmission of nosocomial pathogens. Noninvasive portable clinical items potentially shared among patients (NPIs) are part of the patient's immediate surroundings and may pose a threat of pathogen transmission.ObjectiveTo assess the body of literature describing the range of microorganisms found on NPIs and evaluate the evidence regarding the potential for cross-transmission of microorganisms between NPIs and hospitalized patients in non-outbreak conditions.DesignA comprehensive list of NPIs was developed, and a systematic review of these items combined with healthcare-associated infection related keywords was performed.Data sourcesPubMed, Scopus, and Cochrane Library.Review methodsA systematic review was performed using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist to identify and synthesize research reports published between January 1990 and July 2013 on studies regarding contamination of NPIs and association to infections in non-outbreak circumstances.Results1498 records were scanned for eligibility. Thirteen studies met inclusion criteria. Overall, rates of NPI contamination ranged from 23% to 100%. Normal skin or environmental flora were found on almost all positive cultures. Potential pathogens, e.g., Staphylococcus aureus, were present on up to 86%, and Pseudomonas spp. and/or Enterobacteriaceae in 38% of positive cultures. Multi-drug resistant organisms were isolated from up to 25% of items. Three studies explored association between NPIs contamination and patient colonization and infection. One study reported 5 patients with healthcare-associated infections with pathogens found concurrently on NPIs, one found cross-transmission between patient skin bacteria and NPI contamination, and a third did not find any cross-transmission.ConclusionsPotential pathogens and multiply resistant organisms present on NPIs in routine, non-outbreak conditions and in a variety of settings confirms the need to improve NPIs decontamination practices.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: International Journal of Nursing Studies - Volume 52, Issue 1, January 2015, Pages 380–392
نویسندگان
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