【进展】通过医院自动监测技术，可以促进医院感染控制措施的改进和深化

本帖最后由 蓝鱼o_0 于 2011-5-17 12:40 编辑

AJIC: American Journal of Infection Control Volume 39, Issue 4 , Pages 270-276, May 2011


中文为非直译，特此注明。


最新的研究显示，运用医院AST系统（自动监测技术）可以显著增加确认和控制HAIS的效率，提高和改进实施证据为基础的感染控制措施。

Background

This research analyzes the relationship between hospital use of automated surveillance technology (AST) for identification and control of hospital-acquired infections (HAI) and implementation of evidence-based infection control practices. Our hypothesis is that hospitals that use AST have made more progress implementing infection control practices than hospitals that rely on manual surveillance.


我们的研究假设：AST相对于传统的手工监测具有重要的优势，体现在实施感染措施的改进。Methods

A survey of all acute general care hospitals in California was conducted from October 2008 through January 2009. A structured computer-assisted telephone interview was conducted with the quality director of each hospital. The final sample includes 241 general acute care hospitals (response rate, 83%).


电脑为支持的电话调查。涵盖241个急性护理医院，响应率83%。Results

Approximately one third (32.4%) of California’s hospitals use AST for monitoring HAI. Adoption of AST is statistically significant and positively associated with the depth of implementation of evidence-based practices for methicillin-resistant Staphylococcus aureus and ventilator-associated pneumonia and adoption of contact precautions and surgical care infection practices. Use of AST is also statistically significantly associated with the breadth of hospital implementation of evidence-based practices across all 5 targeted HAI.


目前，有接近三分之一的加利福尼亚医院运用AST监控HAI。采用AST可以显著促进和深化5项目标性HAI的控制措施（MRSA,VAP,SSI 等）。

Conclusion

Our findings suggest that hospitals using AST can achieve greater depth and breadth in implementing evidenced-based infection control practices。


结论

我们的研究显示，运用AST能够深入和扩大“证据为基础”的感控措施。