Consensus guidelines for implementation of quality processes to prevent invasive fungal disease and enhanced surveillance measures during hospital building works, 2014

被引：32

作者：

Chang, C. C. ^{[1
,2
,3
,4
]}

Ananda-Rajah, M. ^{[1
,2
,5
]}

Belcastro, A. ^{[6
]}

McMullan, B. ^{[7
,8
]}

Reid, A. ^{[9
,10
,11
]}

Dempsey, K. ^{[12
]}

Athan, E. ^{[13
,14
,15
]}

Cheng, A. C. ^{[1
,2
,16
,17
]}

Slavin, M. A. ^{[14
,18
,19
]}

机构：

[1] Alfred Hlth, Dept Infect Dis, Prahran, Vic, Australia

[2] Monash Univ, Prahran, Vic, Australia

[3] Burnet Inst, Ctr Biomed Res, Melbourne, Vic, Australia

[4] Doherty Inst Infect & Immun, Lewin Cameron Lab, Parkville, Vic, Australia

[5] Alfred Hlth, Dept Gen Med, Prahran, Vic, Australia

[6] Johnstaff, Sydney, NSW, Australia

[7] Sydney Childrens Hosp, Dept Immunol & Infect Dis, Randwick, NSW, Australia

[8] Univ NSW, Sch Womens & Childrens Hlth, Kensington, NSW, Australia

[9] Wollongong Hosp, Dept Infect Dis, Wollongong, NSW, Australia

[10] Wollongong Hosp, Dept Gen Med, Wollongong, NSW, Australia

[11] Univ Wollongong, Sch Med, Wollongong, NSW, Australia

[12] Westmead Hosp, Infect Prevent & Control Unit, Westmead, NSW 2145, Australia

[13] Barwon Hlth, Dept Infect Dis & Infect Prevent, Geelong, Vic, Australia

[14] Univ Melbourne, Sch Med, Melbourne, Vic, Australia

[15] Deakin Univ, Sch Med, Melbourne, Vic, Australia

[16] Alfred Hlth, Infect Prevent & Healthcare Epidemiol Unit, Prahran, Vic, Australia

[17] Monash Univ, Infect Dis Epidemiol Unit, Melbourne, Vic 3004, Australia

[18] Peter MacCallum Canc Ctr, Dept Infect Dis & Infect Control, East Melbourne, Vic 8006, Australia

[19] Doherty Inst Infect & Immun, Victorian Infect Dis Serv, Parkville, Vic, Australia

来源：

INTERNAL MEDICINE JOURNAL | 2014年 / 44卷 / 12B期

关键词：

invasive fungal disease; hospital building work; HEPA filtration; environmental sampling; antifungal stewardship; PARTICULATE AIR FILTRATION; NOSOCOMIAL ASPERGILLOSIS; INFECTION PREVENTION; NEUTROPENIC PATIENTS; OUTBREAK; EPIDEMIOLOGY; ENVIRONMENT; RECIPIENTS; MORTALITY; EFFICACY;

D O I：

10.1111/imj.12601

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Healthcare-associated fungal outbreaks impose a substantial economic burden on the health system and typically result in high patient morbidity and mortality, particularly in the immunocompromised host. As the population at risk of invasive fungal infection continues to grow due to the increased burden of cancer and related factors, the need for hospitals to employ preventative measures has become increasingly important. These guidelines outline the standard quality processes hospitals need to accommodate into everyday practice and at times of healthcare-associated outbreak, including the role of antifungal stewardship programmes and best practice environmental sampling. Specific recommendations are also provided to help guide the planning and implementation of quality processes and enhanced surveillance before, during and after high-risk activities, such as hospital building works. Areas in which information is still lacking and further research is required are also highlighted.

引用

页码：1389 / 1397

页数：9

共 50 条

[1] NOSOCOMIAL OUTBREAK CAUSED BY SCEDOSPORIUM-PROLIFICANS (INFLATUM) - 4 FATAL CASES IN LEUKEMIC PATIENTS [J].