doi:10.3761/j.issn.0254-1769.2019.05.030

Abstract

Key words: Nursing Homes, Nosocomial Infections, Risk Factors, Risk Assessment, Infection Control, Review

摘要：

综述了国内外护理院院内感染的概况、危险因素、评估工具和干预措施,为建立护理院校内感染风险评估工具、早期识别高危人群提供参考。

关键词: 护理院, 院内感染, 危险因素, 风险评估, 感染控制, 综述

向飞玲, 赵庆华. 护理院院内感染的研究进展[J]. 中华护理杂志, 2019, 54(5): 770-775.

References 54

[1]	卫生部医政司. 卫生部关于印发《护理院基本标准(2011版)》的通知[EB/OL].( 2011-03-21)[2018-05-06]. http://www.gov.cn/gzdt/ 2011-03/21/content_1828316.htm.
[2]	曹培叶, 赵庆华, 肖明朝 , 等. 护理院失能老年人长期照护需求评估指标的研究[J]. 中华护理杂志, 2017,52(8):980-985. DOI URL
[3]	Ugajin M, Yamaki K, Hirasawa N , et al. Prognostic value of severity indicators of nursing-home-acquired pneumonia versus community-acquired pneumonia in elderly patients[J]. Clin Interv Aging, 2014,9:267-274. DOI URL PMID
[4]	沈志莹, 段应龙, 钟竹青 , 等. 综合安全项目在控制院内感染和建立安全文化中的应用现状[J]. 中华护理杂志, 2016,51(12):1491-1495. DOI URL
[5]	张群 . 某区老年护理院医院感染及抗菌药物应用情况的分析[J]. 中国医药指南, 2013,1(4):65-67.
[6]	方秋蓓 . 长征镇老年护理院院内感染63例分析[J]. 上海医药, 2014,35(2):46-48.
[7]	凡芸 . 老年护理院院内感染综合干预效果评价[J]. 中国老年学杂志, 2012,32(11):2404-2406. DOI URL
[8]	Rosello A, Horner C, Hopkins S , et al. Understanding the impact of interventions to prevent antimicrobial resistant infections in the long-term care facility:a review and practical guide to mathematical modeling[J]. Infect Control Hosp Epide-miol, 2017,38(2):216-225. DOI URL PMID
[9]	El-Solh AA . Nursing home acquired pneumonia:approach to management[J]. Curr Opin Infect Dis, 2011,24(2):148-151. DOI URL PMID
[10]	Kahn KL, Peter M, Weinberg DA , et al. Approach for conducting the longitudinal program evaluation of the US department of health and human services national action plan to prevent healthcare-associated infections:road map to elimination[J]. Med Care, 2014,52(1):9-16. DOI URL PMID
[11]	Zorman JV, Lusa L, Strle F , et al. Bacterial infection in elderly nursing home and community-based patients:a prospective cohort study[J]. Infection, 2013,4(5):909-916. DOI URL PMID
[12]	Herzig CTA, Dick AW, Sorbero M , et al. Infection trends in US nursing homes,2006-2013[J]. J Am Dir Assoc,2017,18(7):635.e9- 635.e20. DOI URL PMID
[13]	Montoya A, Cassone M, Mody L . Infections in nursing homes epidemiology and prevention programs[J]. Clin Geriatr Med, 2016,32(3):585-607. DOI URL
[14]	Gavazzi G, Baud O, Armand I , et al. EPIPA,a point prevale-nce survey of urinary,pulmonary and skin infection in 332 nursing homes in five French regions[J]. Eur Geriatr Med, 2012,3(1):S1-S32. DOI URL
[15]	Richards C . Infections in residents of long-term care facilities:an agenda for research. Report of an expert panel[J]. J Am Geriatr Soc, 2002,50(3):570-576. DOI URL PMID
[16]	El-Solh AA, Niederman MS, Drinka P . Management of pneumonia in the nursing home[J]. Chest, 2010,138(6):1480-1485. DOI URL PMID
[17]	Kahvecioglu D, Ramiah K, Mcmaughan D , et al. Multidrug-resistant organism infections in US nursing homes:a national study of prevalence,onset,and transmission across care settings,October 1,2010-December 31,2011[J]. Infect Control Hosp Epidemiol, 2014,35(S3):S48-S55.
[18]	Venkatachalam I, Yang HL, Fisher D , et al. Multidrug-resistant gram-negative bloodstream infections among residents of long-term care facilities[J]. Infect Control Hosp Epidemiol, 2014,35(5):519-926. DOI URL PMID
[19]	US Department of Health and Human Services,Centers for Disease Control and Prevention. Core elements of hospital antibiotic stewardship programs[EB/OL].[2018-05-06]. https://www.cdc.gov/antibiotic-use/healthcare/implementation/core-elements.html.
[20]	Manning S, Lautenbach E, Tolomeo P , et al. Risk factors for infection with Escherichia coli in nursing home residents colonized with fluoroquinolone-resistant Ecoli[J]. Infect Control Hosp Epidemiol, 2015,36(5):575-577. DOI URL PMID
[21]	Lim CW, Choi Y, An CH , et al. Facility characteristics as independent prognostic factors of nursing home-acquired pneumonia[J]. Korean J Intern Med, 2016,31(2):296-304. DOI URL
[22]	Peters C, Dulon M, Kleinmuller O , et al. MRSA prevalence and risk factors among health personnel and residents in nursing homes in Hamburg,Germany-a cross-sectional study[J]. PLoS One, 2017,12(1):e0169425. DOI URL PMID
[23]	Zomer TP, van Der Maaden T, van Gageldonk-Lafeber AB , et al. Incidence of pneumonia in nursing home residents with dementia in the Netherlands:an estimation based on three differently designed studies[J]. Epidemiol Infect, 2017,145(11):2400-2408. DOI URL PMID
[24]	Bellini C, Petignat C, Masserey E , et al. Universal screening and decolonization for control of MRSA in nursing homes:a cluster randomized controlled study[J]. Infect Control Hosp Epidemiol, 2015,36(4):401-408. DOI URL PMID
[25]	唐志红, 于卫华, 饶晓岚 , 等. 医养结合-四元联动整合照护模型的实践[J]. 中华护理杂志, 2017,52(1):40-43. DOI URL
[26]	Epstein L, Stone ND, Laplace L , et al. Comparison of data collection for healthcare-associated infection surveillance in nursing homes[J]. Infect Control Hosp Epidemiol, 2016,37(12):1440-1445. DOI URL PMID
[27]	Mody L, Crnich C . Effects of excessive antibiotic use in nursing homes[J]. JAMA Intern Med, 2015,175(8):1339-1341. DOI URL PMID
[28]	Mody L, Greene MT, Saint S , et al. Comparing catheter-associated urinary tract infection prevention programs between veterans affairs nursing homes and non-veterans affairs nursing homes[J]. Infect Control Hosp Epidemiol, 2017,38(3):287-293. DOI URL PMID
[29]	McGeer A, Campbell B, Emori TG , et al. Definitions of infection for surveillance in long-term care facilities[J]. Am J Infect Control, 1991,19(1):1-7. DOI URL PMID
[30]	Stone ND, Ashraf MS, Calder J , et al. Surveillance definitions of infections in long-term care facilities:revisiting the McGeer criteria[J]. Infect Control Hosp Epidemiol, 2012,33(10):965-977. DOI URL PMID
[31]	Bennett NJ, Johnson SA, Richards MJ , et al. Infections in Australian aged-care facilities:evaluating the impact of revised McGeer criteria for surveillance of urinary tract infections[J]. Infect Control Hosp Epidemiol, 2016,37(5):610-612. DOI URL PMID
[32]	Feldstein D, Sloane PD, Weber D , et al. Current prescribing practices for skin and soft tissue infections in nursing homes[J]. J Am Med Dir Assoc, 2017,18(3):265-270. DOI URL PMID
[33]	Ma HM, Wah JL, Woo J . Should nursing home-acquired pneumonia be treated as nosocomial pneumonia?[J]. J Am Med Dir Assoc, 2012,13(8):727-731. DOI URL PMID
[34]	Fine MJ, Auble TE, Yealy DM , et al. A prediction rule to iden-tify low-risk patients with community-acquired pneumonia[J]. N Engl J Med, 1997,336(4):243-250. DOI URL PMID
[35]	Lim WS, van Der Eerden MM, Laing R , et al. Defining community acquired pneumonia severity on presentation to hospital:an international derivation and validation study[J]. Thorax, 2003,58(5):377-382. DOI URL
[36]	Miyashita N, Matsushima T, 0ka M . The JRS guidelines for the management of community-acquired pneumonia in adults:an update and new recommendations[J]. Intern Med, 2006,45(7):419-428. DOI URL
[37]	Porfyridis I, Georgiadis G, Vogazianos P , et al. Creactive protein,procalcitonin,clinical pulmonary infection score,and pneu-monia severity scores in nursing home acquired pneumonia[J]. Respir Care, 2014,59(4):574-581. DOI URL PMID
[38]	Porfyridis I, Plachouras D, Karagianni V , et al. Diagnostic value of triggering receptor expressed on myeloid cells-1 and C-reactive protein for patients with lung infiltrates:an observational study[J]. BMC Infect Dis, 2010,10(1):286. DOI URL PMID
[39]	Myint PK, Kamath AV, Vowler SL , et al. Severity assessment criteria recommended by the British Thoracic Society(BTS) for community-acquired pneumonia(CAP) and older patients. Should SOAR(systolic blood pressure,oxygenation,age and res-piratory rate) criteria be used in older people? A compilation study of two prospective cohorts[J]. Age Ageing, 2006,35(3):286-291. DOI URL
[40]	El-Solh AA, Alhajhusain A, Drinka P , et al. Validity of severity scores in hospitalized patients with nursing home-acquired pneumonia[J]. Chest, 2010,138(6):1371-1376. DOI URL PMID
[41]	Kim SH, Chung JH, Lee JC , et al. Carboxy-terminal provasopressin may predict prognosis in nursing home acquired pneumonia[J]. Clin Chim Acta, 2013,421:226-229. DOI URL PMID
[42]	Naughton BJ, Mylotte JM, Tayara A . Outcome of nursing home-acquired pneumonia:derivation and application of a practical model to predict 30 day mortality[J]. J Am Geriatr Soc, 2000,48(10):1292-1299. DOI URL PMID
[43]	El-Solh AA, Niederman MS, Drinka P . Nursing home-acquired pneumonia:a review of risk factors and therapeutic approaches[J]. Curr Med Res Opin, 2010,26(12):2707-2714. DOI URL PMID
[44]	Smith PW, Bennett G, Bradley S , et al. SHEA/APIC Guideline:infection prevention and control in the long-term care facility[J]. Am J Infect Control, 2008,36(7):504-535. DOI URL PMID
[45]	谢红养老研究室. 养老机构质量提升从控制机构院感开始[EB/OL].( 2017 -03-14)[2018-05-06]. https://mp.weixin.qq.com/ s/89UmH78f31zL4wLY7JO0Jw.
[46]	谢红养老研究室. 养老机构院内感染预防永远重于应对[EB/OL].( 2017 -03-17)[2018-05-06]. https://mp.weixin.qq.com/s/EBZh4OrRElp1LtS8U9Aruw.
[47]	戴爱武 . 老年护理院预防医院感染的细节管理[J]. 当代护士(中旬刊), 2016(4):108-109.
[48]	Hughes C, Smith M, Tunney M , et al. Infection control strategies for preventing the transmission of meticillin-resistant Staphylococcus aureus(MRSA) in nursing homes for older people[J]. Cochrane Database Syst Rev, 2013, 11(2):CD006354. DOI URL PMID
[49]	Roghmann MC, Lydecker A, Mody L , et al. Strategies to prevent MRSA transmission in community-based nursing homes:a cost analysis[J]. Infect Control Hosp Epidemiol, 2016,37(8):962-966. DOI URL PMID
[50]	Kovach CR, Taneli Y, Neiman T , et al. Evaluation of an ultraviolet room disinfection protocol to decrease nursing home microbial burden,infection and hospitalization rates[J]. BMC Infect Dis, 2017,17(1):186. DOI URL PMID
[51]	Fisch J, Mcnamara SE, Lansing BJ , et al. The 24-hour report as an effective monitoring and communication tool in infection prevention and control in nursing homes[J]. Am J Infect Control, 2014,42(10):1112-1114. DOI URL PMID
[52]	Cohen CC, Engberg J, Herzig CT , et al. Nursing homes in states with infection control training or infection reporting have redu-ced infection control deficiency citations[J]. Infect Control Hosp Epidemiol, 2015,36(12):1475-1476. DOI URL PMID
[53]	Cohen CC, Herzig CT, Carter EJ , et al. State focus on health care-associated infection prevention in nursing homes[J]. Am J Infect Control, 2014,42(4):360-365. DOI URL PMID
[54]	O’fallon E, Schreiber R, Kandel R , et al. Multidrug-resistant gram-negative bacteria at a long-term care facility:assessment of residents,healthcare workers,and inanimate surfaces[J]. Infect Control Hosp Epidemiol, 2009,30(12):1172-1179. DOI URL PMID

护理院院内感染的研究进展

RichHTML

PDF

Knowledge

Abstract

Cite this article

share this article

References 54

Related Articles 15

Recommended Articles

Metrics

[1]	HUANG Panpan, LI Liling, HU Xiaojing. Research progress of early exercise rehabilitation in infants with congenital heart disease [J]. Chinese Journal of Nursing, 2025, 60(9): 1050-1055.
[2]	ZHOU Miao, CHEN Xing, PENG Fei, SUN Shangxue, LI Yangyang. Systematic review of risk prediction instruments for central line associated bloodstream infections in ICU patients [J]. Chinese Journal of Nursing, 2025, 60(9): 1132-1139.
[3]	PENG Yingjie, LIU Aihong, ZHU Wenli, MEI Yuxin, ZHOU Meng, GUAN Wenjing. Systematic review of readiness assessment tools for advance care planning in older adults [J]. Chinese Journal of Nursing, 2025, 60(9): 1146-1153.
[4]	RAN Lingxiao, WANG Dongmin, XU Ke, WANG Cong, CAO Hua, CUN Wei, JIANG Yan. Application of biomechanical simulation based on three-dimensional human body model in preventing pressure ulcers：a scoping review [J]. Chinese Journal of Nursing, 2025, 60(8): 1012-1018.
[5]	JIN Yujia, JIANG Hu, WANG Xiaoxuan, YI Jingna, MEI Yongxia, GUO Zhiting, ZHANG Zhenxiang, LIN Beilei. Application of information-based risk communication in primary prevention of cardiovascular diseases：a scoping review [J]. Chinese Journal of Nursing, 2025, 60(8): 1019-1025.
[6]	MA Yan, WANG Xiangyu, ZANG Meina, GUO Conghui, XING Haiying, WU Rong, LI Qingyin. Nursing care for 5 patients undergoing heart transplantation following removal of implantable left ventricular assist devices [J]. Chinese Journal of Nursing, 2025, 60(8): 981-985.
[7]	FENG Weiqing, CHEN Yanbo, CAI Huan, RUAN Jiahui, HE Xiuxian, LI Kun. A scoping review of the longitudinal studies on post stroke fatigue [J]. Chinese Journal of Nursing, 2025, 60(7): 799-805.
[8]	ZHOU Nan, ZHI Shihan, WANG Meng, ZHANG Hui, ZHANG Lihong, LUO Maoyu, HE Ying, GU Wei. The scope of application of sexual dysfunction intervention in cervical cancer patients and nursing inspira-tion [J]. Chinese Journal of Nursing, 2025, 60(7): 890-897.
[9]	SUN Danping, WANG Huafen, HUANG Ying, SHAO Lifang, LU Huiqin, ZHAN Xiaoqin. Development of an Assessment Scale of Oropharyngeal Candidiasis Risks in HIV-infected Patients and its test of validity and reliability [J]. Chinese Journal of Nursing, 2025, 60(6): 723-728.
[10]	HUANG Zhenzhen, SUI Weijing, DONG Jing, ZHANG Junru, ZHANG Chuchu, ZHOU Hongting, ZHANG Jiayu, ZHANG Na, ZHUANG Yiyu. Application of eye tracking techniques in ICU patients with aphasia：a scoping review [J]. Chinese Journal of Nursing, 2025, 60(6): 757-763.
[11]	LI Haijiao, WEI Dongshuai, WANG Ruiyan, LIU Rongxun, ZHANG Chaofeng, JIA Jie, WEI Yange. The application progress of music intervention in nursing of patients with psychiatric disorders [J]. Chinese Journal of Nursing, 2025, 60(6): 764-768.
[12]	SHI Jinli, MO Junjun, LU Lingling, CHEN Ye. Survey on the current situation of management of sterilization and supply centers in response to emerging and outbreaks of infectious diseases in 442 hospitals and analysis of influencing factors [J]. Chinese Journal of Nursing, 2025, 60(5): 589-595.
[13]	JIANG Sishan, CHENG Qinqin, LUO Tingwei, ZHANG Na, GUO Junchen, LI Dongya, LI Dandan, ZHU Lihui. A systematic review of quality assessment tools for pediatric palliative care based on COSMlN guidelines [J]. Chinese Journal of Nursing, 2025, 60(5): 611-618.
[14]	TIAN Siying, CHANG Hong. Research progress on the application of just-in-time adaptive intervention in chronic illness sedentary and physical activity [J]. Chinese Journal of Nursing, 2025, 60(5): 619-623.
[15]	LIANG Yilan, JIANG Wei, HE Xiaoshuang, WANG Ting, LÜ Yani. Research progress of symptom science model in chronic kidney disease [J]. Chinese Journal of Nursing, 2025, 60(5): 624-628.