重症医学科医院感染控制原则专家共识(2024)  

2024 Expert Consensus on Hospital Acquired Infection Control Principles in the Department of Critical Care Medicine

作　　者：柴文昭 刘晶晶 王小亭 马小军[2] 汤铂 张青 王滨[3] 王晓猛[4] 朱世宏 陈文劲[6] 陈祖君 杨全会[8] 杨荣利 丁欣 赵华 程卫 段军[10] 高景利[11] 刘大为 CHAI Wenzhao;LIU Jingjing;WANG Xiaoting;MA Xiaojun;TANG Bo;ZHANG Qing;WANG Bin;WANG Xiaomeng;ZHU Shihong;CHEN Wenjin;CHEN Zujun;YANG Quanhui;YANG Rongli;DING Xin;ZHAO Hua;CHENG Wei;DUNA Jun;GAO Jingli;LIU Dawei(Department of Critical Care Medicine,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730,China;Department of Infectious Diseases,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730,China;Center for Cardiac Surgery Intensive Care,Beijing Anzhen Hospital of Capital Medical University,Beijing 100029,China;Department of Critical Care Medicine,Xuzhou Central Hospital,Xuzhou,Jiangsu 221009,China;Intensive Care Unit,Former Army General Hospital,Beijing 100700,China;Neuroscience ICU of Neurosurgery,Xuanwu Hospital Capital Medical University,Beijing 100053,China;SICU of Fuwai Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,National Center for Cardiovascular Diseases,Beijing 100037,China;Department of Critical Medical Sciences,Chinese Academy of Medical Sciences&Peking Union Medical College,National Cancer Center,National Clinical Research Center for Cancer,Beiing 100021,China;Department of Critical Care Medicine,Central Hospital of Dalian University of Technology,Dalian,Liaoning 116033,China;Department of Intensive Care Unit,China-Japan Friendship Hospital,Beijing 100029,China;Department of Intensive Care Unit,Kailuan General Hospital,Tangshan,Hebei 063000,China)

机构地区：[1]中国医学科学院北京协和医院重症医学科,北京100730 [2]中国医学科学院北京协和医院感染内科,北京100730 [3]首都医科大学附属北京安贞医院心脏外科危重症中心,北京100029 [4]徐州市中心医院重症医学科,江苏徐州221009 [5]陆军总医院重症医学科,北京100700 [6]首都医科大学宣武医院神经外科ICU,北京100053 [7]国家心血管病中心中国医学科学院阜外医院SICU,北京100037 [8]国家癌症中心国家肿瘤临床医学研究中心中国医学科学院肿瘤医院重症医学科,北京100021 [9]大连理工大学附属中心医院重症医学科,辽宁大连116033 [10]中日友好医院重症医学科,北京100029 [11]开滦总医院重症医学科,河北唐山063000

出　　处：《协和医学杂志》2024年第3期522-531,共10页Medical Journal of Peking Union Medical College Hospital

基　　金：北京市科技计划项目(Z201100005520038)。

摘　　要：重症患者是医院感染的高危人群,且医院感染会显著增加重症患者的死亡率和治疗成本,因此,在治疗原发疾病的过程中,严格防控新发医院感染是重症患者救治的重要组成部分。重症患者的救治涉及多个环节,需从理论、管理、教育、规范、监督等多个层面发挥合力作用,才能实现医院感染的有效防控,但目前医院感染防控尚缺乏统一的认识和规范。为此,2024年3月,国内多名重症医学、感染病学及医院感染相关专家共同探讨了重症医学科医院感染控制现状及其问题,并在参考国内外最新循证医学证据的基础上,形成了《重症医学科医院感染控制原则专家共识(2024)》,以期为重症医学科制订医院感染防控策略提供依据。Critically ill patients are at high risk for hospital acquired infections,which can significantly increase the mortality rate and treatment costs for these patients.Therefore,in the process of treating the pri-mary disease,strict prevention and control of new hospital infections is an essential component of the treat-ment for critically ill patients.The treatment of critically ill patients involves multiple steps and requires a con-certed effort from various aspects such as theory,management,education,standards,and supervision to achieve effective prevention and control of hospital infections.However,there is currently a lack of unified understanding and standards for hospital infection prevention and control.To address this,in March 2024,a group of experts in critical care medicine,infectious diseases,and hospital infection from China discussed the current situation and issues of hospital infection control in the intensive care unit together.Based on a review of the latest evidence-based medical evidence from both domestic and international sources,2024 Expert Consensus on Hospital Acquired Infection Control Principles in the Department of Critical Care Medicine was formed,aiming to provide a basis for the development of hospital infection prevention and control strategies in the field of critical care medicine.

关 键 词：重症医学 医院感染 感染防控 共识 

分 类 号：R-1[医药卫生] R192.3R459.9