Summary of the best evidence for prevention and control measures of carbapenem-resistant Enterobacteriaceae hospital infection
10.3760/cma.j.cn211501-20240105-00046
- VernacularTitle:碳青霉烯类耐药肠杆菌医院感染防控措施的最佳证据总结
- Author:
Haijiao ZHANG
1
;
Hongwei WANG
;
Fangying TIAN
;
Yongxia DING
Author Information
1. 山西医科大学第二医院医院感染管理科，太原 030001
- Keywords:
Infection control;
Hospital infection;
Carbapenem resistant Enterobacterium;
Drug resistance;
Summary of evidence
- From:
Chinese Journal of Practical Nursing
2024;40(20):1574-1581
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To review and summarize the best evidence of prevention and control measures of carbapenem-resistant Enterobacteriaceae (CRE) hospital infection, and provide evidence-based reference for health care workers to prevent and control CRE infection. Methods:A literature search strategy was developed to systematically search BMJ Best Clinical Practice, UpToDate, the World Health Organization, the Centers for Disease Control and Prevention website, the European Centers for Disease Control and Prevention website, the International Guidelines Collaboration website, the National Practice Technical Guidelines Library of the United States, the National Institute of Health and Clinical Optimization in the United Kingdom, the Ontario Medical Association of Canada, Maimai Tong, Cochrane Library, Australian Joanna Briggs Institute Evidence-Based Health Care Center database, PubMed, Web of Science, China National Knowledge Network, Wanfang database, VIP database, Chinese Biomedical Literature database of evidence related to the prevention and control of CRE hospital infection. The search period was from January 1, 2018 to October 1, 2023. The literature quality was evaluated independently by two research members, and evidence extraction and synthesis were carried out for the included literature.Results:A total of 10 articles were included, including 6 guidelines, 3 expert consensus articles, and 1 systematic review. 29 best evidences were formed from 6 aspects: preventive monitoring, active screening, contact isolation, environmental cleaning and disinfection, bacterial colonization, and hand hygiene measures.Conclusions:This study summarized the best evidence on the prevention and control measures of CRE infection in hospitals. Clinical staff and management departments should take active and effective prevention and control measures based on the local CRE epidemiological situation and resource requirements to reduce the risk of CRE infection.
