American Journal of Infection Control鏉傚織***鏂板彂琛ㄧ殑涓欏圭爺絀剁О錛岀洰鍓嶉拡瀵規秷鍖栧唴闀滀復搴婁嬌鐢ㄥ悗澶勭悊鐨勬寚鍗楅渶瑕佸敖蹇繘琛岄噸鏂拌瘎浼板拰鏇存柊[doi: 10.1016/j.ajic.2015.03.003]銆傚浜庤繘琛岃繃鑳冭偁闀滄墜鏈悗鐨勬秷鍖栧唴闀滐紝鐩墠鎸囧崡鎺ㄨ崘鐨勬秷姣掔▼搴忓茍鏈揪鍒板叏闈㈡秷姣掔殑瑕佹眰錛屾畫(huà)鐣欑殑寰敓鐗╂按騫寵繙楂樹(shù)簬鍏鐨勬爣鍑嗐?/span>
鏄庡凹鑻忚揪宸炲湥淇濈綏甯侽fstead & Associates 鍏徃鐨勫叕鍏卞崼鐢熷紜曞+Cori L. Ofstead浠h〃璇ョ爺絀剁殑浣滆呰瘎璁虹О錛?鈥滃厛鍓嶇殑鐮旂┒琛ㄦ槑錛屾秷鍖栧唴闀滄搷浣滃瓟閬撶殑娓呮礂娑堟瘨鏄崄鍒嗚垂鍔涜垂鏃剁殑錛岃岃礋璐f竻媧楃殑鎶鏈漢鍛樼粡甯鎬細璺寵繃涓浜涙楠わ紝榪欐槸鍗佸垎鍊煎緱鍏蟲(chóng)敞鐨勯棶棰橈紝鑰冭檻鍒板唴闀滄墜鏈殑鐩稿叧椋庨櫓鍙兘榪滈珮?shù)簬鍏堝墠鐨勬儗櫛″Q屼笖鐩墠緙哄皯瀹㈣鐨勬楠屾墜孌碉紝涓村簥鍖葷敓鍙兘鍦ㄤ笉鐭ユ儏鐨勬儏鍐典笅浣跨敤浜?jiǎn)宸簿l忔薄鏌撶殑鍐呯闀滆繘琛屼簡(jiǎn)鍚庣畫(huà)鐨勬墜鏈搷浣溿傗?/span>
鍦ㄦ濂ヨ瘖鎵榪涜鐨勮繖欏圭爺絀舵鏌ヤ簡(jiǎn)2013騫?1鏈?鏃?8鏃ユ湡闂磋繘琛岀殑60渚嬬嫭绔嬫墜鏈搷浣滅殑15鏉″唴紿ラ暅錛屼互鏄庣‘姣忔潯鍐呯闀滃湪鎵嬫湳鎿嶄綔鍚庢槸鎬庢牱澶勭悊鐨勪互鍙婁緷鎹簬鐜拌鎸囧崡鎺ㄨ崘鐨勬秷姣掓竻媧楃▼搴忔槸鍚﹀彲浠?**鐨勬竻闄ゅ唴紿ラ暅閲岀殑緇嗚弻銆?/span>
鈥滃唴紿ラ暅鐨勬嫻嬫槸鍦ㄤ竴涓笌娓呮礂鎿嶄綔闂寸浉閭葷殑涓撶敤鎴塊棿榪涜鐨勶紝榪欐牱鏂逛究榪涜蹇熷彇鏍峰拰緇嗚弻鍒嗙嫻嬭瘯錛屼笖鍙互浣挎綔鍦ㄧ殑鐜浜ゅ弶姹℃煋***灝忓寲銆傗濅綔鑰呰В閲婇亾銆?/span>
浠栦滑紜繚鍦ㄦ棤鑿岀幆澧冩潯浠朵笅榪涜鏁版嵁鏀墮泦錛屾瘮濡傜敤娑堟瘨鍓傛摝鎷〃闈紝浣跨敤涓嬈℃у惛姘村灚錛屽茍闄愬埗鎴夸環(huán)鐨勫嚭鍏ャ傜爺絀朵漢鍛樼┛鎴存墜濂椼侀槻姘村伐浣滄湇銆佸甫闃叉簠淇濇姢闈㈠叿銆佸ご濂楀拰闉嬪錛屽湪姣忎釜鏍鋒湰鏀墮泦涔嬮棿榪涜鎵嬪鐨勬洿鎹紝鍦ㄦ瘡鏉″唴紿ラ暅鏀墮泦涔嬮棿榪涜闃叉按宸ヤ綔鏈嶇殑鏇存崲銆?/span>
榪涜浜?jiǎn)寰敓鐗╁煿鍏诲拰蹇熸寚鏍囨嫻嬶紝鍚庤呭寘鎷珹TP銆佽泲鐧姐佽綰㈣泲鐧藉拰紕蟲(chóng)按鍖栧悎鐗╂畫(huà)鐣欍傚簥杈規竻媧楀唴紿ラ暅鏀墮泦鍒扮殑媧昏弻鏍鋒湰鍗?2%錛屾墜鍔ㄦ竻媧楀唴瑙嗛暅鐨勬椿鑿屾牱鏈崰46%錛?4%鐨勨?**娑堟瘨鈥濆唴紿ラ暅鐨勬椿鑿屾牱鏈崰64%錛屽瓨鍌ㄧ殑鍐呯闀滀腑媧昏弻鏍鋒湰鍗?%銆傚揩閫熸嫻嬫寚鏍囩粨鏋滆〃鏄庡瓨鍦ㄥ悇縐嶅艦寮忕殑姹℃煋錛?00%鐨勫簥杈規竻媧楀唴紿ラ暅錛?2%鐨勬墜鍔ㄦ竻媧楀唴紿ラ暅錛?3%鐨勨?**娑堟瘨鈥濆唴紿ラ暅錛屽拰82%鐨勫瓨鍌ㄥ唴紿ラ暅涓瓨鍦ㄦ椿鑿屻?/span>
鐮旂┒浜哄憳鍐欓亾錛氣滅洰鍓嶇殑鎸囧崡渚濊禆浜庤瑙夋鏌ヤ互楠岃瘉鍙姹℃煋鐗╂槸鍚﹀凡娓呮礂騫插噣錛屽彲鑳藉洜涓鴻娑插拰綺究寰堥毦浠庡唴紿ラ暅鐨勯粦鑹插澹充腑鍒嗚鯨鍑烘潵錛屽洜姝や笉鑳介氳繃鑲夌溂鐪嬪埌寰敓鐗┿傗濆洜姝わ紝Ofstead濂沖+鍜屽ス鐨勫悓浜嬩滑鍛煎悂閲嶆柊瀹¤褰撳墠鐨勬寚鍗楋紝鐢辮倝鐪艱瑙夋祴璇曟洿榪涗竴姝ワ紝鎴戜滑榪欓噷鐮旂┒鍙戠幇鐨勭粨鏋滀負灝嗘潵榪涜鐩稿叧鐮旂┒宸茬粡鍋氬ソ浜?jiǎn)鍑嗗锛岃璁′弗鏍肩殑鏂规硶浠ヤ究鍦ㄦ洿鐭殑鏃堕棿鍐呮洿鍔?**鍦版竻媧楀拰娑堟瘨鍐呯闀溿?/span>
浠栦滑寤鴻錛氣滈拡瀵逛嬌鐢ㄥ悗鐨勫唴紿ラ暅寤虹珛***鐨勬秷姣掓竻媧楁柟娉曚粛鐒舵槸闇瑕佺殑錛屽寘鎷娼滃湪鐨勫揩閫熸嫻嬫寚鏍囧拰寰敓鐗╁煿鍏昏繘琛屽父瑙勭洃嫻嬨傗?/span>