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

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.