关键词: Antimicrobial stewardship Indwelling devices Infection prevention Multidrug-resistant organisms Older adults

Mesh : Aged Anti-Bacterial Agents / therapeutic use Bacterial Infections / microbiology prevention & control Catheter-Related Infections / prevention & control Catheters, Indwelling / adverse effects Drug Resistance, Multiple, Bacterial Humans Risk Factors

来  源:   DOI:10.1016/j.idc.2017.07.004   PDF(Sci-hub)

Abstract:
Device-related infections (DRIs) are a significant cause of morbidity and mortality among older adults. Indwelling devices (urinary catheters, percutaneous feeding tubes, and central venous catheters) are frequently used in this vulnerable population. Indwelling devices provide a portal of entry for pathogenic organisms to invade a susceptible host and cause infection and are an important target for infection prevention and antimicrobial stewardship efforts. Within the \"Chain of Infection\" that leads to DRIs in older adults, multiple opportunities exist to implement interventions that \"break the links\" and reduce colonization with multidrug-resistant organisms, reduce infections, and improve antimicrobial use.
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