关键词: Environmental design Evidence-based design Hospital-acquired infection Infection control

Mesh : Humans Cross Infection / prevention & control Infection Control / methods Health Personnel Hand Hygiene Delivery of Health Care

来  源:   DOI:10.1016/j.ajic.2023.06.010

Abstract:
Health care-associated infections (HAIs) are a common issue in health care settings, caused by environmental microorganisms, leading to health risks and financial strain. Despite efforts to reduce HAIs, the role of the physical environment in reducing HAIs is not fully understood. This literature review aimed to identify physical environment variables contributing to HAIs.
A literature search was conducted in scientific databases between 2016 and 2022 using keywords associated with infections and physical environment variables. After screening retrieved articles for eligibility, the articles were analyzed for relevant environmental and infection variables.
Out of 145, 27 articles were identified. The findings were grouped into 8 categories, including layout design, surfaces, behavior, lighting, Internet of Things, materials, airflow, and air quality, with sub-themes in each group.
The physical environment in health care facilities plays a crucial role in reducing and preventing the spread of HAIs. Proper design and construction of health care buildings, including ventilation and air conditioning systems, help prevent infection spread between functional areas. Antimicrobial materials, cleaning and disinfection protocols, and personal hygiene practices, such as hand hygiene, are key factors in infection control. The positioning of hand hygiene stations is also essential to improve compliance among health care professionals.
摘要:
背景:医疗保健相关感染(HAIs)是医疗保健环境中的常见问题,由环境微生物引起,导致健康风险和财务压力。尽管努力减少HAIs,物理环境在减少HAIs中的作用尚未完全了解。这篇文献综述旨在确定导致HAIs的物理环境变量。
方法:在2016年至2022年之间,使用与感染和物理环境变量相关的关键词在科学数据库中进行了文献检索。在筛选检索到的文章是否有资格后,对文章进行了相关环境和感染变量分析.
结果:在145篇文章中,有27篇被确定。研究结果分为八类,包括布局设计,表面,行为,照明,物联网(IoT)材料,气流,空气质量,每个小组都有子主题。
结论:医疗机构中的物理环境在减少和预防HAIs的传播中起着至关重要的作用。医疗保健建筑的正确设计和施工,包括通风和空调系统,有助于防止感染在功能区之间传播。抗菌材料,清洁和消毒协议,和个人卫生习惯,如手卫生,是感染控制的关键因素。手部卫生站的定位对于提高医疗保健专业人员的合规性也至关重要。
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