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首页> 外文期刊>Antimicrobial Resistance and Infection Control >Challenges regarding the control of environmental sources of contamination in healthcare settings in low-and middle-income countries - a narrative review
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Challenges regarding the control of environmental sources of contamination in healthcare settings in low-and middle-income countries - a narrative review

机译：低收入中等收入国家医疗保健环境污染环境污染控制的挑战 - 叙事审查

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Healthcare-associated infections (HAI) especially outbreaks of multi-drug-resistant organisms within hospitals are recognized as a major contributor to morbidity and mortality of hospitalized patients. The healthcare environment can act as an amplifier of HAI during outbreaks. The risk of acquiring HAI are 20 times higher in Low-and-middle-income countries. The purpose of this article is to review the challenges associated with controlling environmental contamination in low and lower-middle income countries (LMIC), highlighting possible solutions. This is a narrative review. A literature search was carried out in Google scholar, PubMed, Science Direct, EBSCOHOST, CENGAGE, Scopus, ProQuest, Clinical Key and African journals online using the key words - Health care Associated Infections (HCAIs) in LMICs, Challenges of HAIs in LMIC, Challenges of Prevention and Control of HAIs in LMICs, Environment of care and infection transmission, Contaminated environment and HAIs. From the accessed databases, 1872 articles related to environmental sources of contamination in healthcare settings were found. Of these, only 530 articles focused on LMICs. However, only 186 articles met the inclusion criteria studies published in English, conducted between 2000 and 2019 and exploring environmental sources of contamination in LMIC healthcare settings). The sources of environmental contamination in healthcare are numerous and commonly associated with poor governance, Inadequate infrastructure, human capacity and inadequate funding. Low awareness exists at all levels as to the role of the environment in healthcare outcomes and may explain in part the low priority given for funding. Leadership and trained personnel, both Infection prevention and control practitioners and cleaners are crucial to drive and sustain the process to reduce environmental contamination in healthcare environments.
机译：医疗保健相关的感染（HAI）特别是医院内的多毒性生物爆发被认为是住院患者发病率和死亡率的主要因素。医疗保健环境可以在爆发期间作为海的放大器。收购HAI的风险在中低收入国家的20倍。本文的目的是审查与控制低中中低收入国家（LMIC）的环境污染相关的挑战，突出可能的解决方案。这是一个叙述审查。在谷歌学者，PubMed，Science Direct，EBSCohost，Cengage，Scopus，Proquest，临床关键和非洲期刊上进行了一个文献搜索，在线使用关键词 - 保健相关的感染（HCAIS）在LMIC中，LMIC的挑战，预防和控制HAIS在LMIC，护理环境和感染传播，污染环境和HAIS中的挑战。从访问的数据库中，发现了与医疗环境中的环境污染源相关的1872篇文章。其中，只有530篇文章集中在LMIC上。但是，只有186篇文章符合2000年至2019年间的英语发布的纳入标准研究，并在LMIC医疗环境中探索环境污染源）。医疗保健中的环境污染来源众多，常见于治理差，基础设施不足，人力容量和资金不足。对环境在医疗保健成果中的作用以及对资金提供的低优先级，对环境的作用存在低意识。训练有素的人员，感染和训练有素的人员，无论是感染和控制从业者和清洁剂都对驾驶和维持减少医疗保健环境中的环境污染的过程至关重要。

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