论文部分内容阅读
现在呈现在读者面前的是英国国家医疗服务系统(NHS)医院预防医院感染的国家循证指南第3版。该指南初版于2001年发布,起源于受英国卫生部委托,由护理人员牵头众多专业的研究人员和临床专家在1998—2000年进行研究(epic1)。2007年,在epic2研究基础上进行了第1次更新(第2版)。该指南的一个显著特点是及时回顾新的研究成果,采用新的循证医学证据,维持它的有效性和权威性。虽然一份更新证据的重要评估报告表明2007年出版的第2版指南仍然保持其强有力的相关性及适时性(epic3),但2014年发布的第3版指南仍对一些指南推荐的级别要求进行了必要的调整,同时有证据支持的指南推荐意见也被更新。在英国,尽管第3版指南依据目前最有力的证据为医院及其他急救机构预防医院感染提供了最全面的推荐意见,而且国家循证指南是最好实践的宏观原则,但需结合当地的实践指南,以减少实践中的差异和维护患者安全。指南的作者认为,临床有效预防和控制感染,是保护患者的基本特征;希望通过将这些指南应用于日常临床实践,保障患者的安全,减少医院感染。本刊组织有关人员将英国NHS医院——预防医院感染的国家循证指南主要内容进行编译,分3期连续刊出,以飨读者,不正之处,敬请批评指正。
Presently in the audience is the third edition of the National Evidence-Based Guide to Prevention of Nosocomial Infection at the National Institutes of Health Care System (NHS). This guide first edition was released in 2001, originated from the British Ministry of Health commissioned by nursing staff led by many professional researchers and clinical experts conducted in 1998-2000 (epic1). In 2007, the first update was based on the epic2 study (2nd edition). A notable feature of this guideline is the timely review of new research findings and the adoption of new evidence-based evidence to maintain its effectiveness and authority. Although an updated assessment of key findings indicates that the second edition of the guide, published in 2007, still maintains its strong relevance and timeliness (epic3), the third edition of the guide, published in 2014, still requires some guidance on the level of recommendation The necessary adjustments have been made and the evidence-backed guideline recommendations have also been updated. In the UK, although the third edition of the guideline provides the most comprehensive recommendations for hospitals and other first aid agencies to prevent nosocomial infections based on the best available evidence so far, and national evidence-based guidance is a macro-principle of best practice, combined with local practice Guide to reduce differences in practice and maintain patient safety. According to the authors of the guidelines, clinical prevention and control of infection are the basic characteristics of patient protection. We hope that by applying these guidelines to daily clinical practice, we hope to ensure patient safety and reduce nosocomial infections. The organization of the relevant staff of the United Kingdom NHS Hospital - Prevention of Infection-based national guidelines for evidence-based guide compiled compilation, published in three consecutive issues, readers, not correct, please comment criticism.