頁籤選單縮合
| 題 名 | 長照機構內潛藏的伺機性感染:後疫情時代的肺部麴菌症以及相關感控措施=Opportunistic Infections in Long-term Care Facilities: Pulmonary Aspergillosis and Related Infection Control Strategies during Post-pandemic |
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| 作 者 | 劉晉瑋; 蔡雅雯; 賴志政; 湯宏仁; 薛博仁; | 書刊名 | 長照感染預防控制雜誌 |
| 卷 期 | 3:1 2024.06[民113.06] |
| 頁 次 | 頁21-28 |
| 分類號 | 419.712 |
| 關鍵詞 | 新冠病毒感染後侵襲性肺麴菌病; 長期照護機構; 後疫情; 嚴重特殊傳染性肺炎; 感染管制; COVID-19 associated pulmonary aspergillosis; CAPA; Long-term care facilities; LTCF; Post-pandemic; Coronavirus disease 2019; COVID-19; Infection control; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 嚴重特殊傳染性肺炎 (coronavirus disease 2019, COVID-19),儘管曾經造成全世界 80 億 人口的恐慌,造成無數的生命逝去以及家庭的破碎,然而,如此令人心驚膽跳的疫情時代已經 正式走入歷史。面對後疫情時代,我們除了必須靠著定期的疫苗施打去防止新冠病毒感染以及 新冠肺炎重症的發生之外,新冠病毒感染後侵襲性肺麴菌病 (COVID-19 associated pulmonary aspergillosis, CAPA) 的興起也是一項很重要的課題。長期照護機構的住民具有多重共病以及免 疫力相對低下狀態,無疑是新冠肺炎重症以及 CAPA 的高風險族群。為了瞭解如何有效的減少 肺部麴菌症的發生,我們回顧相關的文獻。CAPA 的主要感染途徑為透過吸入空氣中的麴菌孢子 (conidia),因此,在長照機構裡做好相關感控措施以降低空氣中的麴菌孢子密度,減少易感人 群對麴菌孢子的暴露以預防 CAPA 的發生顯得格外重要。雖然目前長照機構中無法常規監測空 氣中的麴菌孢子密度,但仍有許多方法得以減少相關的暴露,例如遠離在建設或翻修的施工區 域、空調系統以及通風設備的定期維護、使用高效微粒空氣過濾 (high efficiency particulate air, HEPA) 保持患者護理區域的高空氣質量、禁止花卉和盆栽植物出現在患者的護理區域等。我們 仍需要更多的研究去探討在後疫情時代如何有效率的減少長照機構中 CAPA 的發生率。 |
| 英文摘要 | Although COVID-19 (coronavirus disease 2019) once caused countless deaths and broken families, this alarming pandemic era has officially become subsided. In the post-pandemic era, besides relying on regular vaccinations to prevent COVID-19 infections and severe illness, the rise of COVID-19 associated pulmonary aspergillosis (CAPA) is also an important issue. Residents of long-term care facilities, with multiple comorbidities and relatively weakened immune systems, are undoubtedly at high risk for severe COVID-19 and CAPA. To understand how to effectively reduce the incidence of pulmonary aspergillosis, we reviewed relevant literature. The main route of CAPA infection is through the inhalation of airborne Aspergillus spores. Therefore, implementing infection control measures in long-term care facilities to reduce the density of airborne Aspergillus spores and minimize the exposure of susceptible individuals to these spores is crucial for preventing CAPA. Although routine monitoring of Aspergillus spores density in the airtmay not be feasible in long-term care facilities, there are several methods to reduce related exposure. These include far away from the construction or renovation areas, regular maintenance of air conditioning systems and ventilation equipment, using high-efficiency particulate air (HEPA) filtration to maintain high air quality in patient care areas, and prohibiting flowers and potted plants in patient care areas. More research is needed to explore how to efficiently reduce the incidence of CAPA in long-term care facilities in the post-pandemic era. of respiratory infections. |
本系統中英文摘要資訊取自各篇刊載內容。