Zusammenfassung
Respiratorische Infektionen gehören zu den häufigsten Infektionen bei Kindern und Erwachsenen. Rund 1/3 aller infektbedingten Krankenhausaufnahmen betreffen Infektionen der Atemwege. Infektionen der oberen Atemwege gehören zu den häufigsten Ursachen für Absenzen von der Schule oder Arbeit. Die Mehrheit der respiratorischen Infektionen sind viral bedingt. Viren besitzen in der Regel eine hohe Infektiosität und werden vorwiegend durch Tröpfchen, aber auch durch direkten oder indirekten Kontakt via kontaminierte Oberflächen übertragen. Isolationsmaßnahmen bei respiratorischen Infektionen dienen dem Personalschutz sowie der Verhinderung nosokomialer Infektionen im stationären und ambulanten Setting. Im Gegensatz zum stationären Bereich bestehen für den ambulanten Bereich keine detaillierten Richtlinien. Im vorliegenden Artikel werden die Isolationsmaßnahmen bei ambulanten Patienten vorgestellt.
Abstract
Respiratory tract infections belong to the most important infections in children and adults. One third of all infection-related hospitalizations are due to respiratory tract infections. Upper respiratory tract infections are one of the most important reasons for absence from school or work. The majority of respiratory tract infections are of viral origin. Viral infections are usually highly contagious. They are transmitted mainly by droplets, but also by direct or indirect contact via contaminated objects. Isolation precautions in respiratory tract infections are important to protect health-care workers from infection and prevent nosocomial transmission in the hospital and ambulatory care setting. Unlike for the hospital setting there are no detailed recommendations available for isolation precautions in the ambulatory care setting. Isolation precautions for outpatients are described in this article.
Literatur
Behr MA, Warren SA, Salamon H et al. (1999) Transmission of Mycobacterium tuberculosis from patients smear-negative for acid-fast bacilli. Lancet 353: 444–449
Burls A, Jordan R, Barton P (2006) Vaccinating health-care workers against influenza to protect the vulnerable – is it a good use of healthcare resources? A systematic review of the evidence and an evaluation. Vaccine 24: 4212–4221
Cowling BJ, Chan KH, Fang VJ et al. (2009) Facemasks and hand hygiene to prevent influenza transmission in housholds: a randomized trial. Ann Intern Med, Epub 151: 437–446
Christensen KLY, Holman RC, Steiner CA et al. (2009) Infectious disease hospitalizations in the United States. Clin Infect Dis 49: 1025–1035
Goodman RA, Solomon SL (1991) Transmission of infectious diseases in outpatient healthcare settings. JAMA 265: 2377–2381
Kramer A, Schwebke I, Kampf G (2006) How long do nosocomial pathogens persist on inanimate surfaces? A systematic review. BMC Infect Dis 6: 130
Loeb M, Dafoe N, Mahony J et al. (2009) Surgical mask vs N95 respirator for preventing influenza among health care workers: a randomized trial. JAMA 302: 1903–1904
Morell RE, Marks MI, Champlin R, Spence L (1975) An outbreak of severe pneumonia due to respiratory syncytial virus in isolated Arctic populations. Am J Epidemiol 101: 231–237
Musher DM (2003) How contagious are common respiratory tract infections? N Engl J Med 348: 1256–1266
(n a) (2006) Economic and social impact of epidemic and pandemic influenza. Vaccine 24: 6776–6778
Nichol KL, Nordin JD, Nelson DB et al. (2007) Effectiveness of influenza vaccine in the community –dwelling elderly. N Engl J Med 357: 1373–1381
Nichol KL (2008) Efficacy and effectiveness of influenza vaccination. Vaccine 26 (Suppl 4): D17–D22
Proud D (2008) Upper airway viral infections. Pulm Pharmacol Ther 21: 468–473
Siegel JD, Rhinehart E, Jackson M et al. (2007) Guideline for isolation precautions: preventing transmission of infectious agents in healthcare settings. Center for Disease Control and Prevention CDC http://www.cdc.gov/ncidod/dhqp/pdf/guidelines/Isolation2007.pdf
Tostmann A, Kik SV, Kalisvaart NA et al. (2008) Tuberculosis transmission by patients with smear-negative pulmonary tuberculosis in a large cohort in the Netherlands. Clin Infect Dis 47: 1135–1142
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Buehlmann, M., Widmer, A. Isolationsmaßnahmen bei Infektionen der Luftwege. Internist 51, 161–168 (2010). https://doi.org/10.1007/s00108-009-2417-8
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DOI: https://doi.org/10.1007/s00108-009-2417-8