天津护理

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埃博拉病毒病个人防护装备使用的证据总结

  

  1. 1.天津市第二人民医院,天津   300192;2.天津市海河医院;3.天津医科大学第二医院
  • 收稿日期:2017-02-06 修回日期:2017-03-14 出版日期:2017-12-28 发布日期:2018-01-16

 
Evidence Summary on Personal Protective Equipment (PPE) for Ebola virus disease

  1.  
    1.The Second People’s Hospital of Tianjin, Tianjin 300192;2.Tianjin Haihe Hospital;3.The Second Hospital of Tianjn Medical University
  • Received:2017-02-06 Revised:2017-03-14 Online:2017-12-28 Published:2018-01-16

摘要:  

目的:系统检索并提取埃博拉病毒病个人防护装备最新、最佳使用证据,并形成证据总结。方法:计算机检索Cochrane Library、PubMed、EMbase、Joanna Briggs(JBI)循证图书馆、加拿大临床实践指南数据库、世界卫生组织(WHO)、美国疾病预防控制中心(CDC)、美国指南网(NGC)、中国生物医学文献数据库(CBMdisc)、万方数据库、中国国家卫生计生委和中国疾病预防控制中心网站内所有埃博拉病毒病个人防护装备相关证据,包括指南、证据总结、最佳实践信息册、推荐实践、系统评价、组织经验、专家意见、RCT以及经验总结等,由2名研究者对文献质量进行评价和证据提取。结果:共检索到原始研究24篇、指南类文献23篇,其中最佳实践指南5篇,以专家共识为基础的指南(暂时或快速指南)3篇,专家推荐实践2篇,专家意见1篇,组织经验4篇,最佳实践信息册4篇。提取证据共159条,再次采用JBI证据预分级及证据推荐级别系统(2014版)对证据的质量等级和推荐级别分别进行描述。结论:国外指南并不适宜直接翻译过来使用,需要进行修订或者证据提取,使之在实用性和可操作性方面更适于国人习惯。提取埃博拉病毒病个人防护装备使用的最新最佳证据或推荐,形成证据总结手册,经过专家评价后可直接应用于临床实践。

关键词:  , 埃博拉病毒病, 防护装备, 循证

Abstract: Objective: To retrieve and summarize the latest and the best available evidence on the personal protective equipment (PPE) for Ebola virus disease.Methods: Search the Cochrane Library, PubMed, EMBASE, Joanna Briggs(JBI)evidence-based Library, Canadian clinical practice guide database, World Health Organization (WHO), the United States Centers for Disease Control and Prevention (CDC), NGC, Chinese Biomedical Database (CBM disc), WanFang Data, China National Health Planning Committee Website and China Center for Disease Control and Prevention Website to collect literatures including guideline, evidence summary (ES), best practice information sheet (BPIS), recommend practice (RP), system review (SR), organizational experience, expert advice and RCT, et al. Two researchers independently evaluated the quality of literatures and extracted evidences.Results: 24 original articles and 23 guide literatures were enrolled,which included 5 best practice guidelines, 3 guidelines based on expert consensus, 2 expert recommendation practices, 1 expert opinion, 4 organizational experiences and 4 BPIS. 159 evidences were extracted, and the quality level of evidence and grade of recommendation were judged by the JBI levels of Evidence and Grades of Recommendation (2014 Edition).Conclusion: The foreign guidelines can't be directly translated and applied. It needs to be revised or extracted evidence to be more practicability and operability for Chinese. The latest and best evidence summary of PPE on Ebola virus disease can be directly applied to clinical practice after expert evaluation.

Key words:  Ebola Virus disease, Personal protective equipment, Evidence-based