醫(yī)院感染目標(biāo)性監(jiān)測(cè)譯-展示頁(yè)
2025-02-15 17:23本頁(yè)面
【正文】 y (NICU) Risk adjusted SSIs by Procedures 7 你所在醫(yī)院監(jiān)測(cè)系統(tǒng)的目標(biāo)性監(jiān)測(cè) Your Hospital Surveillance System Targets: Your Hospital VAP ICU BSI SSI Ventilator Associated Pneumonia Medical /Surgical ICUs Intensive Care Unit (Pediatric) Primary Blood Stream Infections Primary Orthopedic Neurosurgical or CABG Procedures 8 哪些感染作為目標(biāo)性監(jiān)測(cè) Which infection to target? ? 重點(diǎn)為具有高感染危險(xiǎn)的病人 Focus on patients at high risk for HAI ? 病人的護(hù)理病區(qū) Patient care areas – 重癥監(jiān)護(hù)病房 ICU’s, 心胸外科 cardiothoracic surgery, 癌癥病房 cancer ward ? 特殊人群 Specific populations – 新生兒 neonates, 移植病人 transplant patients, 血液透析病人 hemodialysis pts ? 操作 /設(shè)備 Procedures / Devices – CT 外科 CT surgery, 中央靜脈插管 central vascular lines, 呼吸機(jī) ventilators ? 具有流行病學(xué)意義的病原體 Organisms of epidemiologic importance – MRSA, VRSA 9 針對(duì)后果 的目標(biāo)性監(jiān)測(cè) Targeted Surveillance for Outes ? 原發(fā)性血液系統(tǒng)感染 Primary Bloodstream infections ? 呼吸機(jī)相關(guān)性肺炎 Ventilatorassociated pneumonia ? 手術(shù)部位感染 Surgical site infections ? MRSA, VRE infections ? 血液透析病人經(jīng)血管的感染 Vascular access infections in hemodialysis patients ? 醫(yī)療機(jī)構(gòu)中的銳器刺傷 Sharps injuries in healthcare providers 10 針對(duì)過程 的目標(biāo)性監(jiān)測(cè) Targeted Surveillance for Processes ? 醫(yī)務(wù)人員的乙肝免疫率 Hepatitis B immunity rates in personnel ? 醫(yī)務(wù)人員對(duì)操作規(guī)則的依從性 隔離預(yù)防 Personnel pliance with protocols isolation precautions, ? 滅菌質(zhì)量監(jiān)測(cè) Sterilization quality assurance testing, ? 有效地環(huán)境清潔 Effective environmental cleaning ? 抗微生物藥物的使用與管理 Antimicrobial prescribing and administration 11 怎樣實(shí)施目標(biāo)性監(jiān)測(cè) How to implement targeted surveillance 12 第一步 Step One ? 感染控制護(hù)士和醫(yī)生每天查看微生物學(xué)報(bào)告 ICP and MD review Microbiology reports daily ? 定期查閱過去的監(jiān)測(cè)數(shù)據(jù) Review past surveillance data periodically ? 列出作為目標(biāo)性監(jiān)測(cè)的潛在感染或人群 Develop a list of the potential infections or populations for targeted surveillance 13 第二步 Step Two 感染控制人員基于以下一個(gè)或多個(gè)標(biāo)準(zhǔn)選擇目標(biāo)性監(jiān)測(cè)的醫(yī)院感染 Infection control team selects nosoial infections to target based on one or more of the following criteria: 14 選擇過程或后果進(jìn)行目標(biāo)監(jiān)測(cè)的的標(biāo)準(zhǔn) Criteria for Selecting Processes or Outes for Targeted Surveillance ? 感染控制計(jì)劃的目的 IC program objectives ? 感染并發(fā)癥的危險(xiǎn)頻度或水平 Frequency or level of risk of infectious plications for 病區(qū) area 患者人群 patient population 操作 procedure 服務(wù) service ? 發(fā)病率 Morbidity, 死亡率 Mortality, 費(fèi)用 Cost ? 預(yù)防的可能性 Possibility for prevention 15 第三步 Step Three ICP 應(yīng)用一致的和認(rèn)可的標(biāo)準(zhǔn)，對(duì)第二步?jīng)Q定的與感染有關(guān)的過程或結(jié)局進(jìn)
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