ssi危险因素和预防策略(3m沈泳).pptVIP

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* 1 2 3M Infection Prevention Division 2 3M Infection Prevention Division Institute of Medicine’s To Err is Human. Washington DC: The National Academy Press,1999. SSI 3 3M Infection Prevention Division 3 CDC’s National Nosocomial Infections Surveillance (NNIS) system 4 3M Infection Prevention Division 4 5 3M Infection Prevention Division 5 6 3M Infection Prevention Division 6 Goal 7: Reduce the risk of health care associated infections NPSG.07.05.01: Implement best practices for preventing surgical site infections 2 7 9 3M Infection Prevention Division 3M Infection Prevention Division 8 10 8 10 11 3M Infection Prevention Division 11 7 9 Cushing H: Concerning the result of operations for brain tumor, JAMA 64:189-195,1915 12 3M Infection Prevention Division 12 3M Infection Prevention Division 3M Infection Prevention Division 1. Astagneau P, LHeriteau F, Daniel F et al. Reducing surgical site infection incidence through a network, results from the French ISO-RAISIN surveillance system. J. Hosp. Infect. 72, 127–134 (2009). 2. Manni?n J, van den Hof S, Muilwijk J et al. Trends in the incidence of surgical site infection in The Netherlands. Infect. Control Hosp. Epidemiol. 29, 1132–1138 (2008). 3 13 3M Infection Prevention Division 13 Bolon Mk, et al, Clin Infect Dis 2009;48:1223-1229 14 3M Infection Prevention Division 14 … Yokoe DS, et al, Emerg Infect Dis 2004;10,1924-1930 15 3M Infection Prevention Division 15 MRSA VRE CA-MRSA NDM-1 PDRAB VISA VRSA 16 Staphylococcus aureus 30.0% Coagulase-negative staphylococci Enterococcus spp. Escherichia coli Pseudomonas aeruginosa Enterobacter spp Klebsiella pneumoniae 13.7% 11.2% 9.6% 5.6% 4.2% 3.0% Candida spp. Klebsiella oxytoca Acinetobacter baumannii 2.0% 0.7% 0.6% N=7,025 Hidron AI, et.al., Infect Control Hosp Epid

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