2011鲍曼不动杆菌研究进展综述.pptVIP

Contaminated surfaces increase cross-transmission X represents multi-drugs resistant pathogens culture positive sites 无处不在！ Highly refractory to both vigorouscleaning and to disinfectants! alcohol-based hand rubs may make matters worse rather than better!! Bernard Dixon. The Lancet Infectious Disease. 2008,8 alcohol or an alcohol-based hand rub provided the organism with an additional source of carbon ICU病人呼吸道处理 鼓励卧床患者、胸部手术患者被动咳嗽、变换体位，每2h协助其翻身1次。 气管插管患者应将气囊内注人适量的气体，封闭气道 预防口腔分泌物吸人后造成下呼吸道感染注意湿化气道，每2h用生理盐水加糜蛋白酶，10h气管内滴人1次 气管切开患者的处理 气管切开患者注意无菌操作及气道湿化，伤口敷料每日定时更换，污染后随时更换，保持干燥 吸痰时严格执行无菌操作，吸痰管一用一更