(精选)【医学课件】 醫療照護相關泌尿道感染的預防與組合式照護教学课件.pptVIP

李聰明 醫師 馬偕感染科/感染管制中心主任醫師 臺灣感染管制學會理事長 ;感染管制工作的重要性;Estimated rates of HCAI worldwide;Background: Impact of CAUTI;Background: Urinary Catheter Use;Evidence-based Risk Factors for CAUTI;Figure from: Maki DG, Tambyah PA. Emerg Infect Dis 2001;7:1-6;Background: Pathogenesis of CAUTI;*;*;*;*;*;Copyright ? Prof Chris Griffith, UWIC 2007 ;Prevention of HCAI ;SENIC study: Study on the Efficacy of Nosocomial Infection Control;Zero Tolerance;What is a bundle?;What is a bundle?;What is a bundle?;Who can use the bundles?;All clinical staff know that these interventions are best practice but frequently their application in routine care is inconsistent A Care Bundle is a means to ensure that the application of all the interventions is consistent for all patients at all times thereby improving outcomes ;Dr. Peter Pronovost is accredited with developing the 1st Care Bundle – insertion and management of CVC’s Intensivist in a hospital in Michigan Developed a checklist for insertion and management of CVC’s to ensure that key interventions recommended by the CDC 2002 guidelines were implemented every time a CVC was inserted ;Hand decontamination pre insertion Full sterile barrier precautions (operator patient) 2% chlorhexidine for skin disinfectant Avoiding use of femoral site Removing unnecessary catheters ;103 ITU’s in 67 hospitals data was included in the study results Medium rate of catheter-related blood stream infections per 1000 catheter days decreased from 2.7 at baseline to 0 at 3 months after implementation 67% reduction in catheter related blood stream infections over the 18 months of the study ;「應用組合式感染控制介入措施(bundle intervention)降低中心導管相關血流感染」期中成果摘要;v;參與的加護病房型態及家數;Summary;WHO Surgery Safety Checklist Urinary Catheter Care Bundle Insertion and Management Clostridium difficile care bundle Ventilator assisted Pneumonia care bundle Palliative care bundle Pressure area care bundle Sepsis care bundle PVC care Bundle Antibiotic care bundle ; Urinary Tract Infections;Ur