重症感染抗感染治疗及其策略.pptVIP

Avoiding the adverse outcomes of resistance－public health perspective 减少耐药 减少耐药的传播 感染控制 减少耐药出现 减轻抗生素压力 减少使用可能诱发耐药 和交叉耐药的药物 恰当的给药方案 1847年维也纳某医院 产科一部产妇产褥热死亡率 Cycling Vs Mixing Bergstrom CT et al. Proc Natl Acad Sci 2004;101;13285–13290 Cycling Greater heterogeneity at the level of the ward Difficult to implement Controversial results Mixing Greater heterogeneity at the level of the patient Easy implementation Not scientifically evaluated Campaign to PreventAntimicrobial Resistance Centers for Disease Control and Prevention National Center for Infectious Diseases Division of Healthcar