多重耐药菌感染的预防与控制(胡必杰).pptxVIP

2019/6/14;;对于超级细菌/多重耐药菌，要防被忽悠，更要防止麻木！;耐药菌的难题，远不止NDM-1！;什么是多重耐药菌？;2019/6/14;医院感染越来越险恶！;2005-2009年上海XX医院鲍曼不动杆菌对亚胺培南耐药率变化;正确认识接触预防有效控制多重耐药菌MDRO;耐药菌增加的原因;Antimicrobial Resistance恶性循环;2019/6/14;2010年上海某医院ICU中22例病人痰培养检出多重耐药菌－鲍曼不动杆菌，PFGE结果;National Patient Safety Goals, Hospital Critical Access Hospital, 2009;美国National Patient Safety Goal;Spread of MDROs Can Be Controlled By:;FIGHTS;卫生部办公厅关于印发《多重耐药菌医院感染预防与控制技术指南（试行）》的通知（2011.1.17）;WHO抵御细菌耐药的6项政策 ;最新MDRO Bundle;;超级细菌出现/MDRO泛滥，我们需要改变什么呢？;2019/6/14;酒精擦手的优点;2019/6/14;接触隔离的要求;2019/6/14;多重耐药菌进行专门???记（德国某医院）;何时开始隔离？何时解除隔离？;2019/6/14;ICU减少共用物品;2019/6/14;2019/6/14;Pathogen Survival in the Environment;;手频繁接触的物体表面，是高度危险的！;High-touch equals high-risk: surface cleaning plus hand hygiene key to HAI prevention;ICU中，容易被污染的物表;ICU环境中耐药鲍曼不动杆菌污染严重;;Manual Cleaning;;;病区的基本配置：清洗消毒机;日本尿壶与便盆的消毒;关注频繁手接触物体表面的去污染; MICRO FIBER  The “cleaner” cleaning system;关东病院设备科-保养与维修;How Can We Evaluate Environmental Cleaning; TESTING OF SURFACES;ATP bioluminescence;ATP is present in blood, skin cells, other bodily fluids and microbes. ATP存在于血液，皮肤细胞， 其它体液和微生物中。 ;Dazo Solution(Initially called “GOO”);;PROPORTION OF OBJECTS CLEANED AS PART OF TERMINAL ROOM CLEANING IN 20 ACUTE CARE HOSPITALS;17 HOSPITALS;Hospitals Environmental Hygiene Study Group36 Hospital Results;TERMINAL ROOM CLEANING INFECTION PREVENTION TARGETS Sink and Faucets Toilet Surfaces Toilet Flush Handle Bedpan Cleaner Toilet Area Handholds Toilet Area Door Knobs or Push Plates Bedside Table Tray Table Patient Chair Side Rails Room Door Knobs Call Box Telephone Bathroom Light Switches;Evaluating Patient Zone Environmental Hygiene;如何选择表面消毒剂;Low and Intermediate Level Disinfectants ;Examples of Low Intermediate Level Disinfectants;Clean/disinfect: On a regular basis, When spills occur, When visibly soiled