多重耐药菌感染的预防与控制(胡必杰)[汇编].pptVIP

手频繁接触的物体表面，是高度危险的！ * 精品PPT·值得借鉴 * 精品PPT·值得借鉴 High-touch equals high-risk: surface cleaning plus hand hygiene key to HAI prevention With the ever increasing proliferation of superbugs, comes not only a need for new products and protocols but also a look back at fundamental interventions. Hand hygiene and environmental cleaning and disinfection are the two primary interventions that we can make and those are definitely back to basics, said Sue Barnes, national leader, infection prevention and control and patient safety, Kaiser Permanente Program Offices, and a member of the National APIC communications committee. Healthcare Purchasing News, June, 2009 * 精品PPT·值得借鉴 ICU中，容易被污染的物表 温度计 输液泵和支架 氧气流量表 呼吸机控制面板/旋钮 生命监测仪面板/旋钮 血压计袖带 听诊器 电脑键盘、鼠标 电话 呼叫按钮 床头桌 床上托盘 电视遥控器 床上用台灯 床边便桶 床架和控制器 * 精品PPT·值得借鉴 ICU环境中耐药鲍曼不动杆菌污染严重 * 精品PPT·值得借鉴 Removes organic soil / visible soil Removes potentially infectious micro organisms Removes soil which protects m.o. during disinfection Careful cleaning Mechanical energy - friction, flushing, scrubbing Chemical products - detergents or enzymes Right Method - manual machinal Manual Cleaning * 精品PPT·值得借鉴 Manual Cleaning NO SAFE Products! * 精品PPT·值得借鉴 Everybody is an “EXPERT” Difficult to monitor Responsibilities not clear Health-risk Manual Cleaning NO SAFE Procedure! * 精品PPT·值得借鉴 Common in Households Not Common in Healthcare settings Easy to use Standardization Validation Better Result Saves Nursing Time Monitoring Thermal Disinfection Machinal Cleaning Machinal Cleaning is Safer * 精品PPT·值得借鉴 病区的基本配置：清洗消毒机 * 精品PPT·值得借鉴 日本尿壶与便盆的消毒 * 精品PPT·值得借鉴 关注频繁手接触物体表面的去污染 * 精品PPT·值得借鉴 MICRO FIBER  The “cleaner” cleaning system * 精品PPT·值得借鉴 关东病院设备科-保养与维修 * 精品PPT·值得借鉴 How Can We Evaluate Environmental Cleaning Direct observation Culture the environment ATP bioluminescence Tool Fluorescent marking tool 03/26/2010 TSICP * * 精品PPT·值得借鉴 TESTING OF SURFACES * 精品PPT·值得借鉴 ATP bioluminescence Swab