icu院内感染预防与控制的“bundle”策略-ppt说课稿.ppt

ICU院内感染的常见类型; HAP 和VAP定义;Risk factors for the development of ventilator-associated pneumonia;;Principles of Antibiotic policiesin VAP;HAP和VAP的多重耐药现状;NPRS-2005;Conventional infection control measures;Physical strategies Oral endotracheal tube √ Recommended Search for sinusitis No recommendation Frequency of humidifier changes √ Recommended Frequency of ventilator circuit changes √ Recommended Closed suction system √ Recommended Drainage of subglottic secretion Consider Chest physiotherapy No recommendation Early tracheostomy No recommendation Position strategies Kinetic beds Consider Semi-recumbent positioning √ Recommended Prone positioning No recommendation Pharmacologic strategies Sucralfate Not recommended Intratracheal antibiotics Not recommended;ICU院内感染的类型;捆绑式运载火箭;何谓“Bundle”;“Bundle”策略;Ventilator Care Bundle ;Elevation of the Head of the Bed;Elevation of the Head of the Bed;Daily interruption of sedatives;Daily interruption of sedatives;Sedation vacations risks ;Ulcer Prophylaxis & VAP;Peptic Ulcer Disease Prophylaxis;Peptic Ulcer Disease Prophylaxis;Deep Venous Thrombosis Prophylaxis;Central Line Bundle ;hand hygiene;Maximal Barrier Precautions Upon Insertion;Chlorhexidine Skin Antisepsis;Optimal Catheter Site Selection;Daily Review of Line Necessity;100,000 LIVES CAMPAIGN;Unit;Level of reliability (compliance with elements): ;STOP Sepsis Bundle;Sepsis Resuscitation Bundle ( first 6 hours);Sepsis Management Bundle( first 24 hours);“上医治未病，中医治欲病，下医治已病” ;