结核病之感染管制政策培训.ppt

如何避免結核病在醫院內散播;行政上的作為;執行醫療業務及行政上之作為;篩出感染者:

Tuberculinskintest;Tuberculinpreparation;Injectintradermally0.1ml

of5TUPPDtuberculin

Producewheal6mmto10

mmindiameter

RepresentDTH;ReadingofMantouxtest;DistributionofPPD:Alaskans;DistributionofPPD:

whiteNavyrecruits;DistributionofPPD:NewYork;Classifyingthetuberculinreaction;Classifyingthetuberculinreaction;Classifyingthetuberculinreaction;OccupationalexposuretoTB;FactorsthatmayaffecttheTST;Boosting;Two-StepTesting;篩出有病者:

咳嗽監測

全院員工胸部X光檢查;醫院之咳嗽偵測機制;全院員工每年胸部X光檢查

VS

高危險員工每年胸部X光檢查;IdentifySuspectedorConfirmedTBCases;ConfirmedCase;ClinicalCase;;隔離傳染性結核病患:

誰有傳染性？;;Howistuberculosistransmitted？;Respiratorymaneuverselaborationofparticles;Droplet-nucleustransmission;BaltimoreVeteransAdministrationHospitalPilotWardExperience;MaterialsandMethods;結果(一);結果(二);EpidemicinArkansasindustrialschool;U.S.NavyRichardE.Byrdstudy;結果;Transmissionrate＊accordingtoindexcase’ssputumsmearstatus;Transmissionrate＊accordingtoindexcase’ssputumsmearstatustypeofcontact;DevelopactiveTBaccordingtoindexcase’ssputumsmearstatus;Transmissionfromnonpulmonarysource;案例;Infectiousnessvs.Non-infectiousnessofTB;肺結核病患何時具有傳染力？;肺結核的傳染力與何種因素有關？;PatientswithTBdiseaseareconsiderednon-infectiousiftheymeetallofthefollowingcriteria:

Theyareonadequatetherapyforatleast2weeks

Theyhavehadasignificantpositiveclinicalresponsetotherapy

Theyhavehad3consecutivenegativespecimensmearresults;傳染性肺結核病患何種狀況下可判定不具傳染力？;年輕人肺結核的傳染力;治療疑似、確認之結核病患;結核病的治療有那些新的訊息？(1);結核病的治療有那些新的訊息？(2);結核病的治療有那些新的訊息？(3);結核病感控之硬體設施;EngineeringControls;結核病之個人防護;CDC界定之結核病高危險傳染場所;高傳染風險之行為;何時該做結核病個人防護？;結核病個人防護設備之品管;Locateandscreenclosecontactsofactivecase(s)

Closecontactsinclude:

Spouse/significantothers

Individualssharinghouseholds,berthingcompartments,andworkspaces

ScreenclosecontactswithTSTimmediatelyandinthreemonths

Evaluat