强化感染控制,遏制细菌耐药-北京20111211-修改稿PPT.ppt

* * * * * * * * * The “12 Steps to Prevent Antimicrobial Resistance: Hospitalized Adults” intervention program is the first “12 Steps” to be launched because hospital patients are at especially high risk for serious antimicrobial-resistant infections. Each year nearly 2 million patients in the United States get an infection in a hospital. Of those patients, about 90,000 die as a result of their infection. More than 70% of the bacteria that cause hospital-acquired infections are resistant to at least one of the drugs most commonly used to treat them. Persons infected with antimicrobial-resistant organisms are more likely to have longer hospital stays and require treatment with second-or third-choice drugs that may be less effective, more toxic, and/or more expensive. * * * * Regular MRSA control but not isolation/cohorting + screening at admission + once a week, ABHR available at the room corners * * * * * * * * * * Inanimate Objects and the Hospital Environment can Become Contaminated with Dangerous Pathogens In the hospital environment, surfaces with which hands come in contact are often contaminated with nosocomial pathogens, and may serve as vectors for cross-transmission. Contaminated environmental surfaces may serve as a reservoir or source of epidemiologically important microbes in hospitals. * * * * * * 关东病院设备科-保养与维修 国外防水的计算机键盘和鼠标，有利于清洁、消毒！ * 环境清洁消毒对降低多耐药不动杆菌发病率的作用 Impact of Environmental Cleaning 病人周围受污染的物体表面可影响多耐药不动杆菌的发病率 环境清洁消毒应作为一项控制疾病爆发的措施 Markogiannakis et.al. ICHE 2008, 29(5):410-7 * 要求1：每天对手频繁接触的物体表面进行清洁消毒 要求2：监测和评估环境清洁工作的效果 Baseline Environmental Evaluation of 36 Acute Care Hospitals 对36所医院环境评估，清洁合格者不足50%。 % of Objects Cleaned Hospitals Mean = 48.5 % (20,056 Objects) * 中国的医院环境呢？ ATP bioluminescence Swab surface luciferase tagging of ATP Hand held luminometer Used in the commercial food preparation industry to evaluate surface cleaning before reuse and as an educational tool for more than 30 years. * ICU环境中，物体表面AT