英文医院感染控制ppt课件

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1、TargetedSurveillanceforNosocomialInfectionsBarbaraM.Soule,RN,MPA,CICChineseSocietyforNosocomialInfectionsJuly4-5,2004Suzhou,China2ICPractitioner(ICP)ActivitiesSurveillanceProgramManagementEducationMiscellaneousOutbreakInvestigationConsultation3SurveillancehasanEpidemiologicfoundationStudythedis

2、tributionofproblemsandeventswithinadefined(targeted)populationatriskfordevelopingspecificinfectionsinordertoplan&implementinterventions.43KeySurveillanceMethodsHospital-wideTraditionalSurveillanceAllinfections–complete-timeconsumingLimitstimeforinterventionsPeriodicSurveillanceSelectedinfection

3、sorpopulationsperiodicallyovertimeMisssomeinfectionsTargetedSurveillance5Advantages/DisadvantagesAdaptedfromPottingeretal&Gaynesetal.TargetedSurveillance7CDC’sNationalNosocomialInfectionsSurveillance(NNIS)SystemTargets:NNISSystemAURICUHRNSurgicalPatientAntimicrobialUseandResistanceIntensiveCare

4、Unit(Adult/Pediatric)HighRiskNursery(NICU)RiskadjustedSSIsbyProcedures8YourHospitalSurveillanceSystemTargets:YourHospitalVAPICUBSISSIVentilator-AssociatedPneumoniaMedical/SurgicalICUsIntensiveCareUnit(Pediatric)PrimaryBloodStreamInfectionsPrimaryOrthopedicNeurosurgicalorCABGProcedures9Whichinfe

5、ctiontotarget?FocusonpatientsathighriskforHAIPatientcareareasICU’s,cardio-thoracicsurgery,cancerwardSpecificpopulationsneonates,transplantpatients,hemodialysisptsProcedures/DevicesCTsurgery,centralvascularlines,ventilatorsOrganismsofepidemiologicimportance–MRSA,VRSA10TargetedSurveillanceforOutc

6、omesPrimaryBloodstreaminfectionsVentilator-associatedpneumonia,SurgicalsiteinfectionsMRSA,VREinfectionsVascularaccessinfectionsinhemodialysispatientsSharpsinjuriesinhealthcareproviders.11TargetedSurveillanceforProcessesHepatitisBimmunityratesinpersonnelPersonnelcompliancewithprotocols-isolation

7、precautions,Sterilizationqualityassurancetesting,EffectiveenvironmentalcleaningAntimicrobialprescribingandadministration12Howtoimplementtargetedsurveillance13StepOneICPandMDreviewMicrobiologyreportsdailyReviewpastsurveillancedatap