感染管制基本認識 - pohai.org.tw ·...

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感染 感染 感染 感染管制 管制 管制 管制基本認識 基本認識 基本認識 基本認識 【新進人員篇 新進人員篇 新進人員篇 新進人員篇-醫護 醫護 醫護 醫護(事)人員 人員 人員 人員】 課程目標 課程目標 課程目標 課程目標 羅東博愛醫院 羅東博愛醫院 羅東博愛醫院 羅東博愛醫院 感染管制在職教育時數標準 感染管制在職教育時數標準 感染管制在職教育時數標準 感染管制在職教育時數標準 課程大綱 課程大綱 課程大綱 課程大綱 感染管制 感染管制 感染管制 感染管制的目的 的目的 的目的 的目的 避免造成交互感染 避免造成交互感染 避免造成交互感染 避免造成交互感染預防感染傳 預防感染傳 預防感染傳 預防感染傳 所採取 所採取 所採取 所採取防護 防護 防護 防護措施。 措施。 措施。 措施。 感染管制的範圍 感染管制的範圍 感染管制的範圍 感染管制的範圍

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    8888//// (((()))) (((()))) :8:8:8:8:4:4:4:4((((12121212))))1111DVDDVDDVDDVD

  • 1.1.1.1.2.2.2.2.

    1.1.1.1.2.2.2.2.3.3.3.3.4.4.4.4.5.5.5.5.1.1.1.1.2.2.2.2.........3.3.3.3.............

  • (Standard precaution)(Standard precaution)(Standard precaution)(Standard precaution)////(transmission based precaution)(transmission based precaution)(transmission based precaution)(transmission based precaution)(airborne precaution)(airborne precaution)(airborne precaution)(airborne precaution)( 100 cm))))(droplet precaution)(droplet precaution)(droplet precaution)(droplet precaution)( >5 um( >5 um( >5 um( >5 um 100 cm100 cm100 cm100 cm))))(contact precaution)(contact precaution)(contact precaution)(contact precaution)

    (Standard precaution)(Standard precaution)(Standard precaution)(Standard precaution)

    Standard Precaution Standard Precaution Standard Precaution Standard Precaution Standard Precaution Standard Precaution Standard Precaution Standard Precaution

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    Standard Precaution Standard Precaution Standard Precaution Standard Precaution BBBBBBBB

    (transmission based precaution(transmission based precaution(transmission based precaution(transmission based precaution(airborne precaution)(airborne precaution)(airborne precaution)(airborne precaution)( 100 cm))))(droplet precaution)(droplet precaution)(droplet precaution)(droplet precaution)( >5 um( >5 um( >5 um( >5 um 100 cm100 cm100 cm100 cm))))(contact precaution)(contact precaution)(contact precaution)(contact precaution)

  • 1111(airborne precaution)(airborne precaution)(airborne precaution)(airborne precaution)5555mmmm

    2222(airborne precaution)(airborne precaution)(airborne precaution)(airborne precaution)N95N95N95N95

    1111(droplet precaution)(droplet precaution)(droplet precaution)(droplet precaution)>5>5>5>5mmmm

    2222(droplet precaution)(droplet precaution)(droplet precaution)(droplet precaution)cohorting carecohorting carecohorting carecohorting care1111

    1111(contact precaution)(contact precaution)(contact precaution)(contact precaution)

    2222(contact precaution)(contact precaution)(contact precaution)(contact precaution)cohorting carecohorting carecohorting carecohorting care

  • ((((AAAAiriririrbbbborne orne orne orne IIIIssssoooollllationationationation):):):):AI(+)AI(+)AI(+)AI(+)((((CCCContact ontact ontact ontact IIIIssssoooollllationationationation):):):): CI(+)CI(+)CI(+)CI(+)((((DDDDrorororoplplplplet et et et IIIIssssoooollllationationationation):):):): DI(+)DI(+)DI(+)DI(+) ((((BBBBlllloooooooodddd IIIIssssoooollllationationationation):):):): BI(+)BI(+)BI(+)BI(+)

    BBBBCCCCHIV(+)HIV(+)HIV(+)HIV(+)----BCBCBCBCHIV(+)HIV(+)HIV(+)HIV(+)BI(+)BI(+)BI(+)BI(+)

    WHOWHOWHOWHO

    ::::........

  • 15151515----20202020

    1.1.1.1. 2.2.2.2.

    3.3.3.3. 4.4.4.4. 5.5.5.5. 6.6.6.6.

    7.7.7.7. 8.8.8.8. 9.9.9.9.

  • ------------

    1.1.1.1. 2.2.2.2.

    3.3.3.3. 4.4.4.4. 5.5.5.5.

  • 1.1.1.1. 2.2.2.2. 3.3.3.3. 4.4.4.4.

    6.6.6.6. 7.7.7.7.N95N95N95N95

    1.1.1.1. 2.2.2.2.

    3.3.3.3. 4.4.4.4. 5.5.5.5. 6.6.6.6.

  • 7.7.7.7.N95N95N95N95

    1.1.1.1. 2.2.2.2.

    3.3.3.3. 4.4.4.4. 5.5.5.5. 6.6.6.6.

    Eye ProtectionEye ProtectionEye ProtectionEye ProtectionFace ShieldFace ShieldFace ShieldFace Shield

  • GownsGownsGownsGowns. . .

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  • CVPCVPCVPCVPEEEEndotracndotracndotracndotrachhhheal tubeeal tubeeal tubeeal tube

    Gram positive:

    MRSA

    VRE

    Gram negative:

    ESBL-Enterobacteriae (E.coli, K. pneumoniae)

    Carbapenem-resistant

    P. aeruginosa

    A. baumannii

    ESBLESBLESBLESBL MDR MDR MDR MDR MultiMultiMultiMulti----drug resistantdrug resistantdrug resistantdrug resistant XDR XDR XDR XDR extensively drug resistantextensively drug resistantextensively drug resistantextensively drug resistant XXDR XXDR XXDR XXDR extremely drug extremely drug extremely drug extremely drug resistantresistantresistantresistant CRABCRABCRABCRABCRPACRPACRPACRPA VREVREVREVREBetaBetaBetaBeta----lactamslactamslactamslactamsFluoroquinolonesFluoroquinolonesFluoroquinolonesFluoroquinolonesAminoglycosidesAminoglycosidesAminoglycosidesAminoglycosidesCarbapenemsCarbapenemsCarbapenemsCarbapenems CarbapenemsCarbapenemsCarbapenemsCarbapenems Vancomycin Vancomycin Vancomycin Vancomycin Colistin Colistin Colistin Colistin TigecyclineTigecyclineTigecyclineTigecycline (((()))) (((()))) 2222::::MDRMDRMDRMDRESBLESBLESBLESBL::::CRABCRABCRABCRABCRPACRPACRPACRPAXDRXDRXDRXDRXXDRXXDRXXDRXXDRCCCCarbapenemarbapenemarbapenemarbapenemssss

    Sarcoptes scabieiSarcoptes scabieiSarcoptes scabieiSarcoptes scabiei24242424 scrapingsscrapingsscrapingsscrapings24242424VaricellaVaricellaVaricellaVaricella----Zoster VirusZoster VirusZoster VirusZoster Virus5555

  • Mycobacterium tuberculosisMycobacterium tuberculosisMycobacterium tuberculosisMycobacterium tuberculosisN9N9N9N95555

    1111

    2222555575%75%75%75%3333666612121212AntiAntiAntiAnti----HIVHIVHIVHIVAntiAntiAntiAnti----HCVHCVHCVHCVVDRLVDRLVDRLVDRLTPHATPHATPHATPHA

    AntiAntiAntiAnti----HIVHIVHIVHIV++++24242424AZTAZTAZTAZTAIDSAIDSAIDSAIDSAZTAZTAZTAZT1

  • HBsAgHBsAgHBsAgHBsAg++++HBsAgHBsAgHBsAgHBsAg----AntiAntiAntiAnti----HBsHBsHBsHBs---- HBIGHBIGHBIGHBIG3333HBsAgHBsAgHBsAgHBsAg----AntiAntiAntiAnti----HBsHBsHBsHBs---- HBIGHBIGHBIGHBIG3333HBsAgHBsAgHBsAgHBsAg----AntiAntiAntiAnti----HBsHBsHBsHBs---- HBIGHBIGHBIGHBIG33332

    AntiAntiAntiAnti----HCVHCVHCVHCV++++ AAAAntintintinti----HCVHCVHCVHCV----

    3333666612121212AntiAntiAntiAnti----HCVHCVHCVHCVGOTGOTGOTGOTGPTGPTGPTGPTVDRLVDRLVDRLVDRL++++TPHATPHATPHATPHA111180808080++++PPPPenicillinenicillinenicillinenicillin7777

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  • (((())))24242424

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  • 2222

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  • Thank you for you Attention !Thank you for you Attention !