英文医院感染控制PPT学习教案

1、会计学1 英文医院感染控制英文医院感染控制 2 Consultation 第1页/共43页 3 Surveillance has an Epidemiologic foundation Study the distribution of problems and events within a defined (targeted) population at risk for developing specific infections in order to plan 326:281 Incision Hours before incision Hours after incision An

2、tibiotic Administered 第23页/共43页 25 Time of administration in relation to the incision # of Patients (%) Relative Risk of Infection 2-24 hours before 369 (13.0) 6.7 (2.9-14.7) 0-2 hours before 1708 (60.0) 1.0 0-3 hours after 282 (9.9) 2.4 (0.9-7.9) 3 hours after 488 (17.1) 5.8 (2.6-12.3) All 2847 (10

3、0) Classen DC, et al. The timing of prophylactic administration of antibiotics and the risk of surgical-wound infection. N Engl J Med 1992;326:281 第24页/共43页 26 第25页/共43页 27 第26页/共43页 28 第27页/共43页 29 第28页/共43页 30 第29页/共43页 31 第30页/共43页 32 Peri-care / hydration 第31页/共43页 33 第32页/共43页 34 第33页/共43页 35 U

4、nit19971998Reduction SICU45.1/ 1000VD 27.9 / 1000VD 17.2 / 1000 VD MICU22.4 / 1000VD 11.6 / 1000 VD 10.8 / 1000 VD Kwan KL, Baker SP, Fontecabio SA. Impact of a program of intensive surveillance and interventions targeting ventilated patients in the reduction of ventilator-associated pneumonia, and

5、its cost effectiveness ICHE 2003;24;11:859-63. 第34页/共43页 36 第35页/共43页 37 第36页/共43页 38 0 5 10 15 20 25 Jan April July Oct Jan April July Oct Jan 989900 SICU BSI Jan 98 - MarchSICU BSI Jan 98 - March 00 Rate per 1,000 line daysRate per 1,000 line days Example: Challenge for Targeted Surveillance 第37页/

6、共43页 39 Monitor blood stream infections in Surgical ICU patients. 第38页/共43页 40 第39页/共43页 41 第40页/共43页 42 0 5 10 15 20 25 Jan April July Oct Jan April July Oct Jan 989900 SICU BSI Jan 98 - MarchSICU BSI Jan 98 - March 00 BSIBSI InterventionInterventions Rate per 1,000 line daysRate per 1,000 line days