:::

詳目顯示

回上一頁
題名:醫院常見多重抗藥菌叢護理照護重點
書刊名:護理雜誌
作者:鍾惠君李茹萍
作者(外文):Chung, Hui-chunLee, Ru-ping
出版日期:2011
卷期:58:4
頁次:頁11-15
主題關鍵詞:多重抗藥菌種護理感染控制Multidrug-resistant bacteriaNursing careInfection control
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(2) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:2
  • 共同引用共同引用:0
  • 點閱點閱:34
抗藥性菌種伴隨而來的高死亡率及高醫療成本支出已成為全球矚目的健康照護議題,台灣在 2010年甚至出現無藥可治的超級細菌,引發媒體的大幅報導和民眾的恐慌!要避免這樣的多重抗藥性菌種的感染,最重要的即是照護團隊落實感染管制措施。從感染鏈的概念而言,現今的臨床照護實務因人口老化及慢性病、各種醫療措施的介入、免疫製劑、抗微生物制劑的使用、及人工植入物的增加…等,使得與醫療照護相關感染的易感受宿主人口日益增多。然而,最有效的感染管制措施如手部衛生,在醫療照護人員的執行率偏低,僅占 30~70%之間,因環境及醫護人員手部交叉汙染而引起的感染群突發事件亦時有所聞。因此,本文依據臨床常見之多重抗藥菌種的特性及照護問題,綜整文獻與實務經驗之建議,以做為護理人員在臨床照護實務上的參考。
Antimicrobial resistance is a major global health threat associated with high mortality rates and high medical costs. In Taiwan, numerous news reports on threats from super-bacteria have caused intermittent public panics since 2010. Improving the adherence of medical team members to infection control precaution policies is the most effective and immediate way to prevent antimicrobial resistance. In line with the infection chain concept, the modern clinical practice faces increases in susceptible hosts in the form of various immune-compromised patients, aging populations, rising numbers of chronically ill patients, various medical interventions, and increased antimicrobial agent use. Such has significantly increased opportunities for hospital-acquired infections. Medical staffs have also widely failed to comply with infection control measures. The compliance rate for hand hygiene, for example, has been reported as only 30~70 %. Many reports have been published on hospital-acquired multidrugresistant bacteria outbreaks traced to the hospital environment and medical staff cross-contamination. This article provides insight into the problem and facilitates clinical staff decision-making regarding the prevention and control of multidrug-resistant bacterial infections.
期刊論文
1.趙怜惠、蘇麗香、湯雅芬、陳一伶、黃高彬、劉建衛(20110400)。推動環境清潔策略降低多重抗藥性鮑氏不動桿菌醫療照護相關感染之成效。感染控制雜誌,21(2),83-94。  延伸查詢new window
其他
1.行政院衛生署疾病管制局Centers for Disease Control, Taiwan, ROC(2008)。預防和控制多重抗藥性微生物傳播之感控措施指引Guidelines for the prevention and control of infection by multidrug-resistant microorganisms。  延伸查詢new window
2.行政院衛生署疾病管制局Centers for Disease Control, Taiwan, ROC.(2011)。NDM-1腸道菌感染症New Delhi metallo-β-lactamase -1 enterobacteriaceae。  延伸查詢new window
3.黃子鳳、詹明錦、張靜美、邱玉惠、張淑美、謝依潔等Huang, T. F., Chan M. C., Chang, C. M., Qiu, Y. H., Chang, S. M., Xie1, Y. J., et al.(2010)。某醫學中心普通病房及加護中心金黃色葡萄球菌醫療照護相關感染之調查分析Analysis of healthcare-associated staphylococcus aureus infections in general wards and intensive care units in a medical center。  延伸查詢new window
4.孫俊仁、詹明錦Sun, J. R., & Chan, M. C.(2010)。抗生素的失效--細菌快跑Eradication of antibiotic-resistant agents: ESKAPE。  延伸查詢new window
5.鄧碧珠、張藏能、李淑華、李嘉凌、黃建賢、李姿瑩等Teng, P. C., Jang, T. N., Lee, S. H., Lee, C. L., Huang, C. S., Lee, T. Y., et al.(2011)。某醫學中心內科加護病房多重抗藥性鮑氏不動桿菌群突發之調查處理Investigation and management of an outbreak of multiple drug-resistant. Acinetobacter baumannii in a medical intensive care unit in Northern Taiwan。  延伸查詢new window
6.謝麗質、林春梅、李文生、林怡秀、謝育嘉、許巧蕙等Hsieh, L. C., Lin, C. M., Lee, W. S., Lin, Y. H., Hsieh, Y. C., Hsu, C. H., et al.(2009)。北部某醫學中心內科加護病房萬古黴素抗藥性腸球菌群突發調查報告Outbreak of vancomycin-resistant entrococci in a medical intensive care unit of medical center in Northern Taiwan。  延伸查詢new window
7.Haley, R. W., White, J. W., Culver, D. H., & Hughes, J. M.(1987)。he financial incentive for hospitals to prevent nosocomial infections under the prospective payment system: An empirical determination from a nationally representative sample。  new window
8.Jean, S. S., & Hsueh, P. R.(2011)。Antimicrobial drug resistance in Taiwan。  new window
 
 
 
 
第一頁 上一頁 下一頁 最後一頁 top