多重耐药菌感染预防与控制措施.pdf

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1、多重耐药菌感染预防与控制措施1.加强手卫生。医务人员在直接接触患者前后、进行无菌技术操作和侵入性操作前，接触患者使用的物品或处理其分泌物、排泄物后，必须洗手或使用速干手消毒剂进行手消毒。2.尽量选择单间隔离，也可以将同类多重耐药菌感染患者或定植患者安置在同一房间。隔离房间应当有隔离标识。不宜将多重耐药菌感染患者和定植患者与气管插管、深静脉留置导管、有开放伤口或者免疫功能抑制患者安置在同一房间。多重耐药菌感染或者定植患者转诊之前应当通知接诊的科室，采取相应隔离措施。没有条件实施单间隔离时，应当进行床旁隔离；3.与患者直接接触的相关医疗器械、器具及物品如听诊器、血压计、体温表、输液架等要专人专用，

2、并及时消毒处理。轮椅、担架、床旁心电图机等不能专人专用的医疗器械、器具及物品要在每次使用后擦拭消毒。4.医务人员实施诊疗护理操作中，有可能接触多重耐药菌感染患者和定植患者的伤口、溃烂面、粘膜、血液和体液、引流液、分泌物、痰液、粪便时，应当使用手套，必要时使用隔离衣。完成对多重耐药菌感染患者和定植患者的诊疗护理操作后，必须及时脱去手套和隔离衣。应先诊疗护理其他病人，感染病人安排在最后进行。5.医务人员应当严格遵守无菌技术操作规程，特别是实施中心静脉置管、气管切开、气管插管、留置尿管、放置引流管等操作时，应当避免污染，减少感染的危险因素。6.加强诊疗环境卫生管理，对收治多重耐药菌感染患者和定植患者

3、的病房，应当使用专用的物品，对患者经常接触的物体表面、设备设施表面，应当每天进行清洁和擦拭消毒。出现或者疑似有多重耐药菌感染暴发时，应当增加清洁和消毒频次。7.合理应用抗生素。认真落实抗菌药物临床合理使用的有关规定，严格执行抗菌药物临床使用的基本原则，正确、合理地实施个体化抗菌药物给药方案，根据微生物检测结果，合理选择抗菌药物，严格执行围术期抗菌药物预防性使用的相关规定，避免因抗菌药物使用不当导致细菌耐药的发生。文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8

4、N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W

5、3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G

6、1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7

7、K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L

8、1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y

9、8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:C

10、T7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1临床科室对MDRO 患者应做好病人一览表、病历卡及床旁标记，由科主任和护士长共同负责病区内的MDRO 患者的接触隔离措施的落实情况，相关医务人员应积极配合，并做好病人及家属的相关知识的健康宣教工作。1、应对多重耐药菌感染患者和定植患者实施隔离措施，首选单间隔离，也可以将同类多重耐药菌感染者或定植者安置在同一房间。隔离病房不足时才考虑进行床边隔离，不能与气管插管、深静脉留置导管、有开放伤口或者免疫功能抑制患者安置在同一房间。当感染者较多时，应保护

11、性隔离未感染者。2、设置隔离病房时，应在门上粘贴接触隔离标识，防止无关人员进入。3、进行床边隔离时，在床栏上标贴接触隔离标识，以提醒医务人员及家属。当实施床边隔离时，应先诊疗护理其他病人，MDRO感染病人安排在最后进行。4、严格执行手卫生，离开隔离病房前，接触污染物品后，摘除文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3

12、O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N

13、5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3

14、G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1

15、F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K

16、8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1

17、W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8

18、G1F3O1手套后洗手和/或手消毒。5、在实施诊疗护理操作中，有可能接触患者的伤口、溃烂面、黏膜、体液、引流液、分泌物、排泄物时，应当戴手套。预计与病人或其环境如床栏杆有明显接触时，需要加穿隔离衣。离开病人床旁或房间时，须把防护用品脱下，并洗手或用快速手消毒剂擦手。6、对于非急诊用仪器（如血压计、听诊器、体温表、输液架）等应专用。其他不能专人专用的物品（如轮椅、担架），在每次使用后必须消毒。7、进行床旁诊断（如拍片、心电图）的仪器必须在检查完成后用消毒剂进行擦拭。8、如病人需离开隔离室进行诊断、治疗，都应先电话通知相关科室，以便他们做好准备，防止感染的扩散。在把该病人转送去其他科室时，必须由一

19、名工作人员陪同，并向接收方说明对该病人应使用接触传播预防措施。接收部门的器械设备在病人使用或污染后同样应该进行清洁消毒。9、病房应当固定使用保洁用具进行清洁和消毒，对患者经常接触的物体表面、设备设施表面，应当每天进行清洁和擦拭消毒。使文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT

20、3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE

21、3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码

22、:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8

23、HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10

24、ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档

25、编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1用过的抹布、拖布必须消毒处理。

26、10、注意抗生素的合理使用，认真落实抗菌药物临床应用指导原则，根据细菌培养和药敏实验结果正确、合理使用抗感染药物，减少和延缓耐药菌的产生。11、感染者或携带者应隔离至连续3 个标本（每次间隔 24 小时）培养均阴性后，方可解除隔离。三、监督、处罚院感科监督科室MDRO 控制措施的落实情况，对发现的问题进行反馈、指导，对MDRO 的患者进行追踪，直至解除隔离。本篇文章来源于检验在线http:/ 文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3

27、L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3

28、Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:

29、CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 H

30、T3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 Z

31、E3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编

32、码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1文档编码:CT7K8N5O3K8 HT3L1W3G8I10 ZE3Y8G1F3O1