醫(yī)療感染控制手術室護理實踐指南動態(tài)

醫(yī)療感染控制匯報人：XXX

INFECTED低溫滅菌規(guī)范技術

醫(yī)療感染控制手術室護理實踐指南guidetonursingpracticeinmedicalinfectioncontroloperatingroompracticeinmedicalinfectioncontrol醫(yī)療感染控制據(jù)美國CDC統(tǒng)計，每年發(fā)生約50萬例手術部位感染，在我國SSI居醫(yī)院感染的第三位外科主要的醫(yī)院感染。2005年12月11日，安徽省宿州市某醫(yī)院發(fā)生10例接受白內(nèi)障手術治療的患者眼球醫(yī)源性感染醫(yī)院感染醫(yī)源性感染手術部位感染2005年12月11日，安徽省宿州市某醫(yī)院發(fā)生10例接受白內(nèi)障手術治療的患者眼球醫(yī)源性感染據(jù)美國CDC統(tǒng)計，每年發(fā)生約50萬例手術部位感染，在我國SSI居醫(yī)院感染的第三位管理混亂其中9名患者單側眼球被摘除的惡性醫(yī)療損害事件。經(jīng)調(diào)查，該起惡性醫(yī)療損害事件是由于醫(yī)院管理混亂感染所致違法、違規(guī)與非醫(yī)療機構合作，嚴重違反診療技術規(guī)范，造成手術患者的醫(yī)源性感染所致。滅菌不合格該事件性質(zhì)惡劣后果嚴重，社會影響極壞。直接原因：10例手術器械，9例未經(jīng)壓力蒸汽滅菌，而采取了浸泡滅菌不合格。1998年4月1日～5月31日共手術292例，發(fā)生切口感染166例。切口部位開始為小結節(jié)切口感染繼而化膿成竇道，有線頭挾出。清創(chuàng)換藥后創(chuàng)面清潔但不愈合，或愈合后又復發(fā)愈合后又復發(fā)并有淋巴結炎傾向。結論：戊二醛濃度錯配導致手術器械分支桿菌污染，從而引起切口感桿菌污染醫(yī)療感染控制醫(yī)療感染西安交通大學醫(yī)學院第一附屬醫(yī)院新生兒科發(fā)生醫(yī)院感染9名新生兒死亡。天津市薊縣婦幼保健院發(fā)生新生兒醫(yī)院感染事件，6例重癥感染患兒中5例患兒死亡。醫(yī)療感染山西省太原公交公司職工醫(yī)院、山西煤炭中心醫(yī)院47名血透患者中20名患者感染丙肝。醫(yī)療感染安徽霍山縣醫(yī)院58名血透患者中28名患者感染丙肝。甘肅、江蘇、安徽的安慶和壽縣、廣東醫(yī)療感染云南、吉林相繼發(fā)現(xiàn)血液透析患者感染丙肝。山西臨汾堯都區(qū)眼科醫(yī)院共進行了１５例白內(nèi)障手術對于手術器械又是怎樣消毒滅菌的我們身邊是否存在這樣的感染事件不僅可殺死一般的細菌用高溫加高壓滅菌真菌等微生物，對芽胞醫(yī)療感染控制A高壓滅菌用高溫加高壓滅菌，B殺滅效果不僅可殺死一般的細菌真菌等微生物，對芽胞孢子也有殺滅效果是最可靠、應用最普遍的物理滅菌法。C藥物的滅菌主要用于能耐高溫的物品藥物的滅菌如培養(yǎng)基、金屬器械玻璃、搪瓷、敷料、橡膠及一些藥物的滅菌。適用范圍基本概念器械與物品用來處理不耐受濕熱的醫(yī)療器械與物品，主要用于不耐高溫的物品。醫(yī)療感染控制低溫滅菌技術的目的（了解）常見的低溫滅菌方法（了解）理想的低溫滅菌應具備的特征（熟悉）常用的低溫滅菌方法及注意事項（掌握）醫(yī)療感染控制為低溫滅菌提供指導性意見01規(guī)范低溫滅菌技術02過氧化氫低溫等離子滅菌03低溫甲醛蒸汽滅菌04過氧化氫低溫等離子滅菌低溫甲醛蒸汽滅菌環(huán)氧乙烷氣體滅菌過氧乙酸滅菌孢子也有殺滅效果，是最可靠、應用最普遍的物理滅菌法。品牌材料兼容性產(chǎn)品環(huán)氧乙烷氣體滅菌營銷過氧化氫低溫等離子滅菌環(huán)氧乙烷氣體滅菌過氧化氫低溫等離子滅菌醫(yī)療感染控制010203添加標題眼睛接觸眼睛接觸液態(tài)或高濃度環(huán)氧乙烷，管腔類器械同時脫去污染衣物超過廠家滅菌使用說明范圍以外的管腔類器械用水沖洗用水沖洗接觸處至少15min，適用于生產(chǎn)廠商推薦為首選滅菌方法的產(chǎn)品。眼睛接觸液態(tài)或高濃度環(huán)氧乙烷中毒現(xiàn)場過度接觸迅速移出中毒現(xiàn)場皮膚接觸用水沖洗接觸處至少15min同時脫去污染衣物盡快就診醫(yī)療感染控制植物纖維素類，如布、紙張等。有盲端的管腔類器械。液體類，如水、石蠟油等。超過廠家滅菌使用說明范圍以外的管腔類器械。粉劑類，如滑石粉。遵循廠家的操作使用說明書準備期滅菌期解析期醫(yī)療感染控制選擇正確的包裝、滅菌方法有利于延長器械的使用壽命，降低醫(yī)療成本。認真做好監(jiān)測，確保物品滅菌達標。遵循先清洗后消毒及標準預防的原則，才能成功滅菌。護理服務總之，只有做好每一個細節(jié)，才能更有效地避免感染的發(fā)生為患者提供更加放心、安心的護理服務。醫(yī)療感染控制匯報人：XXXINFECTED低溫滅菌規(guī)范技術

醫(yī)療感染控制手術室護理實踐指南guidetonursingpracticeinmedicalinfectioncontroloperatingroompracticeinmedicalinfectioncontrol醫(yī)療護理PPT模板Eventplanningisaneffectivebehaviortoincreasemarketshare.Anactionplanwithexecutable,actionableandcreativeideascaneffectivelyenhancethecompany'sreputationandbrandreputation.適用于工作匯報/會議報告/個人競聘/述職報告/比賽匯報人：xxx添加相關標題Eventplanningisaneffectivebehaviortoincreasemarketshare.添加相關標題Eventplanningisaneffectivebehaviortoincreasemarketshare.添加相關標題Eventplanningisaneffectivebehaviortoincreasemarketshare.添加相關標題Eventplanningisaneffectivebehaviortoincreasemarketshare.目錄CONTENTS此處添加相關標題點擊此處添加相關主要內(nèi)容Eventplanningisaneffectivebehaviortoincreasemarketshare.Anactionplanwithexecutable,actionableandcreativeideascaneffectivelyenhancethecompany'sreputationandbrandreputation.PART

01此處添加相關標題Eventplanningisaneffectivebehaviortoincreasemarketshare.Anactionplanwithexecutable,actionableandcreativeideascaneffectivelyenhancethecompany'sreputationandbrandreputation.添加標題Eventplanningisaneffectivebehaviortoincreasemarketshare.Eventplanningisaneffectivebehaviortoincreasemarketshare.Anactionplanwithexecutable,actionableandcreativeideascaneffectivelyenhancethecompany'sreputationandbrandreputation.

添加標題添加標題關鍵詞添加副標題Eventplanningisaneffectivebehaviortoincreasemarketshare.Anactionplanwithexecutable,actionableandcreativeideascaneffectivelyenhancethecompany'sreputationandbrandreputation.此處添加相關標題Eventplanningisaneffectivebehaviortoincreasemarketshare.Anactionplanwithexecutable,actionableandcreativeideascaneffectivelyenhancethecompany'sreputationandbrandreputation.添加標題Anactionplanwithexecutable,actionableandcreativeideascaneffectivelyenhancethecompany'sreputationandbrandreputation.添加標題Anactionplanwithexecutable,actionableandcreativeideascaneffectivelyenhancethecompany'sreputationandbrandreputation.添加標題Anactionplanwithexecutable,actionableandcreativeideascaneffectivelyenhancethecompany'sreputationandbrandreputation.添加標題Anactionplanwithexecutable,actionableandcreativeideascaneffectivelyenhancethecompany'sreputationandbrandreputation.添加標題關鍵詞Eventplanningisaneffectivebehaviortoincreasemarketshare.醫(yī)療健康此處添加相關標題點擊此處添加相關主要內(nèi)容Eventplanningisaneffectivebehaviortoincreasemarketshare.Anactionplanwithexecutable,actionableandcreativeideascaneffectivelyenhancethecompany'sreputationandbrandreputation.PART

02Eventplanningisaneffectivebehaviortoincreasemarketshare.Anactionplanwithexecutable,actionableandcreativeideascaneffectivelyenhancethecompany'sreputationandbrandreputation.關鍵詞添加副標題Audiencecrowd:Universitystudentswhoarerequiredbytheteachertodemonstratethecurriculum.Newcomerswhowanttostandoutfromthecompetitionjustaftergraduation.Needtousethedemonstrationtoenhancethepersuasiveworkman.85%KEYWORDS此處添加相關標題010203Eventplanningisaneffectivebehaviortoincreasemarketshare.添加標題Eventplanningisaneffectivebehaviortoincreasemarketshare.添加標題Eventplanningisaneffectivebehaviortoincreasemarketshare.添加標題此處添加相關標題關鍵詞Eventplanningisaneffectivebehaviortoincreasemarketshare.關鍵詞Eventplanningisaneffectivebehaviortoincreasemarketshare.關鍵詞Eventplanningisaneffectivebehaviortoincreasemarketshare.關鍵詞添加副標題關鍵詞添加副標題Eventplanningisaneffectivebehaviortoincreasemarketshare.Anactionplanwithexecutable,actionableandcreativeideascaneffectivelyenhancethecompany'sreputationandbrandreputation.此處添加相關標題01020304關鍵詞Eventplanningisaneffectivebehaviortoincreasemarketshare.關鍵詞Eventplanningisaneffectivebehaviortoincreasemarketshare.關鍵詞Eventplanningisaneffectivebehaviortoincreasemarketshare.關鍵詞Eventplanningisaneffectivebehaviortoincreasemarketshare.此處添加相關標題點擊此處添加相關主要內(nèi)容Eventplanningisaneffectivebehaviortoincreasemarketshare.Anactionplanwithexecutable,actionableandcreativeideascaneffectivelyenhancethecompany'sreputationandbrandreputation.PART

03此處添加相關標題關鍵詞Anactionplanwithexecutable,actionableandcreativeideascaneffectivelyenhancethecompany'sreputationandbrandreputation.關鍵詞Anactionplanwithexecutable,actionableandcreativeideascaneffectivelyenhancethecompany'sreputationandbrandreputation.關鍵詞Anactionplanwithexecutable,actionableandcreativeideascaneffectivelyenhancethecompany'sreputationandbrandreputation.關鍵詞Anactionplanwithexecutable,actionableandcreativeideascaneffectivelyenhancethecompany'sreputationandbrandreputation.此處添加相關標題2020202220242026專業(yè)團隊專屬定制Audiencecrowd:Universitystudentswhoarerequiredbytheteachertodemonstratethecurriculum.Newcomerswhowanttostandoutfromthecompetitionjustaftergraduation.Needtousethedemonstrationtoenhancethepersuasiveworkman.此處添加相關標題添加標題添加標題關鍵詞專業(yè)團隊專屬定制Eventplanningisaneffectivebehaviortoincreasemarketshare.關鍵詞專業(yè)團隊專屬定制Eventplanningisaneffectivebehaviortoincreasemarketshare.此處添加相關標題點擊此處添加相關主要內(nèi)容Eventplanningisaneffectivebehaviortoincreasemarketshare.Anactionplanwithexecutable,actionableandcreativeideascaneffectivelyenhancethecompany'sreputationandbrandreputation.PART

04此處添加相關標題Eventplanningisaneffectivebehaviortoincreasemarketshare.關鍵詞Eventplanningisaneffectivebehaviortoincreasemarketshare.關鍵詞Eventplanningisaneffectivebehaviortoincreasemarketshare.關鍵詞Eventplanningisaneffectivebehaviortoincreasemarketshare.關鍵詞標題Eventplanningisaneffectivebehaviortoincreasemarketshare.Anactionplanwithexecutable,actionableandcreativeideascaneffectivelyenhancethecompany'sreputationandbrandreputation.此處添加相關標題關鍵詞Eventplanningisaneffectivebehaviortoincreasemarketshare.關鍵詞Eventplanning