手卫生与感染(gǎnrǎn)控制暨SIFIC网上论坛介绍复旦大学中山医院上海市院内感染(gǎnrǎn)质控中心高晓东第一页,共八十八页。AfterpettingadogorcatBeforehandlingoreatingfoodAftercoughingorsneezingAfterusingthebathroominyourhomeAfterchangingadiaperAfterhandlingmoneyAfterusingapublicrestroomHandWashingHabitsHowFrequentlyDoAmericansSayTheyAreWashingTheirHands?Alwayswashmyhands(Usuallywashmyhands)–TotalSample–Q:IamgoingtoreadyoualistofactivitiesandI’dlikeyoutotellmehowoftenyoumakeitapracticeofwashingyourhands.Howoftendoyouwashyourhandsafter…200542%(16%)200577%(14%)200532%(23%)200583%(10%)200573%(4%)200591%(6%)200521%(18%)2第二页,共八十八页。传染病的预防(yùfáng)诺如病毒的感染(gǎnrǎn)有效的洗手、不接触污染的水和食物,可减少疾病的传有效的洗手、不接触污染的水和食物,可减少疾病的传播播对付“诺瓦克”的绝招对付“诺瓦克”的绝招————洗手再洗手洗手再洗手手足口病的预防的建议加强医务人员手卫生加强医务人员手卫生甲型H1N1流感的预防经常用肥皂洗手经常用肥皂洗手3第三页,共八十八页。控制(kòngzhì)医院感染最简单,最有效,最方便,最经济方法洗手洗手4第四页,共八十八页。新起点:五百万生命(shēngmìng)运动增加:预防耐药菌传播和加强手卫生InstituteofHealthcareImprovement(IHI)andseveralorganizationsSevenchangesthatsavelives•PreventcatheterrelatedBSIPreventcatheterrelatedBSI•PreventSSIPreventSSI•PreventVAPPreventVAP•PreventadversedrugeventsPreventadversedrugevents•DeployrapidresponseteamsDeployrapidresponseteams•Deliverreliable,evidencebasedcareforacuteMIDeliverreliable,evidencebasedcareforacuteMI•HandhygieneHandhygieneAsof3,000hospitalshavejoinedthecampaign5,000,000livescampaign•PreventtransmissionofMRSA,VREandPreventtransmissionofMRSA,VREandC.difficileC.difficile(http://www.ihi.org/IHI/Programs/Campaign/)5第五页,共八十八页。美国计划停止支付(zhīfù)部分医院感染的诊疗费用6第六页,共八十八页。25/1/267第34届美国(měiɡuó)医院感染年会APIC(2007.6.25~28,SanJose)会议主题:蓄势勃发,革新感染预防GetPluggedIntoInnovationinInfectionPrevention7第七页,共八十八页。Conf...