981026奇美 陳郁慧 產後母嬰健康照護之感染管制措施 講義版 ·...
Transcript of 981026奇美 陳郁慧 產後母嬰健康照護之感染管制措施 講義版 ·...
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Epidemiology of and Surveillance for Postpartum Infections
USA
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emerging infectious diseases Vol 7.No.5,September- october 2001
private postnatal care facilities have emerged to take the role of the family.
As a result, neonates are now exposed to many people and are very vulnerable to infection.
Yonsei Med J Vol. 49, No. 4, 2008
Korea
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: news.bbc.co.uk/ chinese/trad/hi/ newsid_6240000/ newsid_6240000/ 6240005.stm
: hk.myblog.yahoo.com/ jw!9_81R8...atlT7l2rn article?mid=19658
WHO 2005498
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1843--Holmes
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1847--Semmelweiss,,...
Lister,
Hand Hygiene: Not a New Concept
Semmelweis Hand Hygiene Intervention
Maternal Mortality due to Postpartum InfectionGeneral Hospital, Vienna, Austria, 1841-1850
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~ Hand antisepsis reduces the frequency of patient infections ~
Adapted from: Hosp Epidemiol Infect Control, 2nd Edition, 1999.
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Incidence of Neonatal Infection
Yonsei Med J Vol. 49, No. 4, 2008
Korea
Infection Chain
(Source)
(Susceptible Host)(Transmission)
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Clean care is safe careWHO issue
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cohorting of newborn infants
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The average nosocomial infection rate of mothers was sighificantly lower in the rooming-in service as compared to the newborn nursery.
Staphylococcal infection of newborn were higher in the newborn nursery as compared to the rooming-in service.
Geburtshilfe Frauenheilkd. 1982 Sep;42(9):672-5.
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alcohol-based handrubs()
Boyce JM, Pittet D et al. MMWR 2002;51 (RR-16):1-45
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Knitte MA, Eitzman DV, Baer H: Role of hand contamination of personnel in the epidemiology of gram-negative nosocomial infection. J Pediatr 1975; 86: 433-7.
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40%
Graham M: Frequency and duration of handwashing in an intensive care unit. Am J Infect Control 1990; 18: 77-81.
(compliance)20%50% Voss A, Widmer AF: No time for handwashing!? handwashing versus
alcoholic rub: can we afford 100% compliance? Infect Control Hosp Epidemiol 1997;18:205-7.
Pittet D: Improving compliance with hand hygiene in hospitals Infect Control Hosp Epidemiol 2000;21:381-5.
Pittet D: Compliance with hand disinfection and its impact on hospital-acquired infections.Hosp infect 2001;48:40-6.
Fendler EJ, Ali Y, Hammond BS, et al:The impact of alcohol hand sanitizer use on infection rates in anextended care facility. Am J Infect Control 2002;30:226-33.
Muto CA, Sistrom MG, Farr BM: Hand hygiene rates unaffected by installation of dispensers of a rapidly acting hand antiseptic. Am J Infect Control 2000;28:273-5.
Albert RK, Condie F: Hand-washing patterns in medical intensive care units. N Engl J Med 1981; 24: 1465-6.
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Infect Control Hosp Epidemiol2000;21:381-386.
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