頁籤選單縮合
題 名 | 探討某呼吸照護中心執行管制抗萬古黴素腸球菌方案之成效=An Infection Control Project to Decrease the Vancomycin-resistant Enterococcus Colonization Rate at a Respiratory Care Center |
---|---|
作 者 | 葉秀逸; 于煥中; 張峰義; | 書刊名 | 院內感染控制雜誌 |
卷 期 | 12:5 2002.10[民91.10] |
頁 次 | 頁275-284 |
分類號 | 419.38 |
關鍵詞 | 萬古黴素抗藥性之腸球菌; 直腸拭子; 直腸VRE移生; 呼吸照護中心; 洗手; Vancomycin-resistant enterococcus; VRE; Rectal swab; Rectal colonization; Respiratory care center; Hand-washing; |
語 文 | 中文(Chinese) |
中文摘要 | 萬古黴素抗藥性之腸球菌 (vancomycin-resistant enterococci;VRE)是對「萬古黴素」產生抗藥性的腸球菌,VRE嚴重感染的病人即面臨藥物治療的困境。本研究是要評值一個以教育課程為基礎的單位之VRE管制模式,對於一個呼吸照護中心直腸 VRE 移生發生率的影響,以及護理人員對於接觸隔離措施之遵從性。本研究方案除了定期舉行 VRE 感染和移生之預防和控制教育課程,製作 VRE 相關的問題與解答單張,以提高醫事人員與其他照顧者對 VRE 的認知,並落實隔離措施,環境消毒等,而且定期檢驗病患之肛門拭子以瞭解單位病患 VRE 之移生現況。管制抗萬古黴素腸球菌方案之成效為:本 VRE 管制模式實施前個案直腸 VRE 移生的發生率為7.4%,VRE 管制模式實施後個案直暘 VRE 移生的發生率為6.9%,本 VRE管制模式對於呼吸照護中心直腸 VRE 移生的發生率,並無統計上之顯著差異。而醫事人員執行洗手之遵從性則從40%提高到59%,有顯著的提昇(p<0.01)。事前更換手套的比例從87.3%提高到89.8%,並無統計上之顯著差異。(感控雜誌2002;12:275-84) |
英文摘要 | Severe infection by vancomycin-resistant Entcrococcus (VRE) poses a major problem for the clinicians. The purpose of this study is to evaluate the effectiveness of the VRE control project at a respiratory care center in a medical center in Taiwan. The unit-effort project includes periodic educational courses for the prevention of the VRE spread, use of gloves, and the emphasis in frequent hand-washing. The study covered the period from February 1, till September 27, 2000. After the implementation of the project, the compliance rate of hand-washing improved significantly from 40% to 59% (p<0.01), and that for the change of gloves showed almost no change, from 87.3% to 89.8%. The colonization rate of VRE as judged by the culture of patients' rectal swab before and after the execution of the project was 7.4% and 6.9%, respectively. The VRE control project did not significantly decrease the colonization rate of VRE among patients in this respiratory care center. (Nosocom Infect Control d 2002;12:275-84) |
本系統中英文摘要資訊取自各篇刊載內容。