查詢結果分析
相關文獻
- 2016年南臺灣某醫院疑似抗碳青黴烯類克雷伯氏肺炎桿菌 (Carbapenem-resistant Klebsiella pneumoniae) 感染群聚事件
- Rationale of the Urgent Need of the Long-Term Care Institutions in Taiwan
- 社區老人照護--談長期照護機構設置
- 分割老人V.S.整合照護--談長期照護機構一元化
- 無約束的長期照護機構
- 某區域醫院長期照護機構後續服務現況調查
- 臺灣中部地區三縣市長期照護機構護理人員工作滿意度探討
- 談公立醫院規劃經營長期照護機構之要點
- 老人長期照護機構設立標準及護理之家設置標準之比較
- 老人照護重要議題--遷移壓力症候群(Relocation Stress Syndrome)
頁籤選單縮合
題名 | 2016年南臺灣某醫院疑似抗碳青黴烯類克雷伯氏肺炎桿菌 (Carbapenem-resistant Klebsiella pneumoniae) 感染群聚事件=A Suspected Outbreak of Carbapenem-Resistant Klebsiella pneumoniae Infection in A Southern Taiwan Hospital, 2016 |
---|---|
作 者 | 陳麗娜; 蔡懷德; 林建生; 蔡遠鵬; 謝瑞煒; 李翠鳳; | 書刊名 | 疫情報導 |
卷期 | 36:7 2020.04.14[民109.04.14] |
頁次 | 頁101-107 |
分類號 | 412.4 |
關鍵詞 | 抗碳青黴烯類克雷伯氏肺炎桿菌; 環境清潔; 長期照護機構; 跨機構合作; Carbapenem-resistant Klebsiella pneumoniae; Environmental cleaning; Long-term care institution; Inter-institution cooperation; |
語文 | 中文(Chinese) |
中文摘要 | 南臺灣某醫院自2016年2月至7月期間,通報送驗後由疾病管制署陸續檢出21例個案檢體帶有KPC(Klebsiella pneumonia carbapenemase)產酶基因陽性菌株。相較2015年同期檢出個案數有攀升趨勢,疑似群聚事件而啟動流行病學調查。依調查結果推測可能是由長照機構住民帶入醫院,加上醫院缺乏環境清潔標準流程,及部分工作人員感控認知不足,致提高交互感染風險。後該院改善環境清潔程序、建置清潔用具管理及稽核制度、規劃專責人力及教育訓練,提高主動式監測篩檢意願。並透過媒合醫院與機構合作模式,將感控延伸,導入周邊長期照護機構。自2016年11月起連續監測八個月,僅發現1例新增個案,有效控制群聚事件。建議未來可推動跨機構感控聯防模式,以達有效阻斷抗藥性細菌感染的威脅。 |
英文摘要 | Carbapenem-resistant Enterobacteriaceae (CRE) surveillance is a voluntary notification program for hospitals in Taiwan. A hospital in Southern Taiwan isolated Carbapenem-resistant Klebsiella pneumoniae (CRKP) strains from 21 patients from February to July, 2016. Because of the increasing trend of notification compared with that during the same period in 2015, we conducted an epidemiological investigation for this suspected outbreak. According to our investigation, residents from long-term care institutions might carry CRE into the hospital. Furthermore, the lack of environmental cleaning standard procedures of the hospital and the decreased infection control awareness among some staff members might increase the risk of cross infection. Afterwards, the hospital improved environmental cleaning procedures, established cleaning appliance management and auditing systems, planned specialty staff and education training, and increased active monitoring screening. The hospital and the institutions cooperated and extended the infection control procedures into all the surrounding long-term care institutions. Only one new KPC case was identified in the hospital during the following eight months since November 2016. The infection outbreak was under control after implementing aforementioned measures. We recommended that inter-institutional infection control measures should be promoted to effectively prevent drug-resistant bacterial infections. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。