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Kev Kawm Txog Qhov Teeb Meem: Yuav Ua Li Cas Ib Lub Tsev Kho Mob Txo Tau Kev Kis Kab Mob Nrog Cov Ntaub Thaiv Ib Zaug Xwb
Ib lub tsev kho mob ua ntej tau txhim kho kev nyab xeeb ntawm cov neeg mob los ntawm kev hloov pauv ntawm cov qauv ib txwm muaj daim ntaub thaiv tsev kho mobcov kev xaiv rau Daim ntaub thaiv pov tsegs. Cov neeg ua haujlwm pom tias muaj tsawg tus kab mob tom qab hloov pauv.Cov ntaub thaiv qhov cubicle pov tseg, ib hom daim ntaub thaiv kev kho mob, tau pab daws cov teeb meem uas tseem muaj. Cov ntaub thaiv qhov chaw kho mob zoo li cov no muab cov kev daws teeb meem rau kev tswj kev kis kab mob.
Cov Ntsiab Lus Tseem Ceeb
- Ib txwm muaj cov ntaub thaiv qhov rais hauv tsev kho mob feem ntau nqa cov kab mob phem uas tuaj yeem ua rau muaj kev kis kab mob, ua rau kev ntxuav ntau zaus nyuaj thiab tsis ua haujlwm zoo.
- Cov ntaub thaiv pov tseg txo qhov kev kis kab mob kev pheej hmoo los ntawm kev tso cai hloov pauv sai, txuag lub sijhawm ua haujlwm thiab txo cov nqi tas mus li yam tsis muaj kev ntxuav khaub ncaws.
- Tsev kho mob pom muaj tsawg tus kab mob thiab ua haujlwm tau zoo dua tom qab hloov mus siv cov ntaub thaiv pov tseg, tab sis kuj tau daws cov teeb meem pov tseg tshiab nrog kev coj ua kom ruaj khov.
Cov Ntaub Thaiv Pov Tseg: Kev daws teeb meem kev tswj kab mob
Kev Pheej Hmoo ntawm Kev Kis Kab Mob nrog Cov Ntaub Thaiv Tsev Kho Mob Ib Txwm Muaj
Cov ntaub thaiv qhov rais hauv tsev kho mob ib txwm muaj qhov tseem ceeb kev sib tw tswj kev kis kab mobCov kev tshawb fawb qhia tau hais tias cov ntaub thaiv qhov rais no kis tau sai sai nrog cov kab mob cuam tshuam nrog kev kho mob. Hauv ib lub lim tiam, 92% ntawm cov ntaub thaiv qhov rais tshiab uas tau muab tso rau hauv tsev kho mob tau kuaj pom tias muaj tsawg kawg yog ib qho kab mob. Cov lus hauv qab no qhia txog cov kab mob feem ntau pom ntawm cov ntaub thaiv qhov rais hauv tsev kho mob:
| Kab mob | Kev Muaj Feem Ntau ntawm Cov Ntaub Thaiv (%) | Cov Lus Cim Txog Kev Ua Phem Thiab Kev Nyob Mus Ib Txhis |
|---|---|---|
| Staphylococcus aureus | 26.1% | Pom muaj nyob rau hauv 47 ntawm 180 kab mob; muaj kev kis kab mob sai tom qab muab daim ntaub thaiv qhov rai tso rau. |
| Cov kab mob S. aureus (MRSA) uas tiv taus methicillin | 21% | Pom muaj nyob rau ntawm 21% ntawm cov ntaub thaiv qhov rais; kev nyob ntev thiab kev rov ua kom huv si tau lees paub los ntawm PFGE typing |
| Cov hom kab mob Enterococcus | Tsis tau ntsuas meej meej | Muaj xws li cov kab mob enterococcus uas tiv taus vancomycin (VRE) uas pom muaj nyob rau ntawm 42% ntawm cov ntaub thaiv qhov rais. |
| Kab mob enterococcus uas tiv taus Vancomycin (VRE) | 42% | Ntau lub sijhawm muaj kev ua qias tuaj; pom muaj kev ua qias tuaj thiab rov ua qias tuaj dua |
| Cov kab mob Aerobic gram-negative | Tsis tau ntsuas meej meej | Tshawb pom los ntawm cov txheej txheem microbiologic txheem |
| Cov noob kab mob Clostridium difficile | Tsis suav nrog hauv kev tshawb fawb no | Paub tias yuav nyob ntev rau ntawm cov ntaub thaiv qhov rai; tiv taus qee cov tshuaj tua kab mob |
Kev tshawb fawb txuas cov ntaub thaiv qhov rais uas muaj kab mob rau kev sib kis ntawm cov kab mob uas tau los ntawm tsev kho mob. Piv txwv li, ib txoj kev tshawb fawb pom tias 87.5% ntawm cov ntaub thaiv qhov rais uas tsis pub lwm tus paub hauv chav hlawv tau kuaj pom tias muaj MRSA thaum hnub 14, txawm tias tsis muaj neeg mob muaj MRSA los xij. Cov neeg ua haujlwm kho mob tuaj yeem kis cov kab mob los ntawm cov ntaub thaiv qhov rais mus rau lawv txhais tes, ua rau muaj kev pheej hmoo ntawm kev sib kis kab mob ntau ntxiv. Cov ntaub thaiv qhov rais ib txwm muaj feem ntxuav ib hlis ib zaug, tab sis cov chaw muaj kev pheej hmoo siab yuav tsum tau ntxuav ntau zaus. Txawm hais tias muaj cov kev siv zog no los xij, kev ntxuav ntau zaus tseem yog ib qho teeb meem.
Vim Li Cas Tsev Kho Mob Thiaj Xaiv Cov Ntaub Thaiv Ib Zaug Xwb
Lub tsev kho mob tau xaiv cov ntaub thaiv pov tseg los daws cov kev pheej hmoo no. Muaj ntau yam uas cuam tshuam rau qhov kev txiav txim siab no:
- Cov ntaub thaiv pov tseg txo qhov kev pheej hmoo ntawm kev sib kis kab mob vim tias cov neeg ua haujlwm hloov lawv tom qab txhua zaus siv.
- Kev teeb tsa sai txuag lub sijhawm ntawm cov neeg ua haujlwm, tshwj xeeb tshaj yog nyob rau hauv thaj chaw muaj kev kis kab mob siab xws li ICUs.
- Yuav tsum tau saib xyuas tsawg kawg nkaus, tshem tawm qhov xav tau ntxuav thiab hloov kho dua tshiab.
- Cov nqi qis dua ua ntej thiab tsis muaj cov nqi ntxuav khaub ncaws ua rau lawv tsim nyog rau cov chaw muaj kev pheej hmoo siab.
- Cov tshuaj tua kab mob thiab cov qauv tsim muaj yeeb yuj tsim kom muaj ib puag ncig zoo rau cov neeg mob.
Lus Cim: Cov ntaub thaiv qhov rai uas siv ib zaug xwb muab kev daws teeb meem zoo rau kev tswj kev kis kab mob, txhawb nqa kev ua haujlwm zoo thiab kev nyab xeeb ntawm tus neeg mob.
Kev Siv thiab Cov Txiaj Ntsig ntawm Cov Ntaub Thaiv Pov Tseg
Cov Kauj Ruam rau Kev Taw Qhia Cov Ntaub Thaiv Ib Zaug Xwb
Lub tsev kho mob tau pib hloov pauv los ntawm kev soj ntsuam cov ntaub thaiv qhov rai uas twb muaj lawm thiab kho dua tshiab kom haum rau cov ntaub thaiv qhov rai uas siv pov tseg. Cov thawj coj ntawm qhov chaw tau tsim ib daim ntawv teem sijhawm hloov pauv uas haum rau txhua chav haujlwm. Piv txwv li, cov neeg ua haujlwm tau hloov cov ntaub thaiv qhov rai hauv cov chav kho mob hnyav txhua hli, thaum cov chav neeg mob feem ntau ua raws li daim ntawv teem sijhawm rau lub hlis. Lub tsev kho mob tau hloov kho cov cai tswjfwm kom haum rau cov qauv tswj kev kis kab mob thiab cov kev cai tswjfwm.
Yuav kom ua kom cov txheej txheem yooj yim dua, lub tsev kho mob tau siv cov txheej txheem hloov pauv sai thiab cov txheej txheem taug qab, xws li QR codes thiab RFID tags. Cov thev naus laus zis no tau txhim kho kev ua haujlwm zoo thiab ua kom ntseeg tau tias ua raws li cov sijhawm hloov pauv. Kev tshem tawm kev ntxuav khaub ncaws txo cov kev xav tau ntawm cov neeg ua haujlwm thiab cov peev txheej, tab sis lub tsev kho mob kuj tau daws cov teeb meem tshiab ntawm kev tswj hwm cov khib nyiab.
Lub Tswv Yim: Cov tsev kho mob uas xav txog kev hloov pauv zoo sib xws yuav tsum soj ntsuam kev ua tau zoo mus sij hawm ntev, thev naus laus zis tua kab mob, kev hloov pauv zoo, kev ruaj khov, tus nqi, thiab kev tso ntaub thaiv qhov rais ua ntej txiav txim siab.
Kev Kawm Txuj Ci thiab Kev Ua Haujlwm Logistics
Cov thawj coj ntawm tsev kho mob lees paub tias kev cob qhia cov neeg ua haujlwm kom zoo yog qhov tseem ceeb rau kev tswj kev huv thiab kev nyab xeeb. Cov neeg ua haujlwm tau txais kev qhia txog kev siv thiab pov tseg cov ntaub thaiv qhov rai uas siv pov tseg tau. Kev cob qhia hais txog kev coj ua pov tseg kom ruaj khov thiab cov qauv ib puag ncig. Lub tsev kho mob kuj suav nrog kev cob qhia cov neeg ua haujlwm ua ib feem ntawm kev siv zog los txo cov khib nyiab thiab ua raws li cov txheej txheem tswj kev kis kab mob.
- Cov tsev kho mob tau muab kev cob qhia txog kev pov tseg cov ntaub thaiv qhov rai uas siv tas lawm.
- Cov neeg ua haujlwm tau kawm txog cov txheej txheem tshiab rau kev teeb tsa, kev tshem tawm, thiab kev pov tseg.
- Cov kev cob qhia suav nrog kev ntsuam xyuas cov neeg muab khoom thiab taug qab kev txo qis ntawm kev ua qias tuaj thiab cov nqi.
- Kev kawm ntawv tau hais txog kev pov tseg uas muaj lub luag haujlwm thiab kev cuam tshuam rau ib puag ncig.
Thaum ua haujlwm, lub tsev kho mob tau hloov kho cov cai kom phim cov txheej txheem tshiab. Cov neeg ua haujlwm tau hloov kho sai sai rau cov txheej txheem ua haujlwm tshiab, pab los ntawm kev yooj yim ntawm cov ntaub thaiv qhov rai uas hloov pauv sai. Lub tsev kho mob kuj tau koom ua ke cov qauv kev txhim kho tas mus li los soj ntsuam thiab txhim kho kev siv zog kom ruaj khov.
Kev Txo Tus Nqi Sib Kis thiab Kev Cuam Tshuam Ntsuas Tau
Tom qab siv cov ntaub thaiv qhov rais pov tseg lawm, lub tsev kho mob tau pom tias muaj kev txo qis ntawm cov kab mob kis tau los ntawm tsev kho mob. Qhov kev pheej hmoo ntawm kev sib kis tau txo qis vim tias cov neeg ua haujlwm tau hloov cov ntaub thaiv qhov rais ntau zaus dua thiab tshem tawm qhov xav tau ntxuav khaub ncaws. Qhov kev hloov pauv no ua rau kev txuag nyiaj tsis ncaj qha ntsig txog kev tu cev huv si thiab kev kis kab mob tsawg dua.
Kev sib piv ntawm cov yam ntxwv ntawm tus nqi qhia txog cov txiaj ntsig:
| Qhov tseem ceeb | Cov Ntaub Thaiv Ib Txwm | Cov Ntaub Thaiv Pov Tseg |
|---|---|---|
| Tus nqi them ua ntej | Qis dua | Siab dua |
| Cov Nqi Txuas Ntxiv Mus | Ntxuav khaub ncaws, kho, hloov pauv | Tsawg kawg nkaus (tsis ntxuav) |
| Kev Pheej Hmoo ntawm Kev Kis Kab Mob | Siab dua (vim yog rov ua kom huv dua) | Qis dua (hloov pauv ntau zaus) |
| Kev Tswj Xyuas Pov Tseg | Tsis nyuaj heev | Nyuaj dua |
| Kev Cuam Tshuam Ib puag ncig | Qis dua (yog tias ntxuav tau zoo) | Qib siab dua (cov yas siv ib zaug xwb) |
Lub tsev kho mob kuj tau hais tias kev tshem tawm kev ntxuav khaub ncaws txo qhov kev xav tau ntawm cov neeg ua haujlwm thiab cov peev txheej. Txawm li cas los xij, qhov kev nce ntxiv ntawm cov khib nyiab kho mob xav tau cov tswv yim tshiab rau kev pov tseg kom zoo. Lub tsev kho mob tau tshawb nrhiav cov thev naus laus zis los ntawm kev siv khib nyiab los ua lub zog thiab koom tes nrog cov neeg muab khoom uas muab qhov tseem ceeb rau cov khoom siv ruaj khov.
Cov Neeg Ua Haujlwm thiab Cov Neeg Mob Lub Zeem Muag
Cov neeg ua haujlwm tau tshaj tawm tias cov ntaub thaiv qhov rais uas siv pov tseg tau ua rau kev ua haujlwm zoo dua thiab txo lub sijhawm siv rau kev hloov cov ntaub thaiv qhov rais. Cov txheej txheem hloov pauv sai sai ua rau muaj kev hloov pauv zoo, tshwj xeeb tshaj yog nyob rau hauv thaj chaw uas muaj neeg siv ntau. Cov neeg ua haujlwm kuj txaus siab rau qhov txo qis hauv kev pheej hmoo ntawm kev kis kab mob thiab qhov meej ntawm cov txheej txheem tshiab.
Cov neeg mob pom tias qhov tsos huv si thiab hloov cov ntaub thaiv qhov rais ntau zaus. Muaj ntau tus neeg xav tias lawv ntseeg siab rau lub tsev kho mob txoj kev cog lus rau kev tswj kev kis kab mob. Qee tus neeg ua haujlwm tau hais txog kev txhawj xeeb txog qhov cuam tshuam rau ib puag ncig ntawm cov khib nyiab ntau ntxiv, tab sis kev kawm txuas ntxiv thiab kev pib ua kom ruaj khov tau daws cov teeb meem no.
Lus Cim: Lub tsev kho mob pom zoo kom lwm lub tsev kho mob xav txog kev siv ntau yam, siv cov ntaub thaiv qhov rai uas ntxuav tau thiab cov ntaub thaiv qhov rai uas siv pov tseg raws li qhov xav tau ntawm cov chaw haujlwm tshwj xeeb. Txoj kev no ua kom zoo dua qhov ua tau zoo, tus nqi, thiab kev tswj kev kis kab mob.
Cov ntaub thaiv qhov rai pov tseg tau ua lub luag haujlwm tseem ceeb hauv kev txo qis kev kis kab mob hauv tsev kho mob.
- Cov tsev kho mob pom kev ua haujlwm zoo dua thiab kev nyab xeeb ntawm tus neeg mob.
- Cov chaw tau tshaj tawm tias ua raws li cov qauv kev tu cev yooj yim dua.
Txawm hais tias Cov Ntaub Thaiv Pov Tseg txo qhov kev ua qias tuaj, cov kws tshaj lij pom zoo kom muab lawv sib xyaw nrog kev ntxuav tsis tu ncua thiab cov khoom siv tua kab mob kom tau txiaj ntsig zoo tshaj plaws.
Cov Lus Nug Feem Ntau
Cov tsev kho mob yuav tsum hloov cov ntaub thaiv qhov rai uas siv pov tseg ntau zaus npaum li cas?
Feem ntau cov tsev kho mob hloov chaw cov ntaub thaiv qhov rai uas siv pov tseg txhua plaub txog rau lub hlis. Cov chaw muaj kev pheej hmoo siab, xws li ICUs, yuav xav tau kev hloov pauv ntau zaus kom tswj tau kev kis kab mob.
Cov ntaub thaiv qhov rais pov tseg puas muaj kev tiv thaiv kab mob?
Ntau yam cov ntaub thaiv qhov rai uas siv pov tseg muaj cov txheej tiv thaiv kab mob. Cov txheej no pab txo qhov kev loj hlob ntawm cov kab mob thiab txhawb nqa kev siv zog tiv thaiv kev kis kab mob hauv cov chaw kho mob.
Cov ntaub thaiv qhov rais pov tseg puas zoo rau ib puag ncig?
Feem ntau cov ntaub thaiv qhov rais uas siv ib zaug xwb siv cov yas uas siv tau ib zaug xwb. Qee lub tuam txhab tsim khoom tam sim no muab cov kev xaiv uas siv tau dua lossis lwj tau. Cov tsev kho mob yuav tsum soj ntsuam cov yam ntxwv ntawm kev ruaj khov ua ntej yuav.
