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Cov Ntaub Thaiv Tsev Kho Mob Uas Siv Ib Zaug Xwb Yuav Ua Li Cas Txhim Kho Kev Nyab Xeeb Ntawm Tus Neeg Mob
Siv ib zaug xwb cov ntaub thaiv qhov rais hauv tsev kho mob ua lub luag haujlwm tseem ceeb hauv kev tswj kev kis kab mob hauv cov chaw kho mob. Cov nocov ntaub thaiv kev kho mobtsim kom muaj ib qho kev thaiv tseem ceeb tiv thaiv cov kab mob, ua kom muaj huab cua zoo dua rau cov neeg mob. Cov kev tshawb fawb tsis ntev los no qhia tau hais tias cov no tsev kho mob lub vijtsam ntiag tugs tuaj yeem txo qis kev pheej hmoo ntawm kev sib kis kab mob los ntawm 40%, muab qhov chaw tshiab rau txhua tus neeg mob. Kev siv cov ntaub thaiv no hauv tsev kho mob ua rau muaj kev nyab xeeb ntawm tus neeg mob tag nrho, ua rau lawv yog ib feem tseem ceeb ntawm cov tswv yim tiv thaiv kev kis kab mob zoo. Tsis tas li ntawd,cov ntaub thaiv qhov rai kho mob pov tseg, xws li cov Daim ntaub thaiv qhov chaw ICU, ntxiv pab txhawb rau kev tswj hwm kev huv thiab kev ceev ntiag tug hauv cov chaw kho mob tseem ceeb.
Cov Ntsiab Lus Tseem Ceeb
- Cov ntaub thaiv qhov rais hauv tsev kho mob uas siv ib zaug xwb txo tau qhov kev pheej hmoo ntawm kev kis kab mob los ntawm kev muab qhov chaw tshiab rau txhua tus neeg mob, txo qhov kev sib kis kab mob mus txog 40%.
- Kev hloov mus siv cov ntaub thaiv qhov rai uas siv pov tseg ua rau cov txheej txheem ntxuav yooj yim dua, ua rau cov neeg ua haujlwm tsom mus rau kev saib xyuas tus neeg mob ntau dua thiab txhim kho kev ua haujlwm zoo.
- Kev siv cov ntaub thaiv qhov rai uas siv pov tseg ua rau cov neeg mob txaus siab dua los ntawm kev tsim kom muaj ib puag ncig huv si thiab txais tos, uas ua rau muaj kev ntseeg siab thiab kev nplij siab thaum lawv muaj kev kho mob.
Kev Pheej Hmoo ntawm Kev Kab Mob ntawm Cov Ntaub Thaiv Ib Txwm Muaj
Cov ntaub thaiv qhov rais hauv tsev kho mob ib txwm muaj kev pheej hmoo loj heev rau kev kis kab mob vim lawv feem ntau raug cov kab mob. Cov ntaub thaiv qhov rais no feem ntau ua lub chaw khaws cov kab mob phem, uas tuaj yeem ua rau tus neeg mob tsis muaj kev nyab xeeb.
Cov Chaw Ua Phem
Muaj ntau txoj kev tshawb fawb qhia txog qhov txaus ntshai ntawm cov kab mob uas pom ntawm cov ntaub thaiv qhov rais hauv tsev kho mob ib txwm muaj. Kev tshawb fawb qhia tias:
- 92% ntawm cov ntaub thaiv qhov rai qhia tau tias muaj kuab paug nyob hauv ib lub lim tiam ntawm kev siv.
- 95% ntawm cov ntaub thaiv qhov rai tau qhia txog kev ua qias tuaj tsawg kawg ib zaug.
Cov chaw tseem ceeb ntawm kev ua qias tuaj suav nrog:
- Kev sib cuam tshuam ntawm cov neeg ua haujlwm kho mobCov tes uas muaj kab mob tuaj yeem kis cov kab mob mus rau saum npoo, suav nrog cov ntaub thaiv qhov rais. Kev ntxuav tes kom huv si yog qhov tseem ceeb kom tswj tau kev kis cov kab mob.
- Cov cheeb tsam muaj kev pheej hmoo siabCov chav xws li chav hlawv thiab chav phais yas muaj cov kab mob ntau heev. Cov kab mob uas tiv taus ntau yam, suav nrog Methicillin-resistant Staphylococcus aureus (MRSA), tau raug sau tseg rau ntawm cov ntaub thaiv no.
- Kev tuav ntau zausCov neeg mob, cov qhua tuaj xyuas, thiab cov kws kho mob feem ntau kov cov ntaub thaiv no, ua rau muaj feem yuav kis tau kab mob ntau dua.
Qhov tseem ceeb, cov kab mob uas feem ntau pom ntawm cov ntaub thaiv tsev kho mob ib txwm muaj xws li:
- Staphylococcus aureus
- Tiv taus Methicillin Staphylococcus aureus (MRSA)
- Kab mob enterococcus uas tiv taus Vancomycin (VRE)
- Cov kab mob Aerobic gram-negative
Kev tshawb fawb qhia tau tias 21% ntawm cov ntaub thaiv qhov rai tau kuaj pom tias muaj MRSA, thaum 42% pom tias muaj kev kis tus kab mob VRE. Cov ntaub ntawv no qhia txog qhov xav tau tseem ceeb rau kev tswj kev kis kab mob zoo.
Cov Teeb Meem Sib Kis
Kev sib kis kab mob tseem yog qhov teeb meem loj hauv kev kho mob. Cov kev tshawb fawb qhia tau tias cov kab mob ua rau muaj kev kis kab mob hauv kev kho mob (HAIs) feem ntau nyob hauv cov ntaub thaiv qhov chaw ntiag tug ntawm tus neeg mob. Qhov kev pheej hmoo nce ntxiv thaum cov neeg ua haujlwm kho mob tsis quav ntsej ntxuav lossis tua kab mob ntawm lawv txhais tes tom qab kov cov chaw no.
Cov ntsiab lus hauv qab no qhia txog cov teeb meem kev sib kis kab mob uas cuam tshuam nrog cov ntaub thaiv qhov rai hauv tsev kho mob ib txwm muaj:
- Cov ntaub thaiv qhov muag uas tsis pub lwm tus paub tuaj yeem ua rau muaj kuab paug hauv ib lub lim tiam tom qab siv thiab yuav nyob twj ywm rau ntau lub hlis, ua rau muaj kev pheej hmoo ntawm kev kis tus kab mob.
- Ib txoj kev tshawb fawb los ntawm University of Manitoba pom tias cov ntaub thaiv qhov rais hauv chav tsev tuaj yeem muaj ntau hom kab mob, suav nrog MRSA. Thaum kawg ntawm kev tshawb fawb peb lub lis piam, 100% ntawm cov ntaub thaiv qhov rais hauv chav neeg mob tau kuaj pom tias muaj MRSA.
- Cov kab mob HAIs tau raug tshawb pom rov qab mus rau cov ntaub thaiv qhov rai uas muaj kuab paug, qhia txog lawv lub luag haujlwm ua cov kab mob rau cov kab mob bacteria thiab cov kab mob viruses.
Cov txiaj ntsig ntawm Cov Ntaub Thaiv Tsev Kho Mob Uas Siv Ib Zaug Xwb
Txo Kev Pheej Hmoo ntawm Kev Kis Kab Mob
Cov ntaub thaiv qhov rais hauv tsev kho mob uas siv ib zaug xwb ua rau kev tswj kev kis kab mob hauv cov chaw kho mob zoo dua qub. Lawv qhov xwm txheej siv ib zaug xwb txo qhov kev pheej hmoo ntawm kev sib kis kab mob, uas yog qhov tseem ceeb rau kev nyab xeeb ntawm tus neeg mob. Kev tshawb fawb qhia tau tias cov ntaub thaiv qhov rais no tuaj yeem txo cov kab mob me me hauv thaj chaw saib xyuas tus neeg mob txog li 40%. Qhov kev txo qis no yog qhov tseem ceeb heev rau cov chaw muaj kev pheej hmoo siab xws li chav kho mob thaum muaj xwm txheej ceev thiab chav phais.
Cov khoom siv tua kab mob ntawm cov ntaub thaiv qhov rai uas siv pov tseg kuj tseem ua rau lawv muaj txiaj ntsig zoo. Piv txwv li, kev tshawb fawb qhia tau tias cov ntaub thaiv qhov rai uas siv rau hauv chav kho mob hnyav (ICUs) muaj cov tshuaj tua kab mob tiv thaiv cov kab mob xws li Nws nyuaj heevLub peev xwm no pab txo qhov kev pheej hmoo ntawm kev kis kab mob hauv kev kho mob (HAIs). Qhov tseeb, kev siv cov ntaub thaiv qhov ncauj rau cov neeg mob uas siv pov tseg tau txuas nrog kev txo qis tus nqi kis kab mob los ntawm ntau npaum li 30%, ua kom muaj kev nyab xeeb ntawm cov neeg mob tag nrho.
Tsis tas li ntawd xwb, cov ntaub thaiv qhov rais uas siv tau dua feem ntau yuav muaj kab mob hauv ib lub lim tiam tom qab siv. Ib txoj kev tshawb fawb luam tawm hauv American Journal of Infection Control qhia tias 92% ntawm cov ntaub thaiv qhov rais no muaj cov kab mob txaus ntshai xws li MRSA thiab VRE. Qhov sib txawv, cov ntaub thaiv qhov rais hauv tsev kho mob uas siv pov tseg tuaj yeem hloov pauv ntau zaus, ua rau lub voj voog ntawm kev sib kis kab mob thiab muab ib puag ncig zoo dua rau cov neeg mob.
Kev Siv Ib Zaug Xwb Yooj Yim
Qhov yooj yim ntawm cov ntaub thaiv qhov rais hauv tsev kho mob uas siv ib zaug xwb yeej tsis muaj ib yam dab tsi uas yuav hais tau ntau dhau. Cov ntaub thaiv qhov rais no tsis tas yuav ntxuav ntau yam xws li cov ntaub thaiv qhov rais ib txwm muaj. Cov tsev kho mob tuaj yeem zam tau cov nqi thiab lub sijhawm uas yuav tsum tau ntxuav, ua rau cov neeg ua haujlwm tsom mus rau kev saib xyuas tus neeg mob dua li kev saib xyuas.
Tsis tas li ntawd xwb, cov ntaub thaiv qhov rais uas siv pov tseg tau muab ib qho chaw tshiab thiab tsis muaj kuab paug rau txhua tus neeg mob. Qhov no yog qhov tseem ceeb rau kev tswj hwm cov qauv kev huv, tshwj xeeb tshaj yog nyob rau hauv cov chaw uas muaj neeg coob coob xws li chav kho mob ceev thiab cov chav kho mob hnyav. Kev hloov chav sai sai uas txhawb nqa los ntawm cov ntaub thaiv qhov rais uas siv pov tseg tau ua kom ntseeg tau tias cov neeg mob tau txais kev saib xyuas hauv qhov chaw huv si thiab muaj kev nyab xeeb.
Cov txiaj ntsig ntawm cov ntaub thaiv qhov rais siv ib zaug xwb nthuav dav tshaj qhov kev tswj kab mob. Lawv txhim kho kev paub ntawm tus neeg mob los ntawm kev txhim kho kev xav ntawm kev huv. Cov ntaub thaiv qhov rais tshiab pab txhawb rau kev nplij siab thiab kev ntseeg siab ntawm tus neeg mob, uas yog cov khoom tseem ceeb ntawm kev kho mob zoo.
| Qhov zoo | Kev piav qhia |
|---|---|
| Kev Tshem Tawm Kev Sib Kis | Cov ntaub thaiv qhov rai uas siv ib zaug xwb raug hloov tag nrho, txo qhov kev pheej hmoo ntawm cov kab mob uas muaj sia nyob rau ntawm cov ntaub. |
| Txo Kev Nyuaj Siab Ntxuav | Cov tsev kho mob zam cov nqi thiab lub sijhawm cuam tshuam nrog kev ntxuav cov ntaub thaiv qhov rai ib txwm muaj ntau zaus. |
| Kev Paub Txog Tus Neeg Mob Zoo Dua | Cov ntaub thaiv qhov rai tshiab ua rau kom pom kev huv si, ua rau tus neeg mob xis nyob thiab ntseeg siab. |
Cov Kev Zoo ntawm Kev Siv Cov Ntaub Thaiv Tsev Kho Mob Uas Siv Lawm
Cov Txheej Txheem Kev Ntxuav Yooj Yim
Cov ntaub thaiv qhov rais hauv tsev kho mob uas siv ib zaug xwb ua rau cov txheej txheem ntxuav yooj yim dua. Lawv txoj kev tsim uas siv ib zaug xwb tsis tas yuav ntxuav khaub ncaws, uas yog ib qho txheej txheem siv sijhawm ntau nrog cov ntaub thaiv qhov rais ib txwm muaj. Cov tsev kho mob tuaj yeem hloov cov ntaub thaiv qhov rais no sai sai, muab ib qho tshiab, huv si rau txhua tus neeg mob. Txoj hauv kev no ua rau cov kev tswj kev kis kab mob yooj yim dua thiab txo qhov kev pheej hmoo ntawm kev sib kis kab mob.
- Cov tsev kho mob tau tshaj tawm txog li ib Txo 93% hauv kev kis kab mob tom qab hloov mus rau cov ntaub thaiv pov tseg.
- Kev hloov cov ntaub thaiv qhov rai tam sim no tsuas yog siv sijhawm xwb 20 vib nas this, piv rau 20 feeb rau cov kev xaiv ib txwm muaj. Qee lub tshuab tso cai rau kev hloov pauv ntaub thaiv qhov rai 30 vib nas this lossis tsawg dua.
- Qhov tsis muaj cov txheej txheem ntxuav tu uas nyuaj ua rau cov neeg ua haujlwm tsom mus rau kev saib xyuas tus neeg mob ntau dua li kev saib xyuas.
Qhov kev ua haujlwm tau zoo los ntawm kev siv cov ntaub thaiv pov tseg ua rau muaj kev nyab xeeb thiab kev txaus siab ntawm tus neeg mob.
Kev Siv Nyiaj Zoo Tshaj Plaws Raws Lub Sijhawm
Txawm hais tias tus nqi pib ntawm cov ntaub thaiv qhov rais hauv tsev kho mob uas siv pov tseg yuav zoo li siab dua, lawv ua pov thawj tias lawv tsim nyog tus nqi dhau sijhawm. Kev tshuaj xyuas qhia tau hais tias tag nrho cov nqi siv rau cov ntaub thaiv qhov rais uas siv tau dua yog kwv yees li $115,750 tshaj xya xyoo, thaum cov ntaub thaiv qhov rai pov tseg raug nqi ib ncig ntawm $224,000 nyob rau tib lub sijhawm. Txawm li cas los xij, cov ntaub thaiv qhov rai uas siv tau dua yuav tsum tau ntxuav ntau zaus, uas ntxiv rau lawv cov nqi tag nrho.
| Aspect | Cov Ntaub Thaiv Pov Tseg | Cov Ntaub (Siv Tau Dua) Cov Ntaub Thaiv Qhov Rooj |
|---|---|---|
| Kev Txij Nkawm | Tsawg heev; hloov pauv sai | Yuav tsum tau ntxuav, ntxuav, thiab hloov kho tsis tu ncua |
| Cov Neeg Ua Haujlwm Ua Haujlwm | Tsawg; tsawg dua kev siv zog ua haujlwm | Siab; lub sijhawm thiab kev cog lus ua haujlwm tseem ceeb |
| Lub Sijhawm Ua Haujlwm Zoo | Siab; kev teeb tsa sai thiab hloov pauv | Qis; kev ntxuav khaub ncaws ua rau lub sijhawm xav tau ntau dua |
| Kev Tswj Kab Mob | Hloov tau ntau zaus | Yuav tsum tau teem sijhawm nruj kom tiv thaiv kev ua qias tuaj |
| Kev Ua Haujlwm Nyuaj | Tsawg; tsis tas yuav ntxuav | Cov txheej txheem ntxuav siab; nyuaj |
| Kev Cuam Tshuam Rau Kev Saib Xyuas Neeg Mob | Cov neeg ua haujlwm tsom ntsoov rau kev saib xyuas tus neeg mob ntau dua | Cov neeg ua haujlwm siv sijhawm ntau dua rau kev saib xyuas cov ntaub thaiv qhov rai |
Los ntawm kev txo lub sijhawm siv rau kev saib xyuas thiab txhim kho kev tswj kab mob, cov ntaub thaiv tsev kho mob pov tseg thaum kawg ua rau kev faib cov peev txheej zoo dua thiab cov txiaj ntsig ntawm tus neeg mob zoo dua.
Cov ntaub thaiv qhov rais hauv tsev kho mob uas siv ib zaug xwb yog qhov tseem ceeb rau kev tswj kev kis kab mob. Kev siv lawv ua ib kauj ruam tseem ceeb los txhim kho kev nyab xeeb ntawm cov neeg mob. Cov chaw kho mob uas siv cov ntaub thaiv qhov rais no muaj cov txiaj ntsig zoo:
- Kev Tswj Kab Mob: Cov ntaub thaiv qhov rai uas siv ib zaug xwb yuav txo tau qhov muaj feem kis tau kab mob los ntawm kev siv ib zaug xwb.
- Cov Khoom Siv Tiv Thaiv Kab MobLawv tiv thaiv kev loj hlob ntawm cov kab mob me me uas ua rau muaj teeb meem, ua kom muaj ib puag ncig huv si rau txhua tus neeg mob.
- Hloov Pauv SaiCov neeg ua haujlwm tuaj yeem hloov cov ntaub thaiv qhov rais hauv qab ob feeb, ua rau muaj kev tsom mus rau kev saib xyuas tus neeg mob ntau dua.
- Kev Txaus Siab ntawm Tus Neeg Mob Zoo Dua: Ib qho tsos zoo nkauj pab txhawb rau ib puag ncig txais tos, txhim kho kev nplij siab thiab kev ntseeg siab ntawm tus neeg mob.
Kev nqis peev rau hauv cov kev xaiv pov tseg tuaj yeem ua rau muaj txiaj ntsig zoo dua rau kev noj qab haus huv hauv cov chaw kho mob.
Cov Lus Nug Feem Ntau
Cov ntaub thaiv qhov rais hauv tsev kho mob uas siv pov tseg lawm yog ua los ntawm dab tsi?
Cov ntaub thaiv qhov rooj hauv tsev kho mob uas siv pov tseg feem ntau yog ua los ntawm cov ntaub polypropylene uas ruaj khov thiab tsis yog woven, ua kom muaj zog thiab tiv thaiv kab mob kom huv si.
Yuav tsum tau hloov cov ntaub thaiv qhov rais uas siv ib zaug xwb ntau zaus npaum li cas?
Cov chaw kho mob yuav tsum tau hloov cov ntaub thaiv qhov rai uas siv pov tseg tom qab txhua zaus tus neeg mob siv lossis thaum pom tias qias neeg kom tswj tau kev huv thiab kev kis kab mob zoo tshaj plaws.
Cov ntaub thaiv qhov rais hauv tsev kho mob uas siv pov tseg puas zoo rau ib puag ncig?
Yog lawm, ntau daim ntaub thaiv qhov rais hauv tsev kho mob uas siv pov tseg tau, zoo li cov los ntawm Esun, yog ua los ntawm 100% cov khoom siv rov ua dua tshiab, txhawb nqa cov kev coj ua ruaj khov hauv kev kho mob.
