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Vim li cas cov ntaub thaiv qhov rais hauv tsev kho mob pov tseg thiaj hloov pauv kev tswj kab mob hauv kev kho mob niaj hnub no
Cov chaw kho mob ntsib kev pheej hmoo tas mus li los ntawm kev kis kab mob ntsig txog kev kho mob. Cov ntaub ntawv hauv qab no qhia txog qhov ntsuas:
| Kev Piav Qhia Txog Kev Txheeb Xyuas | Cov Ntaub Ntawv / Tus Nqi |
|---|---|
| Cov HAIs Txhua Xyoo thoob plaws Tebchaws Meskas txoj kev kho mob | Ntau tshaj 1 lab |
| Kwv yees li ntawm cov neeg mob hauv tsev kho mob uas muaj HAIs (2015) | Kwv yees li ntawm 72,000 |
Cov Ntaub Thaiv Tsev Kho Mob Pov Tseg pab daws cov kev pheej hmoo no. Ntau lub chaw tam sim no xaiv cov ntaub thaiv qhov cubicle pov tseg thiab daim ntaub thaiv kev kho mob cov khoom lag luam dua li cov khoom ib txwm muaj daim ntaub thaiv tsev kho mob cov kev xaiv.
Cov Ntsiab Lus Tseem Ceeb
- Cov ntaub thaiv tsev kho mob pov tseg txo cov kev pheej hmoo ntawm kev kis kab mob los ntawm kev siv cov khoom siv tua kab mob uas tiv thaiv cov kab mob tsis pub kis mus rau ntawm cov chaw kov ntau.
- Cov ntaub thaiv qhov rai no yooj yim thiab sai rau hloov, txuag lub sijhawm ua haujlwm thiab txo cov kev phom sij ntawm kev nyab xeeb piv rau cov ntaub thaiv qhov rai ib txwm muaj.
- Cov tsev kho mob txuag tau nyiaj thiab txhim kho kev nyab xeeb ntawm cov neeg mob los ntawm kev hloov mus rau cov ntaub thaiv qhov rai uas siv pov tseg, thaum tseem siv cov kev coj ua zoo tshaj plaws los txo qhov cuam tshuam rau ib puag ncig.
Kev Pheej Hmoo thiab Kev Txwv ntawm Kev Kab Mob ntawm Cov Ntaub Thaiv Tsev Kho Mob Ib Txwm Muaj
Cov Chaw Kov Ntau thiab Kev Sib Kis Kab Mob
Tsev Kho Mob Cov Ntaub Thaiv Kev Ceev Ntiag Tug yog ib qho ntawm cov chaw uas neeg kov ntau tshaj plaws hauv thaj chaw saib xyuas neeg mob. Cov neeg ua haujlwm kho mob, cov neeg mob, thiab cov qhua feem ntau kov cov ntaub thaiv qhov rais no ua ntej, thaum lub sijhawm, thiab tom qab ntsib kev saib xyuas. Kev tshawb fawb qhia tau tias yuav luag ib nrab ntawm cov neeg ua haujlwm kho mob tau txais cov kab mob ntawm lawv cov ntiv tes tom qab kov cov ntaub thaiv qhov rais. Raws sijhawm, kev ua qias tuaj ntau ntxiv, tshwj xeeb tshaj yog nyob rau hauv thaj chaw uas tib neeg tuav cov ntaub.
Ib daim ntawv ntsuam xyuas kab lis kev cai tau qhia tias 42% ntawm cov ntaub thaiv qhov rais hauv tsev kho mob nqa cov kab mob enterococci uas tiv taus vancomycin, 22% muaj cov kab mob Staphylococcus aureus (MRSA) uas tiv taus methicillin, thiab 4% muaj cov kab mob Clostridium difficile. Cov kab mob ntawm tes tau lees paub tias cov kab mob no kis tau yooj yim rau tes, ua rau cov ntaub thaiv qhov rais yog qhov tseem ceeb ntawm kev kis kab mob ntsig txog kev kho mob. Cov kab mob xws li MRSA thiab Candida hom tuaj yeem muaj sia nyob ntawm cov ntaub thaiv qhov rais tau ntau hnub mus rau ntau lub lis piam, thaum cov kab mob Gram-negative xws li Pseudomonas aeruginosa thiab Acinetobacter baumannii tseem muaj sia nyob tau ntau tshaj ib hlis. Qhov kev nyob ntev ntawm cov kab mob no qhia txog qhov kev pheej hmoo uas cov ntaub thaiv qhov rais ib txwm muaj.
Cov ntaub thaiv hauv tsev kho mob ua haujlwm zoo li cov kab mob uas ua rau muaj kab mob txaus ntshai thiab ua rau lawv kis mus rau lwm qhov chaw kho mob.
Kev Nyuaj Siab Txog Kev Ntxuav thiab Kev Ua Raws Cai
Kev tswj cov ntaub thaiv qhov rais uas yog cov ntaub ib txwm muaj ntau yam teeb meem txog kev thauj mus los thiab kev nyab xeeb. Kev tshem tawm thiab hloov txhua daim ntaub thaiv qhov rais tuaj yeem siv sijhawm txog 30 feeb, feem ntau yuav tsum tau nce ntaiv thiab ua rau cov neeg ua haujlwm raug mob. Cov ntaub thaiv qhov rais tuaj yeem rub rau hauv pem teb thaum lub sijhawm pauv, ua rau muaj kev pheej hmoo ntawm kev kis kab mob ntxiv. Cov neeg ua haujlwm yuav tsum siv cov khoom siv tiv thaiv tus kheej thiab ua raws li cov txheej txheem ceev faj kom tsis txhob muaj kev kis kab mob sib kis.
Yuav tsum ntxuav ntau zaus kom tswj tau cov kab mob, tab sis cov txheej txheem no siv zog ntau thiab kim heev. Cov ntaub thaiv qhov rais yuav tsum tiv taus kev ntxuav ntau zaus hauv kev lag luam, uas tuaj yeem ua rau cov khoom dai puas tsuaj thiab txo lawv lub neej. Cov teeb meem no feem ntau ua rau tsis ntxuav ntau zaus, ua rau cov ntaub thaiv qhov rais ua rau cov kab mob tsis zoo. Qhov sib txawv, Cov Ntaub Thaiv Tsev Kho Mob Pov Tseg muab lwm txoj hauv kev siv tau los ntawm kev ua kom yooj yim hloov pauv thiab txo qhov kev pheej hmoo ntawm kev ua qias tuaj.
| Kev Sib Tw | Kev Cuam Tshuam Rau Kev Tswj Kab Mob |
|---|---|
| Kev tshem tawm siv sijhawm ntev | Ncua kev ntxuav, ua rau muaj kev pheej hmoo ntau ntxiv |
| Kev phom sij ntawm kev nyab xeeb | Kev raug mob ntawm cov neeg ua haujlwm, kev cuam tshuam kev ua haujlwm |
| Kev ntxuav tsis tshua muaj | Kev sib sau ua ke ntawm cov kab mob |
| Kev pheej hmoo ntawm kev sib kis kab mob | Kev kis ntawm HAIs |
Yuav Ua Li Cas Cov Ntaub Thaiv Tsev Kho Mob Siv Ib Zaug Xwb Txhim Kho Kev Tswj Kab Mob
Cov Nta Tseem Ceeb thiab Cov Khoom Siv Tiv Thaiv Kab Mob
Cov Ntaub Thaiv Tsev Kho Mob Siv Ib Zaug Xwb muaj cov thev naus laus zis tiv thaiv kab mob siab heev los daws cov teeb meem kev kis kab mob uas pom muaj nyob rau ntawm cov chaw kov ntau. Cov chaw tsim khoom feem ntau siv cov nyiaj impregnation, ua ke nrog cov tshuaj tua kab mob thiab tshuaj tua kab mob pwm, los tiv thaiv kev loj hlob ntawm cov kab mob. Cov ntaub thaiv no feem ntau muaj 100% polypropylene, ntxiv nrog nanometer nyiaj thiab lwm yam tshuaj tua kab mob. Kev kuaj hauv chav kuaj pom tias cov ntaub ntawv no tsim cov cheeb tsam ntawm kev tiv thaiv tawm tsam cov kab mob xws li MRSA, VRE, Clostridium difficile, Enterococcus, Klebsiella, thiab Acinetobacter. Hauv cov chaw kho mob, tshwj xeeb tshaj yog cov chav kho mob hnyav, cov ntaub thaiv kab mob tiv thaiv kab mob qhia tau tias muaj kev kis kab mob tsawg dua. Piv txwv li, kev tshawb fawb qhia tsis pom MRSA lossis carbapenem-resistant Enterobacteriaceae ntawm cov ntaub thaiv sporicidal thaum lub sijhawm rau lub hlis uas lawv pom zoo.
| Aspect | Cov ntsiab lus |
|---|---|
| Kev Siv Tshuab Tiv Thaiv Kab Mob | Kev siv nyiaj impregnation nrog cov tshuaj tua kab mob thiab cov tshuaj tua kab mob |
| Cov Khoom Siv Rau Cov Ntaub Thaiv | 100% polypropylene nrog nanometer nyiaj thiab lwm yam neeg sawv cev |
| Cov Kab Mob Tau Kuaj | MRSA, VRE, C. difficile, Enterococcus, Klebsiella, Acinetobacter, cov kab mob fungi |
| Kev Ua Haujlwm Zoo ntawm Chav Kuaj Mob | Cov cheeb tsam txwv tsis pub sib cuag (0.5–5 hli), kev txwv tsis pub sib cuag txog li 6 lub hlis |
| Kev Ua Haujlwm Zoo Hauv Kev Kho Mob (ICU) | Tsis pom muaj MRSA, CRE, lossis C. difficile ntawm cov ntaub thaiv qhov txhab sporicidal |
| Cov Lus Qhia Txog Kev Hloov | Txhua 6 lub hlis hauv cov cheeb tsam muaj kev pheej hmoo siab |
| Lub Luag Haujlwm Tswj Kab Mob | Kev txo qis ntawm cov kab mob me me hauv ICU chaw |
Cov yam ntxwv no tso cov ntaub thaiv qhov rais hauv tsev kho mob pov tseg ua ib qho kev ntsuas tswj kev kis kab mob uas tsis muaj zog tab sis muaj zog, txo qhov kev pheej hmoo ntawm kev kis kab mob ntsig txog kev kho mob.
Yooj Yim ntawm Kev Txhim Kho thiab Kev Hloov
Cov chaw kho mob tau txais txiaj ntsig los ntawm kev teeb tsa thiab hloov cov ntaub thaiv qhov rai hauv tsev kho mob uas yooj yim. Cov neeg ua haujlwm tuaj yeem hloov cov ntaub thaiv qhov rai no hauv ob peb feeb xwb, piv rau cov sijhawm uas yuav tsum tau siv rau cov ntaub thaiv qhov rai ib txwm muaj hauv chav kho mob uas muaj ntau lub txaj. Feem ntau cov kev xaiv siv pov tseg haum rau cov txoj kab uas twb muaj lawm thiab siv cov khoom nqa uas txuas rau hauv, tshem tawm qhov xav tau kev hloov kho khoom siv. Qhov kev ua haujlwm zoo no txo qis kev cuam tshuam ntawm kev ua haujlwm thiab txo cov neeg ua haujlwm raug mob thaum hloov cov ntaub thaiv qhov rai.
Cov neeg ua haujlwm ntawm cov tsev kho mob loj, xws li Royal Hospital hauv London thiab New York's Central Medical Center, tshaj tawm tias cov ntaub thaiv qhov rais pov tseg tau txhim kho kev ua haujlwm zoo thiab kev ua haujlwm txhua hnub. Cov thawj coj kuj sau tseg tias cov nqi ntxuav thiab kev siv zog txij nkawm txo qis.
Qhov yooj yim ntawm kev siv txhawb kom hloov cov ntaub thaiv qhov rai ntau zaus, txhawb nqa kev ua raws li kev tu cev huv si thiab txo qhov kev pheej hmoo ntawm kev sib kis kab mob.
Txo Kev Sib Kis thiab Kev Sib Kis Kab Mob
Cov ntaub thaiv qhov rais hauv tsev kho mob uas siv ib zaug xwb ua lub luag haujlwm tseem ceeb hauv kev rhuav tshem cov saw hlau ntawm kev kis kab mob. Lawv qhov xwm txheej siv ib zaug xwb ua kom txhua tus neeg mob tau txais cov khoom tshiab, tsis muaj kuab paug. Cov tsev kho mob uas hloov mus siv cov ntaub thaiv qhov rais uas siv ib zaug xwb pom tias muaj kuab paug tsawg dua tom qab kaum hnub thiab muaj cov kab mob rov qab los tsawg kawg nkaus hauv ib lub lis piam. Qhov sib piv, cov ntaub thaiv qhov rais paj rwb ib txwm muaj cov kuab paug ntau thiab muaj cov kuab paug rov qab los txog li 92%. Cov ntaub thaiv qhov rais uas siv ib zaug xwb ua haujlwm tua kab mob tau zoo txog li ob xyoos, ua rau cov kab mob xws li MRSA thiab Clostridium difficile tsis muaj kuab paug.
Cov chaw kho mob qhia tias muaj tsawg dua qhov kev sib kis thiab cov txiaj ntsig zoo dua ntawm kev tswj kev kis kab mob tom qab siv cov ntaub thaiv pov tseg, tshwj xeeb tshaj yog nyob rau hauv cov chav muaj kev pheej hmoo siab xws li ICUs thiab chav phais.
Txoj kev npaj ua ntej no ua rau muaj kev kis kab mob tsawg dua thiab txhawb nqa qhov chaw saib xyuas neeg mob kom muaj kev nyab xeeb dua.
Kev Txuag Nyiaj thiab Kev Ua Haujlwm Zoo
Cov ntaub thaiv qhov rais hauv tsev kho mob uas siv pov tseg tau muab cov txiaj ntsig zoo rau kev siv nyiaj thiab kev ua haujlwm. Txawm hais tias tus nqi pib ib chav yog txij li $ 27.25 txog $ 101.40, cov ntaub thaiv qhov rais no tshem tawm cov nqi ntxuav thiab kev saib xyuas tas mus li. Cov ntaub thaiv qhov rais ib txwm xav tau kev ntxuav thiab kev kho mob tua kab mob tsis tu ncua, uas ua rau cov nqi ua haujlwm thiab lub sijhawm tsis ua haujlwm nce ntxiv. Tshaj li ib xyoos, cov ntaub thaiv qhov rais uas siv pov tseg tau ua pov thawj tias muaj txiaj ntsig zoo dua vim yog kev txuag nyiaj ntawm kev saib xyuas thiab kev tswj kab mob.
| Hom ntaub thaiv qhov rai | Tus nqi pib ib chav (USD) | Cov Nqi Kho thiab Ntxuav Khaub Ncaws | Lwm Yam Nqi |
|---|---|---|---|
| Cov Ntaub Thaiv Ib Zaug Siv Ib Zaug Xwb (Kho Kom Zoo) | $55.09 – $101.40 | Tsis muaj dab tsi | Tsis ntxuav khaub ncaws; txo cov neeg ua haujlwm thiab lub sijhawm tsis ua haujlwm |
| Cov Ntaub Thaiv Ib Zaug Siv Ib Zaug Xwb (Tsis Tau Kho) | $27.25 – $33.10 | Tsis muaj dab tsi | Siv ib zaug xwb; tshem tawm kev pheej hmoo ntawm kev kis kab mob |
| Cov Ntaub Thaiv Ib Txwm | Siab dua (ntau yam tseeb N/A) | Yuav tsum tau ntxuav thiab kho mob tas li | Cov nqi kho thiab ua haujlwm ntau dua |
Kev ua haujlwm zoo kuj zoo dua. Piv txwv li, City Medical Center txo lub sijhawm ntxuav thiab tua kab mob ntawm cov txheej txheem los ntawm kev siv cov ntaub thaiv pov tseg. Qhov kev hloov pauv no ua rau cov neeg mob ntau ntxiv thiab txo lub sijhawm tsis ua haujlwm hauv chav. Cov neeg ua haujlwm tuaj yeem tsom mus rau kev saib xyuas tus neeg mob ntau dua thiab tsawg dua rau kev saib xyuas cov ntaub thaiv, ua rau kev ua haujlwm hauv tsev kho mob zoo dua.
Kev Xav Txog Ib puag ncig thiab Cov Kev Xyaum Zoo Tshaj Plaws
Kev siv cov ntaub thaiv qhov rais hauv tsev kho mob uas siv pov tseg tau dav dav ua rau muaj kev txhawj xeeb txog ib puag ncig tseem ceeb. Lawv qhov xwm txheej siv ib zaug xwb ua rau muaj kev sib sau ua ke ntawm cov khib nyiab thiab ua rau muaj kev nyuaj siab rau kev pov tseg. Kev tsim khoom thiab kev xa khoom kuj siv cov peev txheej thiab lub zog. Txawm li cas los xij, kev tsim kho tshiab hauv kev tshawb fawb txog cov khoom siv tau daws cov teeb meem no. Cov ntaub ntawv lwj thiab cov kev pab cuam rov ua dua tshiab tau raug tshawb nrhiav los txo qhov cuam tshuam rau ib puag ncig. Cov txheej txheem pov tseg kom raug thiab kev kawm cov neeg ua haujlwm ua lub luag haujlwm tseem ceeb hauv kev txo qis kev puas tsuaj.
Cov kev coj ua zoo tshaj plaws rau kev siv ruaj khov suav nrog:
- Tsim kom muaj cov kev pab cuam rov ua dua tshiab rau cov ntaub thaiv qhov rai uas ua los ntawm cov khoom siv rov ua dua tshiab.
- Siv cov khoom siv biodegradable los xyuas kom meej tias muaj kev tawg ua tej daim me me.
- Tshawb nrhiav cov thev naus laus zis hloov pauv cov khib nyiab mus ua zog.
- Kev koom tes nrog cov neeg muag khoom uas muab qhov tseem ceeb rau kev tsim khoom uas zoo rau ib puag ncig.
- Kev cob qhia cov neeg ua haujlwm txog kev coj ua pov tseg uas muaj lub luag haujlwm.
- Txuas ntxiv ntsuam xyuas thiab txhim kho cov kev pib ua kom ruaj khov.
Cov tsev kho mob tuaj yeem sib npaug kev tswj kev kis kab mob nrog kev lav ris rau ib puag ncig los ntawm kev siv cov kev coj ua zoo tshaj plaws no thiab txhawb nqa kev tsim kho tshiab hauv kev tsim cov ntaub thaiv thiab pov tseg.
Cov ntaub thaiv qhov rais hauv tsev kho mob uas siv pov tseg tau muab kev daws teeb meem zoo rau kev tswj kev kis kab mob. Cov ntawv ceeb toom ntawm tsev kho mob tau zoo dua kev nyab xeeb ntawm tus neeg mob, hloov cov ntaub thaiv sai dua, thiab txo qhov kev sib kis kab mob.
- Kev taug qab ua raws li txoj cai tsis siv neeg ua kom muaj kev hloov pauv tas li.
- Cov tshuaj tua kab mob thiab kev tsim qauv siv ib zaug xwb ua rau cov kab mob tsawg dua.
- Cov neeg ua haujlwm muaj kev ua haujlwm tsawg dua, thiab cov chaw ua haujlwm tau txuag nqi thiab ua raws li txoj cai.
Cov Lus Nug Feem Ntau
Cov tsev kho mob yuav tsum hloov cov ntaub thaiv qhov rais hauv tsev kho mob uas siv pov tseg ntau zaus npaum li cas?
Feem ntau cov chaw kho mob pom zoo kom hloov cov ntaub thaiv qhov rais uas siv tas lawm txhua rau lub hlis lossis tam sim ntawd tom qab kov cov neeg mob uas muaj kab mob sib kis. Kev hloov tsis tu ncua pab tswj kev kis kab mob tau zoo tshaj plaws.
Cov ntaub thaiv qhov rais hauv tsev kho mob uas siv pov tseg puas sib haum nrog cov ntaub thaiv qhov rais uas twb muaj lawm?
Cov ntaub thaiv qhov rais uas siv ib zaug xwb yeej siv tau rau cov kab hlau uas siv tas li. Cov neeg ua haujlwm tuaj yeem teeb tsa lawv siv cov khoom nqa uas muaj qhov txuas rau hauv. Tsis tas yuav muaj cov khoom siv lossis cov cuab yeej tshwj xeeb.
Cov tsev kho mob puas tuaj yeem rov ua dua cov ntaub thaiv tsev kho mob uas siv pov tseg tau?
Cov tsev kho mob tuaj yeem rov ua dua qee cov ntaub thaiv qhov rais uas siv pov tseg yog tias ua los ntawm cov khoom siv rov ua dua tshiab. Cov chaw kho mob yuav tsum nrog cov neeg muag khoom tham thiab ua raws li cov lus qhia hauv zos txog kev rov ua dua tshiab.
