英文版医院感染控制.pptVIP

Targeted Surveillance for Nosocomial Infections Barbara M. Soule, RN, MPA, CIC Chinese Society for Nosocomial Infections July 4-5, 2004 Suzhou, China IC Practitioner (ICP) Activities Advantages/Disadvantages Targeted Surveillance CDC’s National Nosocomial Infections Surveillance (NNIS) System Targets: Your Hospital Surveillance System Targets: Which infection to target? Focus on patients at high risk for HAI Patient care areas ICU’s, cardio-thoracic surgery, cancer ward Specific populations neonates, transplant patients, hemodialysis pts Procedures / Devices CT surgery, central vascular lines, ventilators Organisms of epidemiologic importance – MRSA, VRSA Targeted Surveillance forOutcomes Primary Bloodstream infections Ventilator-associated pneumonia, Surgical site infections MRSA, VRE infections Vascular access infections in hemodialysis patients Sharps injuries in healthcare providers. Targeted Surveillance for Processes Hepatitis B immunity rates in personnel Personnel compliance with protocols - isolation precautions, Sterilization quality assurance testing, Effective environmental cleaning Antimicrobial prescribing and administration How to implement targeted surveillance Step One ICP and MD review Microbiology reports daily Review past surveillance data periodically Develop a list of the potential infections or populations for targeted surveillance Step Two Infection control team selects nosocomial infections to target based on one or more of the following criteria: Criteria for Selecting Processes or Outcomes for Targeted Surveillance IC program objectives Frequency or level of risk of infectious complications for area patient population procedure service Morbidity, Mortality, Cost Possibility for prevention Step Three ICP performs chart reviews on the infection-related processes or outcomes identified in Step Two using standardized, consistent, approved definitions. Consistent intensity and thoroughness of surveilla