資源描述：
《最新Prevention of Surgical Site Infections外科手術(shù)部位感染的預防-藥學醫(yī)學精品資料.ppt》由會員上傳分享，免費在線閱讀，更多相關(guān)內(nèi)容在教育資源-天天文庫。
1、最新PreventionofSurgicalSiteInfections外科手術(shù)部位感染的預防-藥學醫(yī)學精品資料PatientRiskFactorsDiabetesNicotineuseAlteredimmunestatus,suchassteroiduseorchemoMalnutritionProlongedpreoperativehospitalstayObesityInfectionpresentatsiteremotetoincisionPreoperativenarescolonizationwithStaphylococcusaureusSu
2、rgicalCareImprovementProject(SCIP)measuresAntibioticProphylaxis:UsecorrectantibioticAdministerwithinonehourofincision(2hrsifvancomycinisused)RedoseiflengthyprocedureStopantibioticswithin24hrs(48hrsforcardiacsurgery)DosageeffectIfasurgicalsiteiscontaminatedwith>100,000microorganism
3、spergramoftissue,theriskofSSIismarkedlyincreased.Thedoseofcontaminatingmicroorganismsrequiredtoproduceinfectionmaybemuchlowerwhenforeignmaterialispresentatthesite(i.e.,100staphylococcipergramoftissueintroducedonsilksutures).Microorganismsmaycontainorproducetoxinsthatincreasetheira
4、bilitytoinvadeahost,producedamagewithinthehost,orsurviveonorinhosttissue.Manygram-negativebacteriacantriggerthesystemicinflammatoryresponsesyndromethatsometimesleadstomultiplesystemorganfailure.Oneofthemostcommoncausesofmultiplesystemorganfailureinmodernsurgicalcareisintra-abdomin
5、alinfection.Mangram,AliciaMDandtheHospitalInfectionControlPracticesAdvisoryCommittee.GuidelineforthePreventionofSurgicalSiteInfection,AmerJourInfCont,Vol.27.No.2,1999.PathogenEffectStaphaureus,groupAStrepandClostridiumperfringensrequireonlyasmallinoculumtocausesevereinfectionSolim
6、itthedose!!APICTextofInfectionControlandEpidemiology,p23-2,3rdEd.2009AdditionalPreventionMeasuresAirflowmovesoutofORtopushairoutLimitORtraffic-airmaycontainmicrobial-ladendust,lint,skinsquames,orrespiratorydroplets.Themicrobiallevelinoperatingroomairisdirectlyproportionaltothenumb
7、erofpeoplemovingaboutintheroom.MinimizetheRiskAppropriatesiteprepAppropriatehandscrubAdequatefingernailcareHealthyhealthcareprovider讀后感的寫作方法1、讀后感，顧名思義，先“讀”后“感”。讀是基礎(chǔ)，感是重點。3、讀后感的基本結(jié)構(gòu)：敘→議→聯(lián)→結(jié)。⑴“敘”：概述原文?！緮ⅰ窟@篇課文講的是一個小女孩刻苦讀書的故事。小女孩常常不顧吃飯就趕去書店讀書，有時，一本書要到幾家書店才能讀完。⑵“議”：在敘的基礎(chǔ)上選擇感受最深的一點來議論，提
8、出自己的見解或主張?！咀h】讀了這篇課文，我對她的刻苦讀書、不怕累的
