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医院感染预防与控制标准操作规程(参考版)

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医院感染预防与控制标准操作规程(参考版)

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《医院感染预防与控制标准操作规程(参考版)》由国内数十位医院感染预防与控制知名专家和学者,依据国内外有关法规、规范、指南,结合我国国情以及工作实践,历时近一年时间,几经讨论、数易其稿,最终编写而成。《医院感染预防与控制标准操作规程(参考版)》有以下特点:提供大量重点部门、重点人群、重点环节的医院感染预防与控制标准操作规程(SOP),便于读者迅速掌握相关操作程序中的关键控制点和要求,提高医院感染预防与控制工作效率。
提供所涉及的有关表格,可直接从书中复印使用。
附录中对临床常见重要耐药菌进行了名词解释,便于理解。
附录中收录了有关法规、规范、指南目录,便于查阅。
附录中收录了由《医院感染预防与控制标准操作规程(参考版)》作者首次编译的《美国CDC/NHSN医疗保健相关感染的监测定义和急性医疗机构感染的分型标准(2008)》,便于指导感染病例监测。
《医院感染预防与控制标准操作规程(参考版)》不仅是我国各级、各类医疗机构中医院感染管理专职人员的必备工具书,而且是医院管理人员、各I临床科室医生和护士以及感染控制的重点科室(如消毒供应中心、手术室、检验科、血液透析室、内镜室、药剂科、后勤保障和保洁部门等)工作人员的工具书。同时,《医院感染预防与控制标准操作规程(参考版)》还适用于卫生行政人员、卫生执法监督人员以及疾病预防控制人员等。此外,《医院感染预防与控制标准操作规程(参考版)》也是我国医学生和护理院校学生在临床实习阶段的必读参考书。
Catalogue

第一篇 重点部位医院感染预防与控制
1.手术部位感染预防与控制标准操作规程
2.医院内肺炎预防与控制标准操作规程
3.导管相关血流感染预防与控制标准操作规程
4.导尿管相关尿路感染预防与控制标准操作规程

第二篇 重点部门医院感染预防与控制
5.ICU建筑布局和设施管理
6.ICU环境管理
7.ICU人员管理
8.ICU物品清洁消毒标准操作规程
9.感染性手术医院感染预防与控制标准操作规程
10.接台手术医院感染预防与控制标准操作规程
11.洁净手术室空气净化效果监测标准操作规程
12.无陪护新生儿病房医院感染管理
13.产房医院感染管理
14.婴儿保温箱清洗消毒标准操作规程
15.新生儿沐浴感染预防与控制标准操作规程
16.新生儿配奶感染预防与控制标准操作规程
17.导管室医院感染管理
18.血液透析室(中心)建筑布局与设备设施管理
19.血液透析室(中心)人员管理
20.血液透析机维护与消毒标准操作规程
21.血液透析治疗区环境及物品清洁消毒标准操作规程
22.血液透析室(中心)水处理系统质量控制标准操作规程
23.血液透析器和滤器复用管理
24.血液透析浓缩液配制管理
25.内镜室医院感染管理
26.软式内镜清洗和消毒(灭菌)标准操作规程
27.硬式内镜清洗和消毒(灭菌)标准操作规程
28.内镜清洗剂选择标准操作规程
29.口腔科清洗消毒间管理
30.牙科综合治疗椅医院感染管理
31.口腔手机清洗消毒灭菌标准操作规程
32.消毒供应中心(CSSD)管理
33.消毒供应中心(CSSD)建筑管理
34.消毒供应中心(CSSD)设备、设施管理
35.消毒供应中心(CSSD)不同区域人员防护着装标准操作规程
36.消毒供应中心(CSSD)耗材管理
37.复用诊疗器械(器具)和物品回收标准操作规程
38.复用诊疗器械(器具)和物品机器清洗标准操作规程
39.复用诊疗器械(器具)和物品手工清洗标准操作规程
40.新启用器械清洗标准操作规程
41.生锈器械清洗标准操作规程
42.朊毒体、气性坏疽及突发不明原因的病原体污染器械(器具)和物品清洗标准操作规程
43.超声波清洗机使用标准操作规程
44.消毒供应中心(CSSD)清洗效果检测标准操作规程
45.清洗消毒器(机)清洗效果监测标准操作规程
46.复用手术器械包装标准操作规程
47.压力蒸汽灭菌器操作标准操作规程
48.无菌物品储存与发放管理
49.无菌物品下送标准操作规程
50.物品灭菌失败召回标准操作规程
51.外来医疗器械清洗消毒灭菌标准操作规程
52.感染性疾病科医院感染管理
53.隔离病房设计及管理
54.急诊科医院感染管理
55.织物清洗与消毒管理

第三篇 医院感染预防与控制基本方法
56.标准预防
57.呼吸卫生(咳嗽)礼仪策略
58.感染性体液污染的仪器(设施)及环境处置原则
59.安全注射
60.接触隔离标准操作规程
61.飞沫隔离标准操作规程
62.空气隔离标准操作规程
63.保护性隔离标准操作规程
64.医务人员手卫生基本原则
65.医务人员洗手标准操作规程
66.医务人员卫生手消毒标准操作规程
67.医务人员外科手消毒标准操作规程
68.手套使用标准操作规程
69.面部防护用品使用标准操作规程
70.隔离衣、防护服使用标准操作规程

第四篇 职业防护与生物安全
71.医务人员锐器伤防护标准操作规程
72.术中锐器伤防护标准操作规程
73.血液和体液皮肤黏膜暴露防护标准操作规程
74.个人防护装备(PPE)穿脱次序标准操作规程
75.锐器伤防护安全器械选用标准操作规程
76.医务人员职业暴露防护处置标准操作规程
77.实验室生物安全实施标准操作规程
78.实验室操作生物危害防护标准操作规程
79.实验室意外事件或事故处理标准操作规程
80.微生物实验室菌(毒)种生物安全管理
81.微生物标本运送标准操作规程
82.生物安全柜标准操作规程

第五篇 临床微生物标本采集与运送
83.血培养标本采集、运送与报告标准操作规程
84.痰标本采集与运送标准操作规程
85.手术部位感染标本采集及运送标准操作规程
86.尿液标本采集和运送标准操作规程

第六篇 抗菌药物临床应用管理
87.围手术期预防性抗菌药物应用标准操作规程
88.内科及儿科领域抗菌药预防性应用标准操作规程
89.抗菌药物临床应用分级管理
90.抗菌药物临床应用监测标准操作规程

第七篇 耐药菌监测、预防与控制
91.细菌耐药监测标准操作规程
92.多重耐药菌(MDROS)预防与控制标准操作规程
93.艰难梭菌预防与控制标准操作规程

第八篇 消毒药械和一次性使用医疗器械、器具管理
94.消毒药械管理
95.一次性使用医疗器械、器具管理
96.医院常用液体消毒剂使用标准操作规程

第九篇 医院环境清洁、消毒与监测
97.环境微生物监测标准操作规程
98.手部微生物学监测标准操作规程
99.自制医疗用水微生物学监测标准操作规程
100.消毒液质量监测标准操作规程
101.环境清洁效果监测标准操作规程
102.医院空调系统管理与维护
103.医院空气净化消毒器(机)使用标准操作规程
104.医院洁净系统医院感染管理
105.医院建筑修缮感染管理
106.环境清洁标准操作规程
107.环境消毒标准操作规程
108.无菌检验标准操作规程

第十篇 医疗废物与污水管理
109.污水处理标准操作规程
110.医疗固体废物处理标准操作规程

第十一篇 医院感染病例监测
111.全院综合性监测标准操作规程
112.医院感染横断面监测标准操作规程
113.ICIU医院感染监测标准操作规程
114.手术部位感染监测标准操作规程

第十二篇 医院感染暴发与处置
115.医院感染暴发报告标准操作规程
116.医院感染暴发确认标准操作规程
117.医院感染暴发处置标准操作规程
118.同源性分析标准操作规程

第十三篇 医院感染知识培训与管理
119.医院感染专职人员知识培训制度
120.全院工作人员医院感染知识培训制度
121.工勤人员医院感染知识培训制度
122.新职工医院感染知识培训制度
123.医院感染管理委员会会议标准操作规程
附录
附录一 名词解释
附录二 2000~2010年医院感染管理有关部分国家法规、规范、指南名录
附录三 WHO/美国CDC有关感染控制的部分指南名录
附录四 美国CDC/NHSN医疗保健相关感染的监测定义和急性医疗机构感染的分型标准(2008年)
Book Abstract

一、收集与暂存
1.污染的窗帘、床单、被服、工作服(以下统称为织物)应分类收集,并打包后方可在院内外运送。
2.收集人员严禁在病区内进行逐件清点与清理,应尽量减少对污染织物的抖动行为。防止织物上病原微生物向周围环境扩散。
3.包装污染织物的袋子,应采用不宜渗漏液体、便于清洗的可反复使用的材质制作。严禁采用污染的床单等污染物来包裹。
4.包装袋外层应有醒目的污染织物专用的字样,如污染被服袋、污染工作服袋。
5.收集的污染织物如需暂存时,应以打包形式存放,严禁与任何清洁物品存放在同一房间内。
6.污染织物暂存间与洗衣房应有机械通风装置,并充分考虑到在满负荷状态下的通风量,以防止空气中微生物的累积。机械通风的排风口设计应考虑对人员与环境的安全因素;通过建筑物屋顶排向大气,是一个较好的选择,但会带来管道与施工上的额外费用。
二、清洗与消毒
1.水不能完全清除织物上附着的微生物、有机物等,通常推荐洗涤的水温在22~50°通过洗衣机的循环,洗涤剂的作用,以及严格控制含氯漂白剂的用量,微生物污染的载量会得到满意的下降。
2.普通织物在清洗的过程中,选择高温处理是最佳的消毒方法,推荐清洗的水温为71℃,并至少持续25min。
3.明确感染性物质污染的织物,采用加氯清洗是安全的,可在漂白环节中,将余氯含量控制在50~150mg/L。
4.对来自传染病房、烧伤病房的织物,推荐的清洗过程中所选择的高温为90℃,并至少持续25rain;或采用有效氯500mg/L的消毒洗衣粉溶液洗涤30~60min,然后用清水漂净。
5.有明显血、脓、便等污染的织物,被视为感染性织物。在使用高温水洗前,先用冷洗涤液或1%~2%冷碱水将血、脓、便等有机物洗净,再按传染性衣被洗涤消毒。洗衣房无完善的污水处理装置,应对该洗液进行消毒(如投氯消毒,总余氯含量不低于10mg/L)处理后,方可排入下水道。
Introduction

患者安全一直是全球医疗卫生服务领域所关注的焦点问题。据统计,每年由于各种原因所导致的患者安全不良事件,在发达国家达到10%,发展中国家的发生率更高。世界卫生组织(WHO)于2004年9月成立了世界患者安全联盟,并呼吁各成员国密切关注患者安全。医院感染问题是影响患者安全的严重威胁之一。2005-2006年世界患者安全联盟开展以“清洁卫生更安全”(Clean Care is Safer Care)为主题的全球患者安全挑战行动,目的是加强医院感染预防与控制,确保患者获得安全的医疗卫生服务。
医院感染的预防与控制是保证医疗质量和医疗安全的重要内容。全世界都存在医院感染的问题,它既影响到发达国家,也影响到资源贫乏的国家。2006年世界患者安全联盟的报告指出:全球每年有数以亿计的患者由于接受医疗服务时发生医院感染,从而使其治疗、护理变得更加复杂,导致患者病情加重,住院时间延长,费用增加,甚至导致残疾或死亡。美国每年有200万~300万医院感染病例,其中约8.8万例患者因医院感染而发生死亡,造成约45亿美元的经济损失。中国是一个拥有13亿人口的发展中国家,人口占世界总人口的22%,医疗卫生服务系统担负着艰巨的任务。2009年全国医院总数达到20 291所,承担了19.22亿人次的诊疗任务和8 488万住院患者的医疗工作。面对如此之规模的任务量,卫生行政部门、医疗机构和医务工作者在保证医疗质量和患者安全方面担负着重要责任,医院感染预防与控制工作面临着极大挑战。因此,加强医院感染预防与控制工作,对于保障患者安全、提高医疗质量、降低医疗费用具有重要意义。卫生部非常重视医院感染预防与控制工作。2004.年修订的《传染病防治法》中,预防和控制传染病在医院内的感染问题成为其中一项重要内容。

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Yami is committed to provide our customers with a peace of mind when purchasing from us. Most items shipped from Yamibuy.com can be returned within 30 days of receipt of shipment (For Food, Beverages, Snacks, Dry Goods, Health supplements, Fresh Grocery and Perishables Goods, within 7 days of receipt of shipment due to damages or quality issues; To ensure that every customer receives safe and high-quality products, we do not provide refunds or returns for beauty products once they have been opened or used, except in the case of quality issues; Some products may have different policies or requirements associated with them, please see below for products under special categories, or contact Yami Customer Service for further assistance).
Thank you for your understanding and support.

Learn More

Sold by Yami

Terms and Conditions of Yami E-Gift Card

If you choose “Redeem automatically” as your delivery method, your gift card balance will be reload automatically after your order has been processed successfully;

If you choose “Send to Email”as your delivery method, the card number and CVV will be sent to the email address automatically;

Any user can use the card number and CVV to redeem the gift card, please keep your gift card information safely. If you have any trouble receiving email, please contact Yami customer service;

Yami gift card can be used to purchase both Yami owned or Marketplace products;

Yami gift card will never expire;

Yami gift card balance does not have to be used up at once;

All rights reserved by Yami.

Return Policy

Gift card that has already been consumed is non-refundable.

Sold by JD@CHINA

Service Guarantee

Yami Free Shipping over $49
Yami Easy Returns
Yami Ships from United States

Shipping

  • United States

    Standard Shipping is $5.99 (Excluding Alaska & Hawaii). Free on orders of $49 or more.

    Local Express is $5.99 (Available in Parts of CA, NJ, MA & PA). Free on orders of $49 or more.

    2-Day Express (Includes Alaska & Hawaii) starts at $19.99.

Return Policy

You may return product within 30 days upon receiving the product. Items returned must be new in it's original packing, including the original invoice for the purchase. Customer return product at their own expense.

Sold by JD@CHINA

Service Guarantee

Yami Cross-store Free Shipping over $69
Yami 30-days Return

Yami-China FC

Yami has a consolidation warehouse in China which collects multiple sellers’ packages and combines to one order. Our Yami consolidation warehouse will directly ship the packages to your door. Cross-store free shipping over $69.

Return Policy

You may return products within 30 days upon receiving the products. Sellers take responsibilities for any wrong shipment or missing items. Packing needs to be unopened for any other than quality issues return. We promise to pack carefully, but because goods are taking long journey to destinations, simple damages to packaging may occur. Any damages not causing internal goods quality problems are not allowed to return. If you open the package and any quality problem is found, please contact customer service within three days after receipt of goods.

Shipping Information

Yami Consolidation Service Shipping Fee $9.99(Free shipping over $69)

Sellers in China will ship their orders within 1-2 business days once the order is placed. Packages are sent to our consolidation warehouse in China and combined there. Our Yami consolidation warehouse will directly ship the packages to you via UPS. The average time for UPS to ship from China to the United States is about 10 working days and it can be traced using the tracking number. Due to the pandemic, the delivery time may be delayed by about 5 days. The package needs to be signed by the guest. If the receipt is not signed, the customer shall bear the risk of loss of the package.

Sold by JD@CHINA

Service Guarantee

Free shipping over 69
Genuine guarantee

Shipping

Yami Consolidated Shipping $9.99(Free shipping over $69)


Seller will ship the orders within 1-2 business days. The logistics time limit is expected to be 7-15 working days. In case of customs clearance, the delivery time will be extended by 3-7 days. The final receipt date is subject to the information of the postal company.

Yami Points information

All items are excluding from any promotion or points events on Yamibuy.com

Return Policy

You may return product within 30 days upon receiving the product. Items returned must be new in it's original packing, including the original invoice for the purchase. Customer return product at their own expense.

Yami

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Jingdong book

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Jingdong book