?ICU????MRSA???????MRSA??? - PowerPoint PPT Presentation

1 / 21
About This Presentation
Title:

?ICU????MRSA???????MRSA???

Description:

ICU MRSA MRSA zongzhiy_at_scu.edu.cn search and destroy ... – PowerPoint PPT presentation

Number of Views:122
Avg rating:3.0/5.0
Slides: 22
Provided by: Mis120
Category:
Tags: icu | mrsa | mrsa

less

Transcript and Presenter's Notes

Title: ?ICU????MRSA???????MRSA???


1
?ICU????MRSA???????MRSA???
  • ???
  • ????????
  • zongzhiy_at_scu.edu.cn

2
??
  • ?????search and destroy ??
  • ???????????
  • ????????????????

3
????
?????
????
???
????

??????
  • MRSA??????????,???MRSA?????
  • MRSA???????????????MRSA??

??????
4
????
J Clin Microbiol 2010 48683-9.
6. Harbarth et al. JAMA 2008 2991149-1157.
?? 7. Harbarth et al. Crit. Care 2006 10R25.
ICU 8. Hardy et al. Clin. Microbiol. Infect 2010
16333-9. ?? 11. Jeyaratnam et al. BMJ
2008336927-930. ???? 18. Robicsek et al. Ann.
Intern. Med. 148409-418. ????
5
Intervention to Reduce Transmission of Resistant
Bacteria in Intensive Care
  • Huskins WC, et al. N Engl J Med 2011 364
    1407-18.

6
?? ??
10?ICU 8?ICU
N2132 N1356
????? ?????,????
?MRSA???????????ICU ?????????? ????
7
(No Transcript)
8
  • MRSA?VRE????????
  • ???vs??????????( patient-days at risk)40.4 vs
    35.6 P0.35.

9
Veterans Affairs initiative to prevent
methicillin-resistant Staphylococcus aureus
infections
  • Jain R, et al. N Engl J Med 2011 364 1419-30.

10
  • ??????????????
  • MRSA bundle
  • ??????????????MRSA
  • ?MRSA????????????
  • ???
  • ????(???????????????????)

11
  • ???MRSA???13.63.7
  • MRSA????ICU?? 17,??ICU???? 21
  • MRSA????????ICU?? 62(?1.64???/???????0.62,Plt0.01)
  • MRSA?????????ICU?? 53(?0.47???/???????0.22,Plt0.01
    )
  • ??VRE???ICU??100,??ICU?? 70
  • ???????ICU???? ,??ICU?? 57

12
  • ???????????
  • Huskins ????????????
  • ?????????PCR???MRSA??,?????
  • ??????(???????)?????
  • Jain?????VRE????????,??????MRSA??????,??????(?????
    ??)

13
MRSA?????MRSA???
  • ??????ICU(?? 50)
  • 414???ICU??gt48h?????
  • ??ICU???ICU????????MRSA
  • ???MRSA????????????

14
?MRSA?????????MRSA???????
  • ??ICU?MRSA???6.3,??ICU????13.5
  • ??ICU???MRSA?????
  • OR2.34 (95 CI 1.43-3.83)
  • ??12???(2.9)??????????MRSA
  • ??2????????MRSA??,?10???
  • ?ICU??MRSA?????????3.15??
  • OR3.15 (95 CI 0.65-15.19)(?????)
  • 12??10??ICU???????,5???,5???
  • ???414???,????2?MRSA??
  • ????(24/26)??MRSA??????MRSA??

15
??
  • ??????,?ICU????MRSA????
  • ?????MRSA?ICU????
  • ??????MRSA??

16
????ICU????MRSA????????????
  • MRSA???????
  • ICU?MRSA????10
  • JAMA 20093022323-9.
  • MRSA???????????
  • ?????????
  • ?????

17
?????MRSA????????
18
?????????
  • ??
  • ?????????????????
  • ????????
  • ??????????????????(????????????)
  • ???????????????,?????,????????

19
  • 2006???CDC??????????????,????????(?????)????MRSA?
    ???
  • ???????????????????????(??)????????????,???????
    ??????????????????

20
??
  • MRSA????????MRSA?????
  • MRSA????????????(??????????)
  • ????????,???MRSA?????ICU??????????????????????????
    ???
  • ???????????????????????

21
?????? gk.hxyx.com
Write a Comment
User Comments (0)
About PowerShow.com