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Chlorhexidine Gluconate擦澡降低加護病房抗藥性菌株移生個案數之專案
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Journal Article
Chlorhexidine Gluconate擦澡降低加護病房抗藥性菌株移生個案數之專案
2021
Overview
背景：抗藥性菌株會引發菌血症、休克及死亡之嚴重後果，也會增加住院天數及醫療消費，影響甚鉅，因此降低抗藥性菌株的散播是非常重要的議題。期望透過專案的進行，降低急診加護病房抗藥性菌株移生個案數，增加重症照護品質。目的：透過專案的進行，降低急診加護病房抗藥性菌株移生個案數，增加重症照護品質。解決方案：專案執行過程中，運用chlorhexidine gluconate（CHG）擦澡標準流程的建立、製作CHG擦澡技術評核表、規劃教育訓練課程、擬定床簾更換頻率、水槽清潔原則、定期稽核等方式，進行專案的分析與改善。結果：2018年10－12月萬古黴素抗藥性腸球菌（Vancomycin-resistant Enterococci）月平均移生個案數由6.08位降低至4.33位，多重抗藥性鮑氏不動桿菌（multidrug-resistant Acinetobacter baumannii）月平均移生個案數由4.08位降至1.33位；後續2019年1－7月間追蹤其成效，分別為4位及0.86位，多重抗藥性鮑氏不動桿菌移生個案數的下降達目標值。結論：本專案的結果支持，透過CHG擦澡的執行，能有效降低抗藥性菌株移生個案數，也降低感染密度，建議CHG擦澡可運用於臨床，提升重症照護品質。
Publisher
台灣護理學會,社團法人臺灣護理學會
Subject
