Dab tsi yog kev kis kab mob hauv tsev kho mob, hom thiab nws tswj hwm li cas?

Zoo Siab

• Feem ntau mob sib kis
• 1. Mob ntsws
• 2. Mob txeeb zig
• 3. Cov tawv nqaij kis kab mob
• 4. Muaj ntshav kis
• Leej twg ntxim nyiam tshaj

Kev kis kab mob hauv tsev kho mob, lossis Kev Saib Xyuas Kev Noj Qab Nyob Zoo (HAI) yog txhais tias yog kis tau tus mob thaum tus neeg mus pw hauv tsev kho mob, thiab tseem tuaj yeem tshwm sim thaum pw hauv tsev kho mob, lossis tom qab tso tawm tawm, tsuav nws muaj feem ntsig txog tsev kho mob lossis cov txheej txheem ua tsev kho mob.

Kev kis mob hauv tsev kho mob tsis yog qhov tsis yooj yim, vim qhov no yog qhov chaw uas muaj coob tus neeg mob thiab tau txais tshuaj kho mob. Lub sijhawm nyob hauv tsev khomob, qee qhov tseem ceeb uas ua rau tus kabmob tuaj:

• Tsis txaus ntawm cov kab mob tsob ntoo daim tawv nqaij thiab lub cev, feem ntau yog vim kev siv tshuaj tua kab mob;
• Poob ntawm kev tiv thaiv ntawm lub cev tiv thaiv kab mob ntawm tus neeg mob tsev kho mob, ob qho tib si rau tus kabmob thiab kev siv tshuaj kho mob;
• Nqa cov txheej txheem siv cov khoom siv xws li tso pa tawm, tso pa tawm, tso me me, phais qhov muag lossis phais, piv txwv li, uas tawg cov tawv nqaij tiv thaiv kev tiv thaiv.

Feem ntau, cov kab mob me me uas ua rau mob hauv tsev kho mob tsis ua rau kis mob rau lwm qhov xwm txheej, vim lawv siv qhov zoo dua ntawm ib puag ncig nrog ob peb cov kab mob uas tsis muaj kev phom sij thiab ua rau cov neeg mob tsis kam tiv thaiv. Dua li ntawm qhov no, cov kab mob hauv tsev kho mob feem ntau yuav tsim kev kis mob hnyav uas tsis yooj yim los kho, vim tias lawv yuav tiv taus ntau cov tshuaj tua kab mob, yog li feem ntau, nws yuav tsum siv cov tshuaj tua kab mob ntau dua los kho hom kev kis mob no.

Feem ntau mob sib kis

Cov kis tau los ntawm tsev kho mob tuaj yeem ua rau pom cov tsos mob thiab cov tsos mob uas sib txawv raws li cov kab mob me me ua lub luag haujlwm rau kev kis mob thiab txoj kev nkag mus rau hauv lub cev. Cov mob uas nquag nquag muaj nyob hauv tsev khomob yog:

1. Mob ntsws

Kev mob ntsws pws hauv tsev kho mob feem ntau yog mob hnyav thiab feem ntau muaj rau cov neeg uas txaj, tsis nco qab lossis tus neeg muaj teeb meem nqos, vim qhov txaus ntshai ntawm kev xav noj zaub mov lossis qaub ncaug. Ntxiv rau, cov neeg uas siv cov pa pab cuam tuaj yeem yuav kis tau los ntawm tsev kho mob ntau ntxiv.

Qee cov kab mob feem ntau ntawm hom mob ntsws noKlebsiella mob ntsws, Enterobacter sp., Pseudomonas aeruginosa, Acinetobacter baumannii, Staphylococcus aureus, Legionella sp., ntxiv rau qee hom kab mob thiab cov hu ua fungi.

Cov tsos mob tseem ceeb: Cov tsos mob tseem ceeb ua rau mob ntsws hauv tsev kho mob yog mob hauv siab, hnoos nrog daj lossis ua paug tawm hauv ntshav, ua npaws, nkees, tsis qab los noj mov thiab ua tsis taus pa.

2. Mob txeeb zig

Cov kab mob hauv lub tsev kho mob mus tso zis yooj yim los ntawm kev siv kev sojntsuam thaum nyob hauv tsev khomob, txawm hais tias leej twg tuaj yeem kho tus mob no. Qee tus ntawm cov kab mob feem ntau txuam nrog qhov teeb meem no suav nrog Escherichia coli, Proteus sp., Pseudomonas aeruginosa, Klebsiella sp., Enterobacter sp., Enterococcus faecalis. thiab fungi, nyiam Candida sp.

Cov tsos mob tseem ceeb: Mob tawm hauv lub plab tuaj yeem pom los ntawm qhov mob lossis kub nyhiab thaum tso zis, mob plab, muaj ntshav nyob hauv cov zis thiab kub taub hau.

3. Cov tawv nqaij kis kab mob

Kev kis mob rau ntawm daim tawv nqaij muaj ntau heev vim tias yog siv tshuaj thiab ua kom nkag mus rau cov tshuaj kho mob los yog kuaj mob, phais lossis nti me me los yog tsim cov txheej txheem txaj. Qee cov kab mob me me koom nrog hom kev kis mob noStaphylococcus aureus, Enterococcus, Klebsiella sp., Proteus sp., Enterobacter sp, Serratia sp., Streptococcus sp. thiab Staphylococcus epidermidis, piv txwv li.

Cov tsos mob tseem ceeb: Xws li cov tawv nqaij kis kab mob, yuav muaj thaj chaw liab thiab o ntawm thaj chaw, muaj los yog tsis muaj cov hlwv. Feem ntau, lub xaib yog qhov mob thiab kub, thiab tej zaum yuav muaj cov khoom lag luam kom huv thiab tso pa tawm.

4. Muaj ntshav kis

Kev kis mob ntawm cov hlab ntshav yog hu ua septicemia thiab feem ntau tshwm sim tom qab kis kab mob ntawm qee qhov ntawm lub cev, uas kis los ntawm cov hlab ntshav. Hom kev sib kis no yog qhov hnyav, thiab yog tias tsis kho nws sai sai nws tuaj yeem ua rau lub nruab nrog cev tsis ua haujlwm thiab muaj kev pheej hmoo tuag. Ib qho ntawm cov kab mob me me los ntawm kev kis tus kab mob tuaj yeem sib kis tau los ntawm cov ntshav, thiab qee qhov muaj ntau E. coli, Dab Neeg Mus Plob Tsov Cuam Los Hem, Staphylococcus epidermidis lossis Candida, muab ua piv txwv.

Cov tsos mob tseem ceeb: Cov tsos mob tseem ceeb hais txog kev kis tus kab mob hauv cov ntshav yog ua npaws, ua npaws, poob siab, poob siab, lub plawv tsis muaj zog, nkees nkees. Kawm kev txheeb xyuas tus kab mob hauv koj cov ntshav.

Kuj tseem muaj ob peb lwm yam kev kis mob nosocomial, uas cuam tshuam rau ntau thaj tsam ntawm lub cev, xws li lub qhov ncauj ntawm lub qhov ncauj, lub plab zom mov, qhov chaw mos, qhov muag lossis pob ntseg, piv txwv. Txhua yam kev kis kab mob hauv tsev kho mob yuav tsum tau nrhiav pom sai thiab kho nrog tshuaj tua kab mob tsim nyog, kom tiv thaiv nws los ntawm mob hnyav thiab ua rau tus neeg tas sim neej. Yog li, thaum muaj cov cim lossis cov tsos mob ntawm qhov xwm txheej no, tus kws kho mob yuav tsum tau ceeb toom.

Leej twg ntxim nyiam tshaj

Txhua tus neeg tuaj yeem tsim kho mob hauv tsev kho mob, txawm li cas los xij cov neeg muaj kev tiv thaiv kab mob ntau dua muaj qhov pheej hmoo ntau dua, xws li:

• Cov Laus;
• Cov Menyuam Mos Liab;
• Cov neeg muaj lub cev tsis muaj peev xwm tiv thaiv, vim yog cov kab mob xws li AIDS, tom qab hloov lossis siv cov tshuaj tiv thaiv kab mob;
• Tsis zoo tswj ntshav qab zib mellitus;
• Cov neeg txaj txaj lossis nrog hloov pauv, vim tias lawv muaj kev pheej hmoo siab ntawm kev xav;
• Cov kab mob vascular, nrog cov kev ncig tsis zoo, vim nws cuam tshuam oxygenation thiab kev kho cov nqaij mos;
• Cov neeg mob xav tau kev siv cov cuab yeej ua kom zoo, xws li tso zis tawm, tso cov leeg txhaws, siv lub tso pa tawm los ntawm cov khoom siv;
• Kev phais mob.

Ntxiv rau, cov tsev kho mob nyob ntev dua, kev pheej hmoo kis tus kab mob hauv tsev kho mob ntau dua, vim tias nws muaj feem ntau yuav kis tus mob txaus ntshai thiab cov kab mob me.