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產後母嬰健康照護之 感染管制措施 奇美醫學中心 感染管制委員會 陳郁慧 組長 前言 中國人傳統上有坐月子的習慣,但因社會 變遷家庭型態改變雙薪小家庭的大量 出現妻小於產後乏人照顧等因素,致使 坐月子中心相繼設立 為維護產婦產後及嬰幼兒照護品質與健康 權益,政府積極輔導未立案坐月子中心業 者希冀依護理人員法轉型為產後護理機 做月子中心 產後護理機構 如雨後春筍般的林立 護理機構 產後護理機構 產後需護理之產婦及嬰幼兒 護理之家 出院後需繼續護理之病人 居家護理機構 罹患慢性病需長期護理之病人 分類 服務對象 產後護理機構之服務對象 以下列各款產後需護理之產婦及嬰幼兒 限: 一、產後未滿二個月之產婦 二、出生未滿二個月之嬰幼兒。 前項各款服務對象,經醫師診斷有特殊需要 者,得不受二個月之限制。 以顧客重視層面來看 提升品質三大要素 -專業知識能力 -餐飲品質 -餐飲費用

981026奇美 陳郁慧 產後母嬰健康照護之感染管制措施 講義版 · 如雨後春筍般的林立 護理機構 三、產後需護理之產婦及嬰幼兒 產後護理機構

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  • 3.24

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    Epidemiology of and Surveillance for Postpartum Infections

    USA

    1. 1~82. 9474

    emerging infectious diseases Vol 7.No.5,September- october 2001

    private postnatal care facilities have emerged to take the role of the family.

    As a result, neonates are now exposed to many people and are very vulnerable to infection.

    Yonsei Med J Vol. 49, No. 4, 2008

    Korea

  • : news.bbc.co.uk/ chinese/trad/hi/ newsid_6240000/ newsid_6240000/ 6240005.stm

    : hk.myblog.yahoo.com/ jw!9_81R8...atlT7l2rn article?mid=19658

    WHO 2005498

    1 ..

    1. 22. 2

    1843--Holmes

    ,,,

    1847--Semmelweiss,,...

    Lister,

    Hand Hygiene: Not a New Concept

    Semmelweis Hand Hygiene Intervention

    Maternal Mortality due to Postpartum InfectionGeneral Hospital, Vienna, Austria, 1841-1850

    0

    2

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    6

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    1841 1842 1843 1844 1845 1946 1847 1848 1849 1850

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    ~ Hand antisepsis reduces the frequency of patient infections ~

    Adapted from: Hosp Epidemiol Infect Control, 2nd Edition, 1999.

  • 4050

    5060

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    Incidence of Neonatal Infection

    Yonsei Med J Vol. 49, No. 4, 2008

    Korea

    Infection Chain

    (Source)

    (Susceptible Host)(Transmission)

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    The average nosocomial infection rate of mothers was sighificantly lower in the rooming-in service as compared to the newborn nursery.

    Staphylococcal infection of newborn were higher in the newborn nursery as compared to the rooming-in service.

    Geburtshilfe Frauenheilkd. 1982 Sep;42(9):672-5.

    -1

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  • ?

    20

    alcohol-based handrubs()

    Boyce JM, Pittet D et al. MMWR 2002;51 (RR-16):1-45

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    (30)

    Knitte MA, Eitzman DV, Baer H: Role of hand contamination of personnel in the epidemiology of gram-negative nosocomial infection. J Pediatr 1975; 86: 433-7.

  • 40%

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    Fendler EJ, Ali Y, Hammond BS, et al:The impact of alcohol hand sanitizer use on infection rates in anextended care facility. Am J Infect Control 2002;30:226-33.

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    Albert RK, Condie F: Hand-washing patterns in medical intensive care units. N Engl J Med 1981; 24: 1465-6.

    1. 2. 3. 4. 5. 6. 7.

    Infect Control Hosp Epidemiol2000;21:381-386.

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    http://www.cdc.gov.tw ///()http://www.cdc.gov.tw/content.asp?mp=1&CuItem=13367

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