- 期刊
降低某成人加護病房萬古黴素抗藥性腸球菌移生率之專案
Reduced Colonization Rate of Vancomycin-Resistant Enterococci in an Adult ICU
摘要
本專案主旨在降低某成人加護病房萬古黴素抗藥性腸球菌(VRE)之移生率。 本單位於2013年7月共有五位病人發生VRE移生，引發成立專案小組之動機，經現況分析後，發現VRE移生事件的原因有：缺乏VRE移生相關在職教育、未確實執行泛抗藥性菌株(MDRO)隔離措施、缺乏環境清潔監測機制、缺乏主動篩選機制。實行改善方案：VRE在職教育、MDRO隔離措施操作稽核、制定環境清潔機制、執行主動篩選。2013年9月至2014年12月追蹤本單位VRE移生發生率為零，顯示本專案的成效；期望專案小組分享對加護病房的感控概念及方案，落實醫護人員對感控的措施及對VRE的認知，並將此次移生事件之處理經驗，提出供同儕参考。
並列摘要
This study aimed to reduce the colonization rate of vancomycin-resistant enterococci (VRE). In July 2013, five separate VRE colonization events occurred in an adult ICU. We analyzed these occurrences and found the causes of VRE colonization, which were as follows: lack of on-job training, incomplete MDRO isolation maneuvers, insufficient monitoring of environmental cleaning, and lack of active surveillance. We used these as the basis for four improved methods, namely on-job training focusing on VRE, a technique checklist for multiple drug-resistant organisms and related inspection, standard procedures for cleaning wards and equipment, and active surveillance measures. Results were positive; no VRE colonization occurred from September 2013 to December 2014. By sharing the measures undertaken and subsequent results, this research can help improve VRE infection control and awareness among health care workers to avoid future outbreaks.