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Me pēhea te whakapai ake i te haumaru o ngā tūroro e ngā ārai hōhipera whakakorekore
Mea whakakorekore ārai hōhipera he kaupapa nui tēnei mō te whakahaere i ngā mate urutā i roto i ngā taiao hauora.ārai hauorahanga he ārai nui ki ngā mate urutā, kia pai ai te haumaru o te taiao mō ngā tūroro. E whakaatu ana ngā rangahau hou ko ēnei mata tūmataitinga hōhiperaKa taea e ēnei ārai te whakaiti i ngā mōrearea whakawhiti-paru mā te 40%, ka whakarato i tētahi mata hou mō ia tūroro. Mā te whakamahinga o ēnei ārai i roto i ngā hōhipera ka tino whakarei ake i te haumaru whānui o te tūroro, ka waiho hei wāhanga nui o ngā rautaki ārai mate whai hua. Hei tāpiri,ārai rongoā whakakorekore, pērā i te Ārai wehewehe ICU, ka whai wāhi atu ki te pupuri i te akuaku me te tūmataitinga i roto i ngā wāhi tiaki nui.
Ngā Whakaaro Matua
- Ka whakaitihia e ngā ārai hōhipera whakakorekore ngā tūponotanga mate mā te whakarato i tētahi mata hou mō ia tūroro, ka whakaitihia te whakawhiti-paru tae atu ki te 40%.
- Mā te huri ki ngā ārai whakamahi-kore ka māmā ake ngā tikanga horoi, ka taea ai e ngā kaimahi te aro nui ake ki te tiaki tūroro, me te whakarei ake i te whai huatanga o te mahi whānui.
- Mā te whakamahi i ngā ārai whakakorekore ka pai ake te makona o te tūroro mā te waihanga i tētahi taiao ma, manaaki hoki, e poipoi ana i te whakawhirinaki me te whakamarie i a rātou e mahi ana i te hauora.
Ngā Mōrearea Mate Pāwera o ngā Ārai Tuku Iho
He nui te tūponotanga o te mate i roto i ngā ārai hōhipera tuku iho nā te mea he maha tonu te pānga o ngā mate urutā ki a rātou. He maha ngā wā ka whakamahia ēnei ārai hei puna mō ngā huakita kino, ka taea ai te whakararu i te haumaru o te tūroro.
Ngā Pūtake o te Parahanga
He maha ngā rangahau e whakaatu ana i ngā tere whakamataku o te poke e kitea ana i ngā ārai hōhipera tuku iho. E whakaatu ana ngā rangahau:
- 92% i kitea te poke i roto i ngā ārai kotahi wiki o te whakamahinga.
- 95% i te iti rawa i te kotahi te wā i whakaatuhia ai te poke o ngā ārai.
Ko ngā pūtake matua o te poke ko:
- Ngā taunekeneke a ngā kaimahi hauoraKa taea e ngā ringaringa poke te whakawhiti i ngā mate urutā ki ngā mata, tae atu ki ngā ārai. He mea nui te akuaku ringa tika hei whakahaere i te tuku mate urutā.
- Ngā wāhi mōrearea nuiHe nui ngā huakita kei roto i ngā wāhanga pērā i ngā wāhanga wera me ngā wāhanga pokanga kirihou. Kua tuhia ngā momo ātete maha, tae atu ki te Methicillin-resistant Staphylococcus aureus (MRSA), ki runga i ēnei ārai.
- Te whakahaere pinepineHe maha ngā wā ka pā atu ngā tūroro, ngā manuhiri, me ngā kaiwhakarato hauora ki ēnei ārai, ka piki ake te tūponotanga o te poke.
Ko ngā mate urutā e kitea nuitia ana i runga i ngā ārai hōhipera tuku iho ko:
- Staphylococcus aureus
- Ātete ki te Methicillin Staphylococcus aureus (MRSA)
- Te enterococcus ātete-vancomycin (VRE)
- Ngā tokotoko ā-pūngao-kore karamu
E whakaatu ana ngā rangahau 21% o ngā ārai i whakamātauhia he pai mō te MRSA, i te wā 42% i whakaatuhia te poke o te VRE. E whakaatu ana ēnei tatauranga i te hiahia nui mō ngā mahi whakahaere mate urutā whai hua.
Ngā Take Whakawhiti-Paruparu
He āwangawanga nui tonu te whakawhiti-para i roto i ngā wāhi tiaki hauora. E whakaatu ana ngā rangahau he maha ngā wā ka noho ngā huakita e mate ai ngā tūroro (HAI) ki roto i ngā ārai tūmataiti. Ka piki ake te mōrearea ina kore ngā kaimahi tiaki hauora e horoi, e patu huakita rānei i ō rātou ringaringa i muri i te pā ki ēnei mata.
Ko ngā kōrero e whai ake nei e whakaatu ana i ngā take whakawhiti-paru e pā ana ki ngā ārai hōhipera tuku iho:
- Ka poke pea ngā ārai tūmataiti i roto i te wiki kotahi o te whakamahinga, ā, ka noho tonu pea ki tōna wāhi mō ngā marama, ka nui ake te tūponotanga o te horapa o ngā mate.
- I kitea i roto i tētahi rangahau mai i Te Whare Wānanga o Manitoba, he maha ngā momo huakita kei roto i ngā ārai rūma iti, tae atu ki te MRSA. I te mutunga o tētahi rangahau e toru wiki te roa, 100% o ngā ārai i roto i ngā rūma tūroro i whakamātauhia he pai mō te MRSA.
- Kua kitea ngā pakarutanga o ngā HAI i ngā ārai kua poke, e whakaatu ana i tō rātou tūranga hei kawe i ngā huakita me ngā huaketo.
Ngā Painga o ngā Ārai Hōhipera Whakakorekore
Te Whakaiti i te Mōrearea o te Mate
Ka tino whakarei ake ngā ārai hōhipera whakakorekore i te whakahaere mate i roto i ngā wāhi tiaki hauora. Mā te whakamahi kotahi ka whakaitihia te mōrearea o te whakawhiti-paru, he mea nui tēnei mō te haumaru o te tūroro. E whakaatu ana ngā rangahau ka taea e ēnei ārai te whakaiti i te kawenga moroiti i roto i ngā wāhi tiaki tūroro tae atu ki te 40%. He mea tino nui tēnei whakaiti i roto i ngā taiao morearea nui pēnei i ngā tari ohorere me ngā rūma pokanga.
Ko ngā āhuatanga patu huakita o ngā ārai whakakorekore ka whai wāhi atu ki tōna whai huatanga. Hei tauira, e whakaatu ana ngā rangahau he kaha patu huakita ngā ārai e whakamahia ana i roto i ngā wāhanga tiaki nui (ICU) ki ngā mate pukupuku pērā i He uaua. Mā tēnei āheinga ka āwhina i te whakaiti i te mōrearea o ngā mate pāwera e pā ana ki te hauora (HAI). Inaa, kua honoa te whakamahinga o ngā ārai tūroro ka taea te whakamahi hei whakaheke i ngā reiti mate mā te 30%, ka whakarei ake i te haumaru whānui o te tūroro.
Heoi anō, he maha ngā wā ka poke ngā ārai whakamahi anō i roto i te wiki kotahi o te whakamahinga. E whakaatu ana tētahi rangahau i whakaputaina i roto i te American Journal of Infection Control, e 92% o ēnei ārai he huakita kino pērā i te MRSA me te VRE. He rerekē, ka taea te whakawhiti pinepine i ngā ārai hōhipera whakakorekore, ka mutu ai te huringa o te tuku iroriki me te whakarato i tētahi taiao haumaru ake mō ngā tūroro.
Whakamahinga Kotahi
Kāore e taea te whakanui i te whai huatanga o ngā ārai hōhipera kotahi-whakamahinga. Mā ēnei ārai ka kore e hiahiatia he tikanga horoi whānui e pā ana ki ngā ārai papanga tuku iho. Ka taea e ngā hōhipera te karo i ngā utu me te wā e hiahiatia ana mō te horoi kakahu, ā, ka taea e ngā kaimahi te arotahi ki te tiaki tūroro kaua ki ngā mahi tiaki.
Hei tāpiritanga, ka whakaratohia e ngā ārai whakakorekore he taiao hou, kāore he poke mō ia tūroro. He mea nui tēnei āhuatanga hei pupuri i ngā paerewa akuaku, inā koa i ngā wāhi e nui ana te hurihanga o ngā rūma pērā i ngā rūma ohorere me ngā wāhanga tiaki nui. Mā te hurihanga tere o ngā rūma e tautokona ana e ngā ārai whakakorekore ka whakarite kia whiwhi ngā tūroro i te tiaki i roto i te wāhi ma, haumaru hoki.
Ko ngā painga o ngā ārai kotahi-whakamahinga ka nui atu i te whakahaere i te mate. Ka whakarei ake i te wheako whānui o te tūroro mā te whakapai ake i te tirohanga ki te ma. Ka whai wāhi ngā ārai hou ki te whakamarie me te whakawhirinaki o te tūroro, he wāhanga nui ēnei o te tiaki hauora kounga.
| Painga | Whakaahuatanga |
|---|---|
| Te Whakakore i te Whakawhiti-Parahanga | Ka whakakapia katoatia ngā ārai ka taea te whakamahi noa, ka whakaiti i te mōrearea o te noho a ngā pathogens ki runga i te papanga. |
| Te Whakaiti i te Taumahatanga Horoi | Ka karohia e ngā hōhipera ngā utu me te wā e pā ana ki te horoinga pinepine o ngā ārai tuku iho. |
| Wheako Tūroro Whakapai ake | Ka whakarei ake ngā ārai hou i te tirohanga o te tūroro ki te ma, ka whai wāhi atu ki te whakamarie me te whakawhirinaki o te tūroro. |
Ngā Painga Whakahaere o ngā Ārai Hōhipera Whakakorekore
Ngā Tikanga Horoi Ngāwari
Mā te whakamahi i ngā ārai hōhipera whakakorekore ka māmā ake te horoi. Nā te hoahoa kotahi-whakamahinga, ka kore e hiahiatia te horoi, he mahi roa tēnei e pā ana ki ngā ārai papanga tuku iho. Ka taea e ngā hōhipera te whakakapi wawe i ēnei ārai, ka whakaratohia he ārai hou, parakore mō ia tūroro. Mā tēnei huarahi ka māmā ake ngā mahi whakahaere mate, ā, ka whakaiti i te tūponotanga o te whakawhiti-paru.
- Kua tae ki te 93% te whakaiti i roto i te poke huakita i muri i te huri ki ngā ārai whakamahi-kore.
- Ko te whakawhiti ārai inaianei he mea noa iho 20 hēkona, ki te whakataurite ki 20 meneti mō ngā kōwhiringa tuku iho. Ka taea e ētahi pūnaha te whakarerekē i ngā ārai i roto i 30 hēkona, iti iho rānei.
- Nā te kore o ngā tikanga horoi uaua, ka taea e ngā kaimahi te arotahi nui atu ki te tiaki tūroro, kaua ki ngā mahi tiaki.
Mā te whai huatanga o te whakamahi i ngā ārai whakakorekore ka nui ake te haumaru me te makona o te tūroro.
Te Whai Hua o te Utu i roto i te Wā
Ahakoa te ahua teitei ake o te utu tīmatanga mō ngā ārai hōhipera whakakorekore, he whai hua tonu i roto i te wā. E whakaatu ana tētahi tātaritanga ko te utu katoa mō te huringa ora o ngā ārai whakamahi anō he tata ki $115,750 neke atu i te whitu tau, ko te utu mō ngā ārai whakakorekore tata ki te $224,000 i roto i taua wā anō. Heoi, me horoi pinepine ngā ārai ka taea te whakamahi anō, ā, ka nui ake te utu.
| Āhuatanga | Ārai Whakakore | Ārai Kakahu (Ka taea te whakamahi anō) |
|---|---|---|
| Te tiaki | He iti rawa; he tere te whakakapinga | Me horoi, me horoi, me whakairi anō i ia wā |
| Taumahatanga Mahi a ngā Kaimahi | Iti; iti ake te mahi e hiahiatia ana | Teitei; he nui te whakapau kaha ki te wā me te mahi |
| Te Whai Hua o te Wā | Teitei; tere te tāutanga me te whakakapinga | He iti; ka nui ake te wā e hiahiatia ana mō te horoi |
| Te Whakahaere Mate | Ka taea te whakakapi pinepine | Me whai wātaka pakari hei ārai i te poke |
| Te Uauatanga o te Whakahaere | He iti; kāore e hiahiatia he horoi | Ngā tikanga horoi teitei; uaua |
| Pānga ki te Manaaki Tūroro | He nui ake te aro o ngā kaimahi ki te tiaki i ngā tūroro | He nui ake te wā e pau ana ki ngā kaimahi ki te tiaki i ngā ārai |
Mā te whakaiti i te wā e pau ana ki te tiaki me te whakarei ake i te whakahaere mate, ka pai ake te tohatoha rauemi me ngā putanga pai ake mō ngā tūroro mā ngā ārai hōhipera whakakorekore.
He mea nui ngā ārai hōhipera whakakorekore hei whakahaere i ngā mate. Ko te whakatinanatanga o ēnei ārai he taahiraa matatau ki te whakapai ake i te haumaru o ngā tūroro. Ka whiwhi ngā whare e whakamahi ana i ēnei ārai i ngā painga nui:
- Te Whakahaere MateKa whakaitihia e ngā ārai whakakorekore te tūponotanga o te horapa o te mate nā te mea ka whakamahia kotahi noa.
- Ngā Āhuatanga PaturopiKa ārai i te tipu o ngā moroiti kino, kia pai ai te noho o te taiao mō ia tūroro.
- Huringa TereKa taea e ngā kaimahi te whakakapi i ngā ārai i raro i te rua meneti, kia nui ake ai te aro ki te tiaki tūroro.
- Te Whakarei Ake i te Makona o te TūroroMā te āhua ātaahua ka pai ake te taiao manaaki, ka pai ake te whakamarie me te whakawhirinaki o te tūroro.
Mā te haumi ki ngā kōwhiringa whakakorekore ka pai ake ngā putanga hauora i roto i ngā wāhi tiaki hauora.
Ngā Pātai Auau
He aha ngā mea e hangaia ai ngā ārai hōhipera whakakorekore?
Ko ngā ārai hōhipera whakakorekore ka hangaia i te nuinga o te wā mai i te papanga polypropylene kore-whatu pakari, hei whakarite i te kaha me ngā āhuatanga patu huakita hei whakapai ake i te akuaku.
Kia pēhea te auau o te whakakapinga o ngā ārai whakakorekore?
Me whakakapi ngā ārai whakakorekore i muri i ia whakamahinga a te tūroro, i te wā rānei e kitea ana te paru, kia mau tonu ai te akuaku me te whakahaere i ngā mate urutā.
He pai mō te taiao ngā ārai hōhipera whakakorekore?
Ae, he maha ngā ārai hōhipera whakakorekore, pērā i ērā mai i Esun, he mea hanga mai i ngā rauemi hangarua 100%, e tautoko ana i ngā mahi tauwhiro i roto i ngā wāhi tiaki hauora.
