质量改进项目在消毒供应中心的重要性（英文版）.pdf

1、The Importance of Quality Improvement Projects in CSSDProf.Seto Wing HongDirector,WHO Collaborating Center,University of Hong Kong.歡迎歡迎.First Avian Flu case in Hong Kong,2005Do visit University of Hong Kong19371998 APSIC initiated in Hong Kong with representatives from 16 Asian Countries at Robert B

2、lack College,HKURobert Black CollegeThe SWIRELoungeThe Interest and Initiation of QIP projectsin Implants Surgery the reasons behind.Total joint replacement is an amazing advancement in modern medicine.Joint Replacement InfectionA small number of patients undergoing hip or knee replacement(about1 in

3、 100,or 1%)may develop an infection after the operation.Infections occur in the wound or deep around the artificial implants.Develop during your hospital stay or after you go home.Joint replacement infections can even occur years after your surgery.February 2023Surgical Treatment Infections gaining

4、deep access to the artificial joint almost always require surgical treatment(single procedure or staged).Late infections(those that occur months to years after the joint replacement surgery)always require a two staged surgery.Patients who undergo staged surgery typically need a spacer and at least 6

5、 weeks of IV antibiotics,before a new artificial joint can be implanted.Stage two is revision surgery implanting new joint componentsPrevention Antibiotics prophylaxis before and after surgery.Short operating time and minimal operating room traffic.Use of strict sterile techniques and sterilization

6、of instruments.Preoperative nasal screening for bacterial colonization.Preoperative chlorhexidine wash.Long-term antibiotics prophylaxis.Care is taken to ensure the operating site is sterile,the instruments have been appropriately sterilized and not exposed to any contamination,and the implants are