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CDC手部衛生

優質的醫療品質，請從手部衛生做起

手部衛生是預防醫療照護相關感染(Healthcare             associated-infections, HAIs)，最簡單、有效且最合乎成本效益的方法。世界衛生組織(WHO)自2009年開始推動倡導「拯救生命：清潔雙手（Save Lives: Clean Your  Hands)」活動，強調醫護人員在手部有明顯髒污時，應以洗手皂和清水洗手，若手部無明顯髒污時，可優先使用酒精性乾洗手液執行手部衛生；同時透過宣導在照護點普遍設置或隨身攜帶酒精性乾洗手液的方式，達到手部衛生資源可近性的目標；並發展「手部衛生5時機」概念，期藉此將手部衛生整合入醫療照護工作者的常規工作流程中，在維持最大保護效果的前提下，減少手部衛生的複雜度及執行次數，且據此建立一致的教育訓練、成效評估、及報告回饋機制，以提升醫護人員執行手部衛生的遵從率。

本署參考WHO手部衛生指引及推廣執行策略，於     2010-2011年委託成立手部衛生示範中心及推動全國醫院手部衛生認證計畫，陸續建立教育訓練課程及手部衛生工作手冊等文件，並勉勵醫療機構至少需要5 年按部就班的持續檢討與改善，才能落實醫院內部手部衛生的風氣與文化。冀望透過政府部門與醫療機構共同合作努力，逐步減少院內感染事件發生，進而降低醫療資源的耗用與社會成本之支出，確保病人及醫療相關工作人員之安全。

CDC手部衛生

手部衛生簡介

手部衛生步驟 ( 2013-05-17)

【乾洗手液之洗手技術】

【肥皂和清水洗手技術】

檢視更新日期：2013-05-17      維護單位：感管組

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Polio this week as of 2 August 2017

THIS WEEK

Read More … visit EndPolio.org

Polio this week as of 2 August 2017

  • Read the latest WHO & UNICEF situation report on the outbreak of circulating vaccine-derived poliovirus type 2 (cVDPV2) in Syria.
  • The July edition of Polio News is out – subscribe and get the newsletter delivered to your inbox each month.
  • Pakistan and Afghanistan programs continue coordination at the national and sub-national levels, with special focus on improving the quality of program implementation (supplementary immunization activities & surveillance) in the southern corridor (Quetta Block – Greater Kandahar) with ongoing WPV1 transmission.
  • Summary of newly-reported viruses this week:  Pakistan – one new wild poliovirus type 1 (WPV1)-positive environmental samples.  See country-specific section below, for more details.

Wild poliovirus type 1 and Circulating vaccine-derived poliovirus cases

Total cases Year-to-date 2017 Year-to-date 2016 Total in 2016
WPV cVDPV WPV cVDPV WPV cVDPV
Globally 8 31 19 3 37 5
—In Endemic Countries 8 0 19 0 37 2
—In Non-Endemic Countries 0 31 0 3 0 3

Case breakdown by country

Countries Year-to-date 2017 Year-to-date 2016 Total in 2016 Onset of paralysis of most recent case
WPV cVDPV WPV cVDPV WPV cVDPV WPV cVDPV
Afghanistan 5 0 6 0 13 0 19-Jun-2017 NA
Democratic Republic Of The Congo 0 4 0 0 0 0 NA 18-Apr-2017
Lao People’s Democratic Republic 0 0 0 3 0 3 NA 11-Jan-2016
Nigeria 0 0 0 0 4 1 21-Aug-2016 28-Oct-2016
Pakistan 3 0 13 0 20 1 11-Jun-2017 17-Dec-2016
Syrian Arab Republic 0 27 0 0 0 0 NA 6-Jun-2017

NA: onset of paralysis in most recent case is prior to 2016. Figures exclude non-AFP sources. Lao PDR cVDPV1, all others cVDPV2. cVDPV definition: see document “Reporting and classification of vaccine-derived polioviruses” at [pdf]

Weekly country updates as of 2 August 2017