promotion of employment, form a reasonable and orderly pattern of income distribution, build a more fair and sustainable social security systems, medical and health system reform. The plenary, innovation of social governance, must focus on the maintenance of fundamental interests of the overwhelming majority of the people, maximize factors, enhance social development, improving social governance, the interests of national security, ensure that the people live and work, social stability and order. o improve social governance, stimulating social organization, innovative and effective system of preventing and resolving social conflicts, improving the public security system, set up the National Security Council, national security systems and national security strategy to ensure national security. Plenary session, the construction of ecological civilization, you must establish systemof ecological system, using the system to protect the ecological environment. o improve natural resources asset property right system and use control, red line of delimitation of ecological protection, resources paid use system and ecological compensation system in ecological environment protection management system reform. Plenary session, centering on building a listening party command, can win and having a fine style of the people's army, a strong army under the new situation of the party Goals, restricting the development of national defense and army building is solved outstanding contradictions and problems, innovation and development of military theory, enhance military strategic guidance, improve the military strategy in the new period, building a modern military force system with Chinese characteristics. o deepen the adjustment of personnel system reform in the army, military policy and system reform, promote the development of military and civilian integration depth. Plenary session stressed that comprehensive reform must be to strengthen and improve the party's leadership, give full play to the core role of the party commands the overall situation and coordinating all parties, improving the party's leading water ... Margin. Challenged the leadership of the Communist Party of China, Marxism-Leninism and Mao Zedong thought by Deng Xiao-ping's flag, replaced by threerepresentatives and the harmonic society. The former Communist Party spirit and social cohesion point of almost all political makeover. Characteristics of socialism public ownership is shifting to private ownership, planned regulation and market regulation, the proletarian regime controlled by the elite. Of universal equality, fairness and basic principles of distribution system is socialist society, however after economic monopolized by powerful, vested interests grow, employers do not have the same status, hardly seems fair social distribution. State key protection of capital interests rather than the interests of citizens, had been hits the bottom of the proletariatICU多重耐药菌感染预防和控制制度
一、严格执行手卫生制度
医务人员直接接触患者前后、对患者实施诊疗护理操作前后、接触患者体液或分泌物后、摘除手套后、接触患者使用过的物品后，都应当实施手卫生。手上有明显污染时，应当洗手；无明显污染时，可使用速干手消毒剂擦手。严格遵循 WS/T31—2009 医务人员手卫生规范. 二、严格实施消毒隔离措施：
（1）首选单间或同病原同室隔离，隔离病房不足时，才可实施床边隔离。当感染较多时，应保护性隔离未感染者。
（2）在隔离病房门口放置一警示牌,限制、减少无关人员进入，并提醒进入者应注意预防隔离，出病房前洗手。
（3）必须进行接触隔离，在床头和病历卡上贴接触隔离标识，以提醒医务人员以及家属。
（4）必须尽量减少与感染患者或定植患者相接触的医务人员数量。每班诊疗患者为一个护士、一个医生，所有诊疗尽可能由他们完成，包括标本的采集。
（5）与感染患者或定植患者的体液、血液、分泌物、排泄物接触时，应当戴手套，必要时穿隔离衣；当可能产生气溶胶的操作(如吸痰或雾化治疗等)时，戴标准外科口罩和防护眼镜；吸痰时采用密闭式吸痰器；离开病房前脱去手套和隔离衣等置黄色垃圾袋中，洗手。
（6）对于血压计、听诊器、体温计等应专用；其他不能专人专用的物品(如轮椅、担架、仪器设备)，在每次使用后必须经过清洗及消毒(1000mg／L含氯消毒剂)。
（7）保持病室空气新鲜，每天开窗通风换气不少于两次每次不少于30min，持续动态空气消毒。
（8）病室环境和医疗器械每天用1000mg/L含氯消毒剂清洁消毒一次，床头柜、床单元、监护仪等物体表面用1000mg/L含氯消毒剂擦试。出现或疑似有多重耐药菌感染暴发时，应当加强清洁和消毒次数。抹布、拖把专用，并有隔离标志，使用过的抹布、拖把必须消毒处理。
（9）限制探视人群，家属应穿隔离衣,戴一次性口罩、帽子，并严格执行手卫生制度。
（10）连续2个标本(每次间隔>24h)均未培养出多重耐药菌，方可解除隔离。
（11）如患者需离开隔离室进行诊断、治疗，应先电话通知相关诊疗单位，以便做好隔离准备，防止感染扩散。患者转送去其他科室时，必须有工作人员陪同，并向接收方交班应采取接触传播预防措施。用后的器械设备需清洁消毒。
bviously, face China's Socialist system, the Communist Party is not the party. In that case, political chaos has been very tight. Is remodeling or reconstruction, is a correction or a stove. Whether to turn right or left, is back to the source or put forward new political ideas. This is to determine the road problems in China, is also the key out of the deep water of the reform of the economic system. After 18, the new Central collective leadership attaches great importance to political orientation. First, the \ng point, starting from the Central Government's self-restraint, which preaches and pro-image, brought fresh feeling to the community. Secondly, before reform and opening up and reform and opening two periods after non-negative, untying the tangle of the society a long time on this issue. Third, a new generation of party leaders on various occasions to Mao Ze-Dong and Mao Ze-Dong's thought of evaluation has room for manoeuvre, through to the ruling ideology of Mao Zedong thought, is the call of the soul to the Socialist Revolution and construction. Empty talks jeopardize national interests and try again, is an affirmation of Deng Xiao-ping's reform ideas. These strong political signal showing a new generation of political leaders is still keeping to the Socialist road. Four is revisiting the \Mao Ze-Dong's historical cycle of\h profile anti-corruption and the importance of the Constitution, reorganization is bad style of officialdom, was to civilize people obey the law, while improving the color change of the regime of vigilance. Five is to reform into deeper waters and stressed that top-level design, this is a review on the reform and opening up in the past, is also looking for a way out. Six foreign and Russia closer, the flexible attitude on the issue of the Korean peninsula, Sino-Japanese fishing hardline China on the island out of the \nt\ow profile shadow began to gradually plan development. Signs show that the new leadership began to make a left turn in politics. However, as of right now, not only ideological confusion in the community, the new leadership's thinking is messy. New leaders both stressed the need to implement the Constitution, stressed the need to turn off the power in a cage. Also stresses that Mao Zedong thought cannot be lost, 30 years after the reform and opening up 30 years ago can not deny each other. Both advocate democracy and release \n does not speak of\constraints. Neither deny the history of the CPC Central Committee on several issues ...Comrades: today brings together members, mainly in order to provide a platform to Exchange and learn from each other in order to facilitate our work. Just now, we focus on taxation, planning and stability, safety, project construction, typical topics such as private facts presentation and interaction, and towns currently exist in the in-depth analysis of the problems to be solved, to explore new methods to solve the problem. It can be said that summing up the achievement, no grandstanding; analysispromotion of employment, form a reasonable and orderly pattern of income distribution, build a more fair and sustainable social security systems, medical and health system reform. The plenary, innovation of social governance, must focus on the maintenance of fundamental interests of the overwhelming majority of the people, maximize factors, enhance social development, improving social governance, the interests of national security, ensure that the people live and work, social stability and order. o improve social governance, stimulating social organization, innovative and effective system of preventing and resolving social conflicts, improving the public security system, set up the National Security Council, national security systems and national security strategy to ensure national security. Plenary session, the construction of ecological civilization, you must establish systems of ecological system, using the system to protect the ecological environment. o improve natural resources asset property right system and use control, red line of delimitation of ecological protection, resources paid use system and ecological compensation system in ecological environment protection management system reform. Plenary session, centering on building a listening party command, can win and having a fine style of the people's army, a strong army under the new situation of the party Goals, restricting the development of national defense and army building is solved outstanding contradictions and problems, innovation and development of military theory, enhance military strategic guidance, improve the military strategy in the new period, building a modern military force system with Chinese characteristics. o deepen the adjustment of personnel system reform in the army, military policy and system reform, promote the development of military and civilian integration depth. Plenary session stressed that comprehensive reform must be to strengthen and improve the party's leadership, give full play to the core role of the party commands the overall situation and coordinating all parties, improving the party's leading water ... Margin. Challenged the leadership of the Communist Party of China, Marxism-Leninism and Mao Zedong thought by Deng Xiao-ping's flag, replaced by threerepresentatives and the harmonic society. The former Communist Party spirit and social cohesion point of almost all political makeover. Characteristics of socialism public ownership is shifting to private ownership, planned regulation and market regulation, the proletarian regime controlled by the elite. Of universal equality, fairness and basic principles of distribution system is socialist society, however after economic monopolized by powerful, vested interests grow, employers do not have the same status, hardly seems fair social distribution. State key protection of capital interests rather than the interests of citizens, had been hits the bottom of the proletariat(12) 病人出院后,对床单位进行终末消毒。病人使用过的生活用品，需清洁、消毒后，方可带出。
三、严格遵守无菌技术操作规程：
医务人员应当严格遵守无菌技术操作规程，特别是实施中心静脉置管、气管切开、气管插管、留置尿管、放置引流管等操作时，应当避免污染，减少感染的危险因素。
四、加强抗菌药物的合理应用：
(1)按照《抗菌药物临床应用指导原则》和《卫生部办公厅关于抗菌药物临床应用管理有关问题的通知》(卫办医政发[2009]38号)要求，严格执行抗菌药物临床应用的基本原则，正确、合理地实施抗菌药物给药方案，减轻抗菌药物选择压力。严格控制万古霉素、碳青霉烯类等抗菌药物的使用，以减少或延缓多重耐药菌的产生。
(2)抗菌药物专家组成员进行会诊，指导抗菌药物合理使用。
(3)每季公布病原菌的检出情况及药敏结果，对耐药率>75％的药物予以暂停使用。
五、医疗废物的处理：
医疗废物置双层黄色医疗废物专用袋中，锐器置锐器盒，贴上特殊感染标识，由专职人员集中收集后用防渗漏密闭容器送医疗废物存放处。 六、教育与培训： (1)医务人员：开展有关多重耐药菌感染及预防、控制措施等方面知识的培训，强化医务人员对多重耐药菌医院感染控制工作的重视，掌握并实施预防和控制多重耐药菌传播的策略和措施，保障患者的医疗安全。
(2)保洁工人：进行面对面的现场指导与演示，主要是手卫生、消毒隔离知识。
(3)患者与家属：进行耐心的说明，并告知洗手等消隔离措施的重要性，提供速干手消毒剂。
bviously, face China's Socialist system, the Communist Party is not the party. In that case, political chaos has been very tight. Is remodeling or reconstruction, is a correction or a stove. Whether to turn right or left, is back to the source or put forward new political ideas. This is to determine the road problems in China, is also the key out of the deep water of the reform of the economic system. After 18, the new Central collective leadership attaches great importance to political orientation. First, the \ng point, starting from the Central Government's self-restraint, which preaches and pro-image, brought fresh feeling to the community. Secondly, before reform and opening up and reform and opening two periods after non-negative, untying the tangle of the society a long time on this issue. Third, a new generation of party leaders on various occasions to Mao Ze-Dong and Mao Ze-Dong's thought of evaluation has room for manoeuvre, through to the ruling ideology of Mao Zedong thought, is the call of the soul to the Socialist Revolution and construction. Empty talks jeopardize national interests and try again, is an affirmation of Deng Xiao-ping's reform ideas. These strong political signal showing a new generation of political leaders is still keeping to the Socialist road. Four is revisiting the \Mao Ze-Dong's historical cycle of\h profile anti-corruption and the importance of the Constitution, reorganization is bad style of officialdom, was to civilize people obey the law, while improving the color change of the regime of vigilance. Five is to reform into deeper waters and stressed that top-level design, this is a review on the reform and opening up in the past, is also looking for a way out. Six foreign and Russia closer, the flexible attitude on the issue of the Korean peninsula, Sino-Japanese fishing hardline China on the island out of the \nt\ow profile shadow began to gradually plan development. Signs show that the new leadership began to make a left turn in politics. However, as of right now, not only ideological confusion in the community, the new leadership's thinking is messy. New leaders both stressed the need to implement the Constitution, stressed the need to turn off the power in a cage. Also stresses that Mao Zedong thought cannot be lost, 30 years after the reform and opening up 30 years ago can not deny each other. Both advocate democracy and release \n does not speak of\constraints. Neither deny the history of the CPC Central Committee on several issues ...Comrades: today brings together members, mainly in order to provide a platform to Exchange and learn from each other in order to facilitate our work. Just now, we focus on taxation, planning and stability, safety, project construction, typical topics such as private facts presentation and interaction, and towns currently exist in the in-depth analysis of the problems to be solved, to explore new methods to solve the problem. It can be said that summing up the achievement, no grandstanding; analysis
ICU多重耐药菌感染预防和控制制度
