147.2 📚 國考版

147.2.0.1 必背 — HAI Big 4

CLABSI, CAUTI, VAP, SSI

147.2.0.2 必背 — 病原 by HAI

• CLABSI: CoNS, S. aureus, Candida
• CAUTI: E. coli, GN, Candida (catheter long)
• VAP: Pseudomonas, MRSA, ESBL
• SSI: S. aureus, polymicrobial

147.2.0.3 必背 — Pre-op Antibiotic Timing

• Within 60 min of incision (vancomycin within 120 min)
• Cefazolin = workhorse
• • Metronidazole for colorectal / GI

147.2.0.4 必背 — VAP Prevention Bundle

1. HOB 30-45°
2. Sedation interruption + SBT
3. Subglottic suction
4. Oral hygiene
5. DVT prophy
6. Stress ulcer prophy
7. Hand hygiene

147.2.0.5 必背 — CLABSI Diagnostic

• Differential time to positivity > 2 hr: line source

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