147.4 📌 章末速記

• HAI Big 4: CLABSI / CAUTI / VAP / SSI
• CLABSI 病原: CoNS, S. aureus, Candida
• VAP 病原: Pseudomonas, MRSA, ESBL
• CLABSI dx: differential time to positivity > 2 hr
• VAP empirical: pip-tazo + vanco
• SSI 預防: cefazolin 60 min pre-incision + chlorhexidine + clip not shave + normothermia + glycemic
• MDR rising: ESBL → carbapenem; CRE → CAZ-AVI / cefiderocol
• 22E: universal decolonization ICU