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<title>投影片 1</title>
<meta name=Description content="2012-11-28: NDM-1 腸道菌感染症 99年9月9日列入第四類法定傳染病 ">
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 <div v:shape="_x0000_s2050" class=T style='text-align:center'><span
 style='position:absolute;top:9.5%;left:8.5%;width:83.12%;height:10.16%'><span
 style='mso-bidi-font-family:Calibri'><span lang=EN-US style='font-family:Calibri;
 mso-ascii-font-family:Calibri;mso-fareast-font-family:標楷體;mso-hansi-font-family:
 Calibri;text-shadow:auto;color:#0000CC;mso-fareast-language:ZH-TW'>NDM-1 </span></span><span
 style='mso-bidi-font-family:Calibri'><span lang=ZH-TW style='font-family:標楷體;
 mso-ascii-font-family:Calibri;mso-fareast-font-family:標楷體;mso-hansi-font-family:
 Calibri;text-shadow:auto;color:#0000CC;mso-ansi-language:EN-US'>腸道菌感染症</span></span><span
 style='mso-bidi-font-family:Calibri'><span lang=EN-US style='font-family:標楷體;
 mso-ascii-font-family:"Times New Roman";mso-fareast-font-family:標楷體;
 text-shadow:auto;color:#0000CC;mso-fareast-language:ZH-TW'><br>
  </span></span></span><span style='position:absolute;top:20.16%;left:8.5%;
 width:83.12%;height:4.66%'><span style='mso-bidi-font-family:Calibri'><span
 lang=EN-US style='font-family:標楷體;mso-ascii-font-family:標楷體;mso-fareast-font-family:
 標楷體;mso-hansi-font-family:標楷體;font-size:55%;text-shadow:auto;color:#0000CC;
 mso-fareast-language:ZH-TW'>99年9月9日列入第四類法定傳染病 </span></span><span
 style='mso-bidi-font-family:Calibri'><span lang=ZH-TW style='font-family:標楷體;
 mso-ascii-font-family:標楷體;mso-fareast-font-family:標楷體;mso-hansi-font-family:
 標楷體;font-size:91%;text-shadow:auto;color:#0000CC;mso-ansi-language:EN-US;
 mso-special-format:lastCR;display:none'>&#13;</span></span></span></div>
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 left:6.0%;width:106.25%;height:4.0%'><span style='font-size:59%;font-weight:
 normal'><span style='mso-special-format:bullet;position:absolute;left:-3.52%;
 top:-.3em;font-family:Wingdings;font-size:150%'>§</span></span><span
 lang=EN-US style='font-family:"Times New Roman";mso-ascii-font-family:"Times New Roman";
 mso-fareast-font-family:標楷體;font-size:59%;mso-fareast-language:ZH-TW'>NDM-1</span><span
 lang=ZH-TW style='font-family:標楷體;mso-fareast-font-family:標楷體;font-size:59%;
 mso-ansi-language:EN-US'>：</span><span lang=EN-US style='font-family:"Times New Roman";
 mso-ascii-font-family:"Times New Roman";mso-fareast-font-family:標楷體;
 font-size:59%;mso-fareast-language:ZH-TW'>New-Delhi metallo beta-lactamase 1</span><span
 lang=ZH-TW style='font-family:標楷體;mso-fareast-font-family:標楷體;font-size:59%;
 mso-ansi-language:EN-US'>，一種可以產生酵素而破壞抗生</span></span><span style='position:
 absolute;top:31.0%;left:6.0%;width:92.75%;height:4.0%'><span lang=ZH-TW
 style='font-family:標楷體;mso-fareast-font-family:標楷體;font-size:59%;mso-ansi-language:
 EN-US'>素作用的細菌基因，帶有這種基因的細菌通常對</span><span lang=EN-US style='font-family:"Times New Roman";
 mso-ascii-font-family:"Times New Roman";mso-fareast-font-family:標楷體;
 font-size:59%;mso-fareast-language:ZH-TW'>fluoroquinolones</span><span
 lang=ZH-TW style='font-family:標楷體;mso-fareast-font-family:標楷體;font-size:59%;
 mso-ansi-language:EN-US'>、</span></span><span style='position:absolute;
 top:35.16%;left:6.0%;width:104.62%;height:4.0%'><span lang=EN-US
 style='font-family:"Times New Roman";mso-ascii-font-family:"Times New Roman";
 mso-fareast-font-family:標楷體;font-size:59%;mso-fareast-language:ZH-TW'>aminoglycosides
 </span><span lang=ZH-TW style='font-family:標楷體;mso-fareast-font-family:標楷體;
 font-size:59%;mso-ansi-language:EN-US'>和β</span><span lang=EN-US
 style='font-family:"Times New Roman";mso-ascii-font-family:"Times New Roman";
 mso-fareast-font-family:標楷體;font-size:59%;mso-fareast-language:ZH-TW'>-lactams
 (</span><span lang=ZH-TW style='font-family:標楷體;mso-fareast-font-family:標楷體;
 font-size:59%;mso-ansi-language:EN-US'>特別是</span><span lang=EN-US
 style='font-family:"Times New Roman";mso-ascii-font-family:"Times New Roman";
 mso-fareast-font-family:標楷體;font-size:59%;mso-fareast-language:ZH-TW'>carbapenem)</span><span
 lang=ZH-TW style='font-family:標楷體;mso-fareast-font-family:標楷體;font-size:59%;
 mso-ansi-language:EN-US'>等多種抗生素具有抗藥性&#13;</span></span>
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 標楷體;font-size:28%;mso-ansi-language:EN-US;display:none'>&#13;</span></div>
 <span style='position:absolute;top:42.66%;left:6.0%;width:105.87%;height:4.0%'><span
 style='font-size:59%;font-weight:normal'><span style='mso-special-format:bullet;
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 lang=ZH-TW style='font-family:標楷體;mso-fareast-font-family:標楷體;font-size:59%;
 mso-ansi-language:EN-US'>目前帶有</span><span lang=EN-US style='font-family:"Times New Roman";
 mso-ascii-font-family:"Times New Roman";mso-fareast-font-family:標楷體;
 font-size:59%;mso-fareast-language:ZH-TW'>NDM-1 </span><span lang=ZH-TW
 style='font-family:標楷體;mso-fareast-font-family:標楷體;font-size:59%;mso-ansi-language:
 EN-US'>基因的細菌以腸道菌科</span><span lang=EN-US style='font-family:"Times New Roman";
 mso-ascii-font-family:"Times New Roman";mso-fareast-font-family:標楷體;
 font-size:59%;mso-fareast-language:ZH-TW'>(Enterobacteriaceae)</span><span
 lang=ZH-TW style='font-family:標楷體;mso-fareast-font-family:標楷體;font-size:59%;
 mso-ansi-language:EN-US'>為主，其中以克</span></span><span style='position:absolute;
 top:46.83%;left:6.0%;width:98.5%;height:4.0%'><span lang=ZH-TW
 style='font-family:標楷體;mso-fareast-font-family:標楷體;font-size:59%;mso-ansi-language:
 EN-US'>雷白氏肺炎桿菌（</span><span lang=EN-US style='font-family:"Times New Roman";
 mso-ascii-font-family:"Times New Roman";mso-fareast-font-family:標楷體;
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 mso-ansi-language:EN-US'>）及大腸桿菌（</span><span lang=EN-US style='font-family:
 "Times New Roman";mso-ascii-font-family:"Times New Roman";mso-fareast-font-family:
 標楷體;font-size:59%;mso-fareast-language:ZH-TW'><b><i>E. coli</i></b></span><span
 lang=ZH-TW style='font-family:標楷體;mso-fareast-font-family:標楷體;font-size:59%;
 mso-ansi-language:EN-US'>）最常見&#13;</span></span>
 <div style='position:absolute;top:51.5%;left:2.25%;width:92.62%;height:2.0%'><span
 style='mso-special-format:nobullet;display:none;font-family:Wingdings;
 font-size:150%'>§</span><span lang=ZH-TW style='font-family:標楷體;mso-fareast-font-family:
 標楷體;font-size:31%;mso-ansi-language:EN-US;display:none'>&#13;</span></div>
 <span style='position:absolute;top:54.5%;left:6.0%;width:106.12%;height:4.0%'><span
 style='font-size:59%;font-weight:normal'><span style='mso-special-format:bullet;
 position:absolute;left:-3.53%;top:-.3em;font-family:Wingdings;font-size:150%'>§</span></span><span
 lang=ZH-TW style='font-family:標楷體;mso-fareast-font-family:標楷體;font-size:59%;
 mso-ansi-language:EN-US'>醫師懷疑病人為「</span><span lang=EN-US style='font-family:
 "Times New Roman";mso-ascii-font-family:"Times New Roman";mso-fareast-font-family:
 標楷體;font-size:59%;mso-fareast-language:ZH-TW'>NDM-1 </span><span lang=ZH-TW
 style='font-family:標楷體;mso-fareast-font-family:標楷體;font-size:59%;mso-ansi-language:
 EN-US'>腸道菌感染症」者，或曾接受侵入性或外科手術而</span></span><span style='position:absolute;
 top:58.83%;left:6.0%;width:105.62%;height:4.0%'><span lang=ZH-TW
 style='font-family:標楷體;mso-fareast-font-family:標楷體;font-size:59%;mso-ansi-language:
 EN-US'>出現感染症狀者，其臨床檢體分離出具</span><span lang=EN-US style='font-family:"Times New Roman";
 mso-ascii-font-family:"Times New Roman";mso-fareast-font-family:標楷體;
 font-size:59%;mso-fareast-language:ZH-TW'><b><u>carbapenem </u></b></span><span
 lang=ZH-TW style='font-family:標楷體;mso-fareast-font-family:標楷體;font-size:59%;
 mso-ansi-language:EN-US'><b><u>抗藥性的腸道菌</u></b></span><span lang=EN-US
 style='font-family:"Times New Roman";mso-ascii-font-family:"Times New Roman";
 mso-fareast-font-family:標楷體;font-size:59%;mso-fareast-language:ZH-TW'><b><u>(CRE)</u></b></span><span
 lang=ZH-TW style='font-family:標楷體;mso-fareast-font-family:標楷體;font-size:59%;
 mso-ansi-language:EN-US'>，</span></span><span style='position:absolute;
 top:63.33%;left:6.0%;width:104.62%;height:3.66%'><span lang=ZH-TW
 style='font-family:標楷體;mso-fareast-font-family:標楷體;font-size:59%;mso-ansi-language:
 EN-US'>且曾有國外旅遊史、醫療史或接觸史者，應於二十四小時內完成通報，並將</span></span><span style='position:
 absolute;top:67.5%;left:6.0%;width:88.87%;height:3.66%'><span lang=ZH-TW
 style='font-family:標楷體;mso-fareast-font-family:標楷體;font-size:59%;mso-ansi-language:
 EN-US'>菌株送疾病管制局確認</span></span></div>
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