新竹馬偕醫院檢驗科項目異動上傳


項目異動新增

日期:
組別:		原始：醫事檢驗科
姓名:		原始：L185 邱鵬洲
類別：		務必跟科內規範、檢驗手冊標題相同才會顯示
細分類:
排序:		必填數字，否則會當機!!!!

標題:
三、各組危險值/傳染病通報條件
內容:
圖片路徑1：/lab/images/檢驗手冊/ 圖片路徑2：/lab/images/ 圖片或表格的寬度最多只能800~850

<span style="display: none"> </span><span style="font-family: 標楷體"> <strong>三、各組危險值/傳染病通報條件</strong><br /> <br />  通報條件：當班執行通報<br /> <strong>1. 生化組檢驗項目測定之危險臨界值</strong><br /> </span> <table align="left" border="1" cellpadding="0" cellspacing="0" width="836"> <tbody> <tr> <td rowspan="2" style="height: 23px; width: 234px"><span style="font-family: 標楷體">檢驗項目</span></td> <td colspan="2" style="height: 23px; width: 208px"><span style="font-family: 標楷體">通報條件</span></td> <td rowspan="2" style="height: 23px; width: 227px"><span style="font-family: 標楷體">不通報單位或不通報條件</span></td> </tr> <tr> <td style="height: 9px; width: 91px"><span style="font-family: 標楷體">小於</span></td> <td style="height: 9px; width: 116px"><span style="font-family: 標楷體">大於</span></td> </tr> <tr> <td style="height: 23px; width: 234px"><span style="font-family: 標楷體">Glucose(AC、PC<u>、</u><u>Random</u>)</span></td> <td style="height: 23px; width: 91px"><span style="font-family: 標楷體">50 mg/dL</span></td> <td style="height: 23px; width: 116px"><span style="font-family: 標楷體">500 mg/dL</span></td> <td rowspan="23" style="height: 23px; width: 227px"><span style="font-family: 標楷體">藥局<br /> 透析病人<br /> 門診病人(普通件及速件)<br /> 門診Glucose、Na、K、Ca除外</span></td> </tr> <tr> <td style="height: 25px; width: 234px"><span style="font-family: 標楷體">Glucose(AC、PC<u>、</u><u>Random</u>)(age ≦ 30days)</span></td> <td style="height: 25px; width: 91px"><span style="font-family: 標楷體">40 mg/dL</span></td> <td style="height: 25px; width: 116px"><span style="font-family: 標楷體">300 mg/dL</span></td> </tr> <tr> <td style="height: 22px; width: 234px"><span style="font-family: 標楷體">BUN</span></td> <td style="height: 22px; width: 91px"> </td> <td style="height: 22px; width: 116px"><span style="font-family: 標楷體">100 mg/dL</span></td> </tr> <tr> <td style="height: 23px; width: 234px"><span style="font-family: 標楷體">Creatinine</span></td> <td style="height: 23px; width: 91px"> </td> <td style="height: 23px; width: 116px"><span style="font-family: 標楷體">10 mg/dL</span></td> </tr> <tr> <td style="height: 23px; width: 234px"><span style="font-family: 標楷體">CK</span></td> <td style="height: 23px; width: 91px"> </td> <td style="height: 23px; width: 116px"><span style="font-family: 標楷體">500 IU/L</span></td> </tr> <tr> <td style="height: 23px; width: 234px"><span style="font-family: 標楷體">CKMB</span></td> <td style="height: 23px; width: 91px"> </td> <td style="height: 23px; width: 116px"><span style="font-family: 標楷體">5.4 U/L</span></td> </tr> <tr> <td style="height: 23px; width: 234px"><span style="font-family: 標楷體">Troponine-I</span></td> <td style="height: 23px; width: 91px"> </td> <td style="height: 23px; width: 116px"><span style="font-family: 標楷體">≧0.5 ng/mL</span></td> </tr> <tr> <td style="height: 23px; width: 234px"><span style="font-family: 標楷體">Total Ca</span></td> <td style="height: 23px; width: 91px"><span style="font-family: 標楷體">6.5 mg/dL</span></td> <td style="height: 23px; width: 116px"><span style="font-family: 標楷體">12.0 mg/dL</span></td> </tr> <tr> <td style="height: 23px; width: 234px"><span style="font-family: 標楷體">T. Bilirubin</span></td> <td style="height: 23px; width: 91px"> </td> <td style="height: 23px; width: 116px"><span style="font-family: 標楷體">10.0 mg/dL</span></td> </tr> <tr> <td style="height: 23px; width: 234px"><span style="font-family: 標楷體">T. Bilirubin(New born)</span></td> <td style="height: 23px; width: 91px"> </td> <td style="height: 23px; width: 116px"><span style="font-family: 標楷體">20.0 mg/dL</span></td> </tr> <tr> <td style="height: 23px; width: 234px"><span style="font-family: 標楷體">K</span></td> <td style="height: 23px; width: 91px"><span style="font-family: 標楷體">2.5 mEq/L</span></td> <td style="height: 23px; width: 116px"><span style="font-family: 標楷體">6.5 mEq/L</span></td> </tr> <tr> <td style="height: 22px; width: 234px"><span style="font-family: 標楷體">Na</span></td> <td style="height: 22px; width: 91px"><span style="font-family: 標楷體">120 mEq/L</span></td> <td style="height: 22px; width: 116px"><span style="font-family: 標楷體">160 mEq/L</span></td> </tr> <tr> <td style="height: 22px; width: 234px"><span style="font-family:標楷體;">Na(年齡<1個月內)</span></td> <td style="height: 22px; width: 91px"><span style="font-family:標楷體;">125 mEq/L</span></td> <td style="height: 22px; width: 116px"><span style="font-family: 標楷體">160 mEq/L</span></td> </tr> <tr> <td style="height: 22px; width: 234px"><span style="font-family: 標楷體">Cl</span></td> <td style="height: 22px; width: 91px"><span style="font-family: 標楷體">70 mEq/L</span></td> <td style="height: 22px; width: 116px"><span style="font-family: 標楷體">120 mEq/L</span></td> </tr> <tr> <td style="height: 23px; width: 234px"><span style="font-family: 標楷體">P</span></td> <td style="height: 23px; width: 91px"><span style="font-family: 標楷體">1.0 mg/dL</span></td> <td style="height: 23px; width: 116px"> </td> </tr> <tr> <td style="height: 23px; width: 234px"><span style="font-family:標楷體;">Mg(婦科)</span></td> <td style="height: 23px; width: 91px"> </td> <td style="height: 23px; width: 116px"><span style="font-family:標楷體;">8 mg/dL</span></td> </tr> <tr> <td style="height: 23px; width: 234px"><span style="font-family: 標楷體">Ammonia</span></td> <td style="height: 23px; width: 91px"> </td> <td style="height: 23px; width: 116px"><span style="font-family: 標楷體">250 ug/dL</span></td> </tr> <tr> <td style="height: 23px; width: 234px"><span style="font-family: 標楷體">Alcohol</span></td> <td style="height: 23px; width: 91px"> </td> <td style="height: 23px; width: 116px"><span style="font-family: 標楷體">50 mg/dL</span></td> </tr> <tr> <td style="height: 23px; width: 234px"><span style="font-family: 標楷體">C.S.F. Protein</span></td> <td style="height: 23px; width: 91px"> </td> <td style="height: 23px; width: 116px"><span style="font-family: 標楷體">100 mg/dL</span></td> </tr> <tr> <td style="height: 24px; width: 234px"><span style="font-family: 標楷體">AST</span></td> <td style="height: 24px; width: 91px"> </td> <td style="height: 24px; width: 116px"><span style="font-family: 標楷體">500 IU/L</span></td> </tr> <tr> <td style="height: 23px; width: 234px"> </td> <td style="height: 23px; width: 91px"> </td> <td style="height: 23px; width: 116px"> </td> </tr> <tr> <td style="height: 23px; width: 234px"><span style="font-family: 標楷體">Amylase</span></td> <td style="height: 23px; width: 91px"> </td> <td style="height: 23px; width: 116px"><span style="font-family: 標楷體">2500 IU/L</span></td> </tr> <tr> <td style="height: 24px; width: 234px"><span style="font-family: 標楷體">Stat CRP</span></td> <td style="height: 24px; width: 91px"> </td> <td style="height: 24px; width: 116px"><span style="font-family: 標楷體">20 mg/dL</span></td> </tr> </tbody> </table> <div style="clear: both"><span style="font-family: 標楷體"> </span></div> <span style="font-family: 標楷體"> <br /> <strong>2. 血液組檢驗項目測定之危險臨界值</strong></span> <table border="1" cellpadding="0" cellspacing="0" style="width:487px;" width="487"> <colgroup> <col /> <col span="2" /> <col /> </colgroup> <tbody> <tr height="23"> <td height="46" rowspan="2" style="height:45px;width:87px;">檢驗項目</td> <td colspan="2" style="width:237px;">通報條件</td> <td rowspan="2" style="width:163px;">注意事項</td> </tr> <tr height="23"> <td height="23" style="height:23px;">小於</td> <td>大於</td> </tr> <tr height="23"> <td height="23" style="height:23px;">Hb</td> <td>6.0 g/dL</td> <td>20.0 g/dL</td> <td rowspan="8" style="width:163px;">註1.門診速件不通報<br /> 註2.限婦科、產科、妊娠評估門診</td> </tr> <tr height="23"> <td height="23" style="height:23px;">Ht</td> <td align="right">20%</td> <td align="right">60%</td> </tr> <tr height="23"> <td height="23" style="height:23px;">WBC</td> <td>1,000/uL</td> <td>30,000/uL</td> </tr> <tr height="23"> <td height="46" rowspan="2" style="height:45px;width:87px;">Platelet</td> <td>30,000/uL</td> <td rowspan="2" style="width:119px;">1,000,000/uL</td> </tr> <tr height="23"> <td height="23" style="height:23px;width:119px;">100,000/uL 註2</td> </tr> <tr height="23"> <td height="23" style="height:23px;width:87px;">PT</td> <td>　</td> <td style="width:119px;">32秒</td> </tr> <tr height="23"> <td height="23" style="height:23px;width:87px;">INR</td> <td>　</td> <td align="right" style="width:119px;">3</td> </tr> <tr height="23"> <td height="23" style="height:23px;width:87px;">APTT</td> <td>　</td> <td style="width:119px;">65秒</td> </tr> <tr height="68"> <td height="68" style="height:68px;width:87px;">WBC-DC</td> <td colspan="2" style="width:237px;">New patient第一次發現blast cell</td> <td style="width:163px;">　</td> </tr> <tr height="68"> <td height="68" style="height:68px;width:87px;">Malaria</td> <td colspan="2" style="width:237px;">有發現</td> <td style="width:163px;">24小時內</td> </tr> </tbody> </table> <div style="clear: both"><span style="font-family: 標楷體"> </span></div> <br /> <br /> <span style="font-family: 標楷體"><strong>3. 血庫組檢驗項目測定之危險臨界值</strong></span> <table align="left" border="1" cellpadding="0" cellspacing="0" style="width: 701px" width="877"> <tbody> <tr> <td style="height: 27px; width: 107px"><span style="font-family: 標楷體">檢驗項目</span></td> <td style="height: 27px; width: 499px"><span style="font-family: 標楷體">通報條件</span></td> <td style="height: 27px; width: 96px"><span style="font-family: 標楷體">注意事項</span></td> </tr> <tr> <td style="height: 27px; width: 107px"><span style="font-family: 標楷體">T-antigen</span></td> <td style="height: 27px; width: 499px"><span style="font-family: 標楷體">≧3+</span></td> <td style="height: 27px; width: 96px"><span style="font-family: 標楷體">無</span></td> </tr> <tr> <td style="height: 118px; width: 107px"><span style="font-family: 標楷體">備血</span></td> <td style="height: 118px; width: 499px"><span style="font-family: 標楷體">1. 發現送出之血品與病患血型不符合<br /> (除血小板及冷凍沉澱品外)<br /> 2. 發現病患檢體與病患血型記錄不符合時<br /> 3. 備血時發現無法確認血型或抗原陽性率高的或不易合血的<br /> 不規則抗體等，無法及時提供所需血量</span></td> <td style="height: 118px; width: 96px"><span style="font-family: 標楷體">無</span></td> </tr> <tr> <td style="height: 27px; width: 107px"><span style="font-family: 標楷體">輸血反應</span></td> <td style="height: 27px; width: 499px"><span style="font-family: 標楷體">回報輸血反應的檢體呈現溶血</span></td> <td style="height: 27px; width: 96px"><span style="font-family: 標楷體">無</span></td> </tr> </tbody> </table> <div style="clear: both"><span style="font-family: 標楷體"> </span></div> <br /> <span style="font-family: 標楷體"> <br /> <br /> <br /> <strong>4. 血清分生特殊檢驗組檢驗項目測定之危險臨界值</strong></span> <table align="left" border="1" cellpadding="0" cellspacing="0" style="width: 686px" width="858"> <tbody> <tr> <td style="width: 125px"><span style="font-family: 標楷體">檢驗項目</span></td> <td style="width: 200px"><span style="font-family: 標楷體">通報條件</span></td> <td style="width: 90px"><span style="font-family: 標楷體">簡訊通知<br /> 感管中心</span></td> <td style="width: 79px"><span style="font-family: 標楷體">簡訊通知<br /> 醫師</span></td> <td style="width: 192px"><span style="font-family: 標楷體">注意事項</span></td> </tr> <tr> <td style="width: 125px"><span style="font-family:times new roman;">HIV Ag/Ab</span></td> <td style="width: 200px"><span style="font-family:times new roman;"><u>≥1 S/CO ,positive</u></span></td> <td style="width: 90px"><span style="font-family:times new roman;">V</span></td> <td style="width: 79px"><span style="font-family:times new roman;">V</span></td> <td rowspan="2" style="width: 192px"><span style="font-family:times new roman;">病房:電話通知醫生或護理師<br /> 門診:不電話通知</span></td> </tr> <tr> <td style="width: 125px"><span style="font-family:times new roman;">HIV-1/2 Ab</span></td> <td style="width: 200px"><span style="font-family:times new roman;">positive</span></td> <td style="width: 90px"><span style="font-family:times new roman;">V</span></td> <td style="width: 79px"><span style="font-family:times new roman;">V</span></td> </tr> <tr> <td style="width: 125px"><span style="font-family:times new roman;">Rubella IgM Ab</span></td> <td style="width: 200px"><span style="font-family:times new roman;"><u>>1.6 , positive</u></span></td> <td style="width: 90px"><span style="font-family:times new roman;">V</span></td> <td style="width: 79px"><span style="font-family:times new roman;">V</span></td> <td style="width: 192px"> </td> </tr> <tr> <td style="width: 125px"><span style="font-family:times new roman;">Measles IgM Ab</span></td> <td style="width: 200px"><span style="font-family:times new roman;"><u>≥1.1 , positive</u></span></td> <td style="width: 90px"><span style="font-family:times new roman;">V</span></td> <td style="width: 79px"><span style="font-family:times new roman;">V</span></td> <td style="width: 192px"> </td> </tr> <tr> <td style="width: 125px"><span style="font-family:times new roman;">IHA</span></td> <td style="width: 200px"><span style="font-family:times new roman;"><u>≥0.4 O.D ,Positive</u></span></td> <td style="width: 90px"><span style="font-family:times new roman;">V</span></td> <td style="width: 79px"><span style="font-family:times new roman;">V</span></td> <td style="width: 192px"> </td> </tr> <tr> <td style="width: 125px"><span style="font-family:times new roman;">HAV IgM Ab</span></td> <td style="width: 200px"><span style="font-family:times new roman;"><u>>1.2 S/CO ,positive</u></span></td> <td style="width: 90px"><span style="font-family:times new roman;">V</span></td> <td style="width: 79px"><span style="font-family:times new roman;">V</span></td> <td style="width: 192px"> </td> </tr> <tr> <td style="width: 125px"><span style="font-family:times new roman;">Anti-HCV</span></td> <td style="width: 200px"><span style="font-family:times new roman;"><u>≥1.0 S/CO ,陽性</u></span></td> <td style="width: 90px"><span style="font-family:times new roman;">V</span></td> <td style="width: 79px"><span style="font-family:times new roman;">V</span></td> <td style="width: 192px"> </td> </tr> <tr> <td style="width: 125px"><span style="font-family:times new roman;">CD4</span></td> <td style="width: 200px"><span style="font-family:times new roman;">1. 年齡＞1歲，其CD值< 750 cells/mm<sup>3</sup>或CD4比例<26%<br /> 2. 年齡1~6歲，其CD值< 500 cells/mm<sup>3</sup>或CD4比例<22%<br /> 3. 年齡≧6歲，其CD值< 200 cells/mm<sup>3</sup>或CD4比例<14%</span></td> <td style="width: 90px"><span style="font-family:times new roman;">V</span></td> <td style="width: 79px"><span style="font-family:times new roman;">V</span></td> <td style="width: 192px"> </td> </tr> <tr> <td style="width: 125px"><span style="font-family:times new roman;">Mumps IgM Ab</span></td> <td style="width: 200px"><span style="font-family:times new roman;"><u>≥1.1 ,positive</u></span></td> <td style="width: 90px"> </td> <td style="width: 79px"><span style="font-family:times new roman;">V</span></td> <td style="width: 192px"> </td> </tr> <tr> <td style="width: 125px"><span style="font-family:times new roman;">Syphilis</span></td> <td style="width: 200px"><span style="font-family:times new roman;">≧1.0 S/CO</span></td> <td style="width: 90px"> </td> <td style="width: 79px"><span style="font-family:times new roman;"><u>V</u></span></td> <td style="width: 192px"> </td> </tr> <tr> <td style="width: 125px"><span style="font-family:times new roman;">VDRL</span></td> <td style="width: 200px"><span style="font-family:times new roman;"><u>Reactive</u></span></td> <td style="width: 90px"> </td> <td style="width: 79px"><span style="font-family:times new roman;">V</span></td> <td style="width: 192px"> </td> </tr> <tr> <td style="width: 125px"><span style="font-family:times new roman;">HBc IgM Ab</span></td> <td style="width: 200px"><span style="font-family:times new roman;"><u>≥1.0 S/CO ,positive</u></span></td> <td style="width: 90px"> </td> <td style="width: 79px"><span style="font-family:times new roman;">V</span></td> <td style="width: 192px"> </td> </tr> <tr> <td style="width: 125px"><span style="font-family:times new roman;">Widal 0</span></td> <td style="width: 200px"><span style="font-family:times new roman;">≧1:160x</span></td> <td style="width: 90px"> </td> <td style="width: 79px"><span style="font-family:times new roman;">V</span></td> <td style="width: 192px"> </td> </tr> <tr> <td style="width: 125px"><span style="font-family:times new roman;">Toxoplasma IgM</span></td> <td style="width: 200px"><span style="font-family:times new roman;"><u>≥0.6, positive</u></span></td> <td style="width: 90px"> </td> <td style="width: 79px"><span style="font-family:times new roman;">V</span></td> <td style="width: 192px"> </td> </tr> <tr> <td style="width: 125px"><span style="font-family:times new roman;">CMV viral load</span></td> <td style="width: 200px"><span style="font-family:times new roman;">≧500 copies/mL<br /> (≧550 IU/mL)</span></td> <td style="width: 90px"> </td> <td style="width: 79px"><span style="font-family:times new roman;">V</span></td> <td style="width: 192px"> </td> </tr> <tr> <td style="width: 125px"><span style="font-family:times new roman;">phenobarbital</span></td> <td style="width: 200px"><span style="font-family:times new roman;">>40μg/mL</span></td> <td style="width: 90px"> </td> <td style="width: 79px"><span style="font-family:times new roman;">V</span></td> <td style="width: 192px"> </td> </tr> <tr> <td style="width: 125px"><span style="font-family:times new roman;">Valporic acid</span></td> <td style="width: 200px"><span style="font-family:times new roman;">>150μg/mL</span></td> <td style="width: 90px"> </td> <td style="width: 79px"><span style="font-family:times new roman;">V</span></td> <td style="width: 192px"> </td> </tr> <tr> <td style="width: 125px"><span style="font-family:times new roman;"><u>SARS-CoV-2(2019-nCoC)</u></span></td> <td style="width: 200px"><span style="font-family:times new roman;"><u>Detected</u></span></td> <td style="width: 90px"><span style="font-family:times new roman;"><u>V</u></span></td> <td style="width: 79px"><span style="font-family:times new roman;"><u>V</u></span></td> <td style="width: 192px"><span style="font-family:times new roman;"><u>通知病人或家屬</u></span></td> </tr> <tr> <td style="width: 125px"><span style="font-family:times new roman;"><u>HCV viral load</u></span></td> <td style="width: 200px"><span style="font-family:times new roman;"><u>陽性</u></span></td> <td style="width: 90px"> </td> <td style="width: 79px"><span style="font-family:times new roman;"><u>V</u></span></td> <td style="width: 192px"> </td> </tr> </tbody> </table> <div style="clear: both"><span style="font-family: 標楷體"> </span></div> <span style="font-family: 標楷體"> <br /> <br /> <br /> <strong>5. 細菌組檢驗項目測定之危險臨界值及法定傳染病</strong></span> <div style="margin-left: 40px"> <div><span style="font-family: 標楷體">5.1 危險值通知：結果務必當天進行通報，並發初步報告。</span></div> <table align="left" border="1" cellpadding="0" cellspacing="0" style="width: 621px" width="777"> <tbody> <tr> <td style="width: 111px"><span style="font-family: 標楷體">檢驗項目</span></td> <td style="width: 255px"><span style="font-family: 標楷體">通報條件</span></td> <td style="width: 255px"><span style="font-family: 標楷體">通報對象</span></td> </tr> <tr> <td style="height: 37px; width: 111px"><span style="font-family: 標楷體">CSF</span></td> <td style="height: 37px; width: 255px"><span style="font-family: 標楷體">Gram stain有細菌</span></td> <td rowspan="3" style="height: 37px; width: 255px"><span style="font-family: 標楷體">急診病人：</span> <ul> <li><span style="font-family: 標楷體">成人通知急診臨床護理師</span></li> <li><span style="font-family: 標楷體">小兒通知急診兒科醫師</span></li> </ul> <span style="font-family: 標楷體">住院患者：通知病房醫護人員<br /> 門診病人：通知主治醫師</span></td> </tr> <tr> <td style="height: 42px; width: 111px"><span style="font-family: 標楷體">Blood culture</span></td> <td style="height: 42px; width: 255px"><span style="font-family: 標楷體">陽性初步染色(Gram stain) 有細菌</span></td> </tr> <tr> <td style="width: 111px"><span style="font-family: 標楷體">India Ink</span></td> <td style="width: 255px"><span style="font-family: 標楷體">positive</span></td> </tr> <tr> <td style="height: 33px; width: 111px"><span style="font-family: 標楷體">AFB stain</span></td> <td style="height: 33px; width: 255px"><span style="font-family: 標楷體">positive</span></td> <td rowspan="2" style="height: 33px; width: 255px"><span style="font-family: 標楷體">住院患者：通知病房醫護人員<br /> 門急診病人：無電話通知，以發簡訊給開單醫師及感染管制中心</span></td> </tr> <tr> <td style="width: 111px"><span style="font-family: 標楷體">TB culture</span></td> <td style="width: 255px"><span style="font-family: 標楷體">positive</span></td> </tr> <tr> <td style="width: 111px"><span style="font-family:標楷體;">GenXpert-TB PCR test</span></td> <td style="width: 255px"><span style="font-family:標楷體;">MTBC 陽性、RIF感受性(S)<br /> MTBC 陽性、RIF抗藥性(R)</span></td> <td style="height: 33px; width: 255px"><span style="font-family:標楷體;">住院患者：通知病房醫護人員<br /> 門急診病人：無電話通知，以發簡訊給開單醫師及感染管制中心</span></td> </tr> <tr> <td style="width: 111px"><span style="font-family:標楷體;">淋病核酸定性檢測</span></td> <td style="width: 255px"><span style="font-family:標楷體;">positive</span></td> <td style="height: 33px; width: 255px"><span style="font-family:標楷體;">無電話通知，以簡訊傳給開單醫師及感染管制中心</span></td> </tr> </tbody> </table> <div style="clear: both"><span style="font-family: 標楷體"> </span></div> </div> <br /> <br /> <span style="font-family: 標楷體">5.2 傳染病通報：培養出法定傳染病菌，以簡訊通報感染管制小組以及開單醫師或住院醫師。</span> <div style="margin-left: 40px"><span style="font-family: 標楷體">5.2.1 危險值以電話通知後，必須在檢驗單記載接聽電話之員工代號。<br /> 5.2.2 傳染病在假日期間電話通知病房，請病房依「感染管制手冊」處理。<br /> 5.2.3 法定傳染病菌如下：</span></div> <table align="left" border="1" cellpadding="0" cellspacing="0" style="width: 661px" width="826"> <tbody> <tr> <td style="height: 23px; width: 418px"><span style="font-family: 標楷體">法定傳染病ORGAN_NAME (不含 AFB, TB c/s 資料)</span></td> <td nowrap="nowrap" style="height: 23px; width: 243px"><span style="font-family: 標楷體">備註</span></td> </tr> <tr> <td nowrap="nowrap" style="height: 23px; width: 418px"><span style="font-family: 標楷體"><em>Clostridium botulinum</em></span></td> <td nowrap="nowrap" style="height: 23px; width: 243px"> </td> </tr> <tr> <td nowrap="nowrap" style="height: 23px; width: 418px"><span style="font-family: 標楷體"><em>Clostridium tetani(破傷風)</em></span></td> <td nowrap="nowrap" style="height: 23px; width: 243px"> </td> </tr> <tr> <td nowrap="nowrap" style="height: 23px; width: 418px"><span style="font-family: 標楷體"><em>Haemophilus influenzae type b</em></span></td> <td nowrap="nowrap" style="height: 23px; width: 243px"><span style="font-family: 標楷體"><u>無菌部位檢體，如：Blood, CSF, PF, joint fluid,心包膜液</u></span></td> </tr> <tr> <td nowrap="nowrap" style="height: 23px; width: 418px"><span style="font-family: 標楷體"><em>Legionella Ag</em></span></td> <td nowrap="nowrap" style="height: 23px; width: 243px"><span style="font-family: 標楷體">urine</span></td> </tr> <tr> <td nowrap="nowrap" style="height: 23px; width: 418px"><span style="font-family: 標楷體"><em>Neisseria gonorrhoeae</em></span></td> <td nowrap="nowrap" style="height: 23px; width: 243px"> </td> </tr> <tr> <td nowrap="nowrap" style="height: 23px; width: 418px"><span style="font-family: 標楷體"><em>Neisseria meningitidis</em></span></td> <td nowrap="nowrap" style="height: 23px; width: 243px"><span style="font-family: 標楷體">Blood, CSF</span></td> </tr> <tr> <td nowrap="nowrap" style="height: 23px; width: 418px"><span style="font-family: 標楷體"><em>Burkholderia pseudomollei</em></span></td> <td nowrap="nowrap" style="height: 23px; width: 243px"> </td> </tr> <tr> <td nowrap="nowrap" style="height: 23px; width: 418px"><span style="font-family: 標楷體"><em>Brucellamelitensis(含所有</em><em>Brucella spp.)</em></span></td> <td nowrap="nowrap" style="height: 23px; width: 243px"> </td> </tr> <tr> <td nowrap="nowrap" style="height: 23px; width: 418px"><span style="font-family: 標楷體"><em>Salmonella ser. Paratyphi A</em></span></td> <td nowrap="nowrap" style="height: 23px; width: 243px"> </td> </tr> <tr> <td nowrap="nowrap" style="height: 23px; width: 418px"><span style="font-family: 標楷體"><em>Salmonella ser. Typhi</em></span></td> <td nowrap="nowrap" style="height: 23px; width: 243px"> </td> </tr> <tr> <td nowrap="nowrap" style="height: 23px; width: 418px"><span style="font-family: 標楷體"><em>Shigella boydii</em></span></td> <td nowrap="nowrap" style="height: 23px; width: 243px"> </td> </tr> <tr> <td nowrap="nowrap" style="height: 23px; width: 418px"><span style="font-family: 標楷體"><em>Shigella dysenteriae </em></span></td> <td style="height: 23px; width: 243px"> </td> </tr> <tr> <td nowrap="nowrap" style="height: 23px; width: 418px"><span style="font-family: 標楷體"><em>Shigella flexneri</em></span></td> <td style="height: 23px; width: 243px"> </td> </tr> <tr> <td nowrap="nowrap" style="height: 23px; width: 418px"><span style="font-family: 標楷體"><em>Shigella group</em></span></td> <td nowrap="nowrap" style="height: 23px; width: 243px"> </td> </tr> <tr> <td nowrap="nowrap" style="height: 23px; width: 418px"><span style="font-family: 標楷體"><em>Shigella sonnei</em></span></td> <td nowrap="nowrap" style="height: 23px; width: 243px"> </td> </tr> <tr> <td nowrap="nowrap" style="height: 23px; width: 418px"><span style="font-family: 標楷體"><em>Streptococcus pneumoniae</em></span></td> <td nowrap="nowrap" style="height: 23px; width: 243px"><span style="font-family: 標楷體">Blood, CSF, 無菌體液</span></td> </tr> <tr> <td nowrap="nowrap" style="height: 23px; width: 418px"><span style="font-family: 標楷體"><em>Vibrio cholerae</em></span></td> <td nowrap="nowrap" style="height: 23px; width: 243px"> </td> </tr> <tr> <td nowrap="nowrap" style="height: 23px; width: 418px"><span style="font-family: 標楷體"><em>Yersinia pestis(鼠疫)</em></span></td> <td nowrap="nowrap" style="height: 23px; width: 243px"> </td> </tr> <tr> <td nowrap="nowrap" style="height: 23px; width: 418px"><span style="font-family: 標楷體"><em>Listeria monocytogenes</em></span></td> <td nowrap="nowrap" style="height: 23px; width: 243px"> <ol> <li><span style="font-family: 標楷體"><u>無菌部位檢體。</u></span></li> <li><span style="font-family: 標楷體"><u>從流產、死胎之胎盤或胎兒組織分離出。(</u><u>如：羊水</u><u>,</u><u>胎盤</u><u>,</u><u>胃腸道內容物)</u></span></li> </ol> </td> </tr> </tbody> </table> <div style="clear: both"><span style="font-family: 標楷體"> </span></div> <br /> <br /> <br /> <span style="font-family: 標楷體"><strong>6. 門急診鏡檢組檢驗項目測定之危險臨界值及法定傳染病</strong></span> <table align="left" border="1" cellpadding="0" cellspacing="0" width="802"> <tbody> <tr> <td rowspan="2" style="height: 26px; width: 171px"><span style="font-family: 標楷體">檢驗項目</span></td> <td colspan="3" style="height: 26px; width: 236px"><span style="font-family: 標楷體">通報條件</span></td> <td rowspan="2" style="height: 26px; width: 234px"><span style="font-family: 標楷體">注意事項</span></td> </tr> <tr> <td colspan="2" style="height: 26px; width: 123px"><span style="font-family: 標楷體">小於</span></td> <td style="height: 26px; width: 113px"><span style="font-family: 標楷體">大於</span></td> </tr> <tr> <td style="height: 26px; width: 171px"><span style="font-family: 標楷體">Glucometer_Glucose</span></td> <td colspan="2" style="height: 26px; width: 123px"><span style="font-family: 標楷體">50 mg/dL</span></td> <td style="height: 26px; width: 113px"><span style="font-family: 標楷體">500 mg/dL</span></td> <td style="height: 26px; width: 234px"><span style="font-family: 標楷體">　</span></td> </tr> <tr> <td style="height: 26px; width: 171px"><span style="font-family: 標楷體">pH</span></td> <td colspan="2" style="height: 26px; width: 123px"><span style="font-family: 標楷體">≤ 7.2unit</span></td> <td style="height: 26px; width: 113px"><span style="font-family: 標楷體">≥ 7.6 unit</span></td> <td style="height: 26px; width: 234px"><span style="font-family: 標楷體">　</span></td> </tr> <tr> <td style="height: 26px; width: 171px"><span style="font-family: 標楷體">PCO2</span></td> <td colspan="2" style="height: 26px; width: 123px"><span style="font-family: 標楷體">< 20mmHg</span></td> <td style="height: 26px; width: 113px"><span style="font-family: 標楷體">> 70mmHg</span></td> <td style="height: 26px; width: 234px"><span style="font-family: 標楷體">　</span></td> </tr> <tr> <td style="height: 26px; width: 171px"><span style="font-family: 標楷體">PO2</span></td> <td colspan="2" style="height: 26px; width: 123px"><span style="font-family: 標楷體">< 55mmHg</span></td> <td style="height: 26px; width: 113px"><span style="font-family: 標楷體">　</span></td> <td style="height: 26px; width: 234px"><span style="font-family: 標楷體">　</span></td> </tr> <tr> <td style="height: 26px; width: 171px"><span style="font-family: 標楷體">BNP</span></td> <td colspan="2" nowrap="nowrap" style="height: 26px; width: 123px"><span style="font-family: 標楷體">　</span></td> <td style="height: 26px; width: 113px"><span style="font-family: 標楷體">≥ 100pg/ml</span></td> <td style="height: 26px; width: 234px"><span style="font-family: 標楷體">　</span></td> </tr> <tr> <td style="height: 26px; width: 171px"><span style="font-family: 標楷體">Paraquet test</span></td> <td colspan="3" style="height: 26px; width: 236px"><span style="font-family: 標楷體">positive</span></td> <td style="height: 26px; width: 234px"><span style="font-family: 標楷體">　</span></td> </tr> <tr> <td style="height: 26px; width: 171px"><span style="font-family: 標楷體">EV-71 IgM</span></td> <td colspan="3" style="height: 26px; width: 236px"><span style="font-family: 標楷體">positive</span></td> <td style="height: 26px; width: 234px"><span style="font-family: 標楷體">　</span></td> </tr> <tr> <td style="height: 26px; width: 171px"><span style="font-family: 標楷體">Dengue Ag Rapid Test</span></td> <td colspan="3" style="height: 26px; width: 236px"><span style="font-family: 標楷體">陽性</span></td> <td style="height: 26px; width: 234px"> </td> </tr> <tr> <td nowrap="nowrap" style="height: 99px; width: 171px"><span style="font-family: 標楷體">Parasite ova Amoeba</span></td> <td colspan="3" style="height: 99px; width: 236px"><span style="font-family: 標楷體">疑似痢疾阿米巴原蟲<br /> (E.histolytica/ E.dispar)</span></td> <td nowrap="nowrap" style="height: 99px; width: 234px"><span style="font-family: 標楷體">微小、大腸、雙核、哈氏、嗜碘阿米巴不通報，另行通知感染管制小組</span></td> </tr> <tr> <td nowrap="nowrap" style="height: 34px; width: 171px"><span style="font-family: 標楷體">Troponin-I</span></td> <td style="height: 34px; width: 118px"> </td> <td colspan="2" style="height: 34px; width: 118px"><span style="font-family: 標楷體">≥ 0.5 ng/mL</span></td> <td nowrap="nowrap" style="height: 34px; width: 234px"> </td> </tr> <tr> <td nowrap="nowrap" style="height: 34px; width: 171px"><span style="font-family: 標楷體">Ca<sup>++</sup> 游離鈣</span></td> <td style="height: 34px; width: 118px"><span style="font-family: 標楷體">0.7 mmol/L</span></td> <td colspan="2" style="height: 34px; width: 118px"><span style="font-family: 標楷體">1.5 mmol/L</span></td> <td nowrap="nowrap" style="height: 34px; width: 234px"> </td> </tr> <tr> <td nowrap="nowrap" style="height: 34px; width: 171px"><span style="font-family: 標楷體">Paraquet test</span></td> <td colspan="3" style="height: 34px; width: 236px"><span style="font-family: 標楷體">positive</span></td> <td nowrap="nowrap" style="height: 34px; width: 234px"> </td> </tr> <tr> <td nowrap="nowrap" style="height: 34px; width: 171px"><span style="font-family: 標楷體">HbCO一氧化碳</span></td> <td colspan="3" style="height: 34px; width: 236px"><span style="font-family: 標楷體">≥ 10%</span></td> <td nowrap="nowrap" style="height: 34px; width: 234px"> </td> </tr> </tbody> </table> <div style="clear: both"><span style="font-family: 標楷體"> </span></div> <br /> <span style="font-family: 標楷體"> <br /> </span><span style="display: none"> </span>
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