infection control measures - rmc media club/final year/peads/infection... · infection control...
TRANSCRIPT
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INFECTION CONTROL MEASURES
By
Dr. Rubina Shaukat
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INFECTION CONTROL MEASURES
• Routes of transmissions
– Contact
– Vehicle
– Airborne
– Vector borne
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CONTACT
• Direct contact
– Giving bath
– Performing procedure
– Changing dressing
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Contact
• Indirect contact
– Contaminated instruments
• Droplet contact
– Close contact
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Vehicle route
• Contaminated blood & blood products
• Secretions
• Bedding covers
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Airborne Route
• Droplets infection
– Dust particles
– Droplets nuclei
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Vector borne
• Mosquito
• Flies
• Cockroach
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Protective Measures
• Source isolation
– Confine the infectious agent
• Protective isolation
– Immunocompromised patient
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Diseases to isolate
• Diarrhea
• Rashes
• PUO
• Open TB
• Cellulitis & sore throat
• MRSA
• GRE
• Resistant Gm –ve organism
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Isolation Procedures
• Explain to patient
• Remove extra equipment
• Protective covers
• Health care taker should be immune to disease
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Equipment required outside the Room
• Notice
• Disposable aprons
• patient’s file
• Plastic bags
• Chlorhexatidine hand wash
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Equipment required inside the Room
• Disposable gloves
• Disinfectant hand wash
• Paper towel
• Yellow plastic bag
• Red plastic bag
• Foot operated Bins
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Hand wash
• Important single way of reducing cross infection
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Important Do’s
• Roll up sleeves above elbow
• Remove Jewellary
• Squeeze liquid soap into palm of hands
• Hold hands below elbow
• Rub, Rinse & Dry
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When to wash hands
• Before & after wearing gloves
• Contact with infected material
• Isolation room
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Disinfectant hand wash
• Body fluid
• Aseptic technique
• Before & after ICU shift
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Disinfectant
• Chlorhexadine gluconate
• Povidine iodine
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NICU & PICU Protective Measures
• Staff free of infection
• Barrier nursing
– Change of shoes
– Gowns, caps & mask
– Hand washing
– Restriction of visitors
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Contt…
• Isolate infected patents
• MRSA – Referral from Other hospital
– Positive mother
– Nosocomial infection
• Septic patients – Dai handled
– Prolong rupture of membrane
– Infectious diseases
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Control Measures
• Hand hygiene
• Environmental hygiene
• Equipment cleaning – Incubator
– Suction machine
– Tubings
– Ventilator
– Stethoscopes & thermometer
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Control Measures
• Swabs for C/S
• Proper disposal
– Needles
– Nappies
– Tubes
• Nurse one patient in one crib
• Fumigate the NICU
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Take home message
•Proper hand washing
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