MON TORUL

PARTEA

OFIC TAL ROMANIE

PREVENIRI INFECTIILOR NOZOCOMIALE

Clpitolul1 CONTROLUL lNI'EC l llLOR

l.l

Defini!ie. tnclofi si strr.. d. conrdnin!re, cri dc

rdnsnit rc

Inrecti0nosocomialr (lN) ene infcclia mnhchla in 0nil.lis&irarc cL panrri (d. et !iprivatc)j

carc sc ftferi h oricc boali lnftciioast cc podrc U ftcuosturd ctric .\iriJu microbjotoeic si
pentru c!rc *nlndolad. cp cnjoldgic, a conticririlin iDpul snildliziriiracNlui ncdi.d sal
oatrcvrc or mcdicdlc, crrc rttcrca2t lic bolnlvul d oriti in-qrijnilor mcdicrtc prinirc, fie
Nrsonrlul Mnna. dar'.iri scririrSlii lalc ti csc legdli Drir jncubrhc dc
a asknrli
modicdlc in uniraiea respectiri, indifcrcr da.i slmproDrle bolii apdr srl nu 4d pc pcrio .

ltrio

Factori $ su rsc dc mntrm i n,rc i ntrr ep itlli ccrti

gc ii resDonsabili dc co aminrrc sunt tbalc nuncbsi Eidetemini intectii urjmutl etr mrr
p tir eE!c. Adc$i dcvin rcziionh latrildncnc.
Ascriiillarogcnisntr rlcr.bn (nunc !.ncric dar dc Prncur .rganisoclor uniccluta invtTibjte

'
-

hr rer l. r.rob. r x rcn -J'n

g,

nrl ot

l,r{.4.

|J'

ciupcrcisan Levui carc dcrclnind ni.ozci

pamz ili i rcsnor e bil i dc p.riztozc:
vm$n Ld (heFiortupej ncurooopcj clc )i

Slrsele dc conr.ninarejn spiral sunt rcprczcrlalc dc

pcnonxl d. ingrijncl

si surniclc conraminarc,.x.lojeriedep.t. srLrelc. ioatorc comune, erc i

scclcii i, c xcr.tii prdbc dc lib.rardr, rintpligil
mxrcrialc utlli/are c.nbriixic:
cch ipdme nic

l,rcienliisnirrleLorsuot m!isuscctlibiti la intccrii ddiorir! rezisrcnleiratumtc ditrinuare dc bo.li

s,ude nclc nrcdicamcnro(inmodcptosoare, ohnniotcmpi.e)
Toalctclc comunc sau pro\nnnaM xh.r pacic{iniftsc riscul irltqiilorincrucis.tc.

Pnndpalelccii dc r.nsmirerea infcciiilor sunr:

' hnsmitcrca irrcrunrM.ccxraiiic.vcniiesreprininrcmedjut mainilor:
calcd $irni. tnn iu!e. rrrinui, expccronlie (picituitc FlLrggc), e$c rcspdnsabiti dc
apanria unul pm. r dc l0% di.trc infectjilc nosocomirtc Aerosoln djn dispozjrivc c dc
cur4arc san din scnigi pdt tnnsport! porlictrl. nidoscopise.lc drganismcor gd $
6i! i' .L f n F 1,. .'.acrorl'.9.d tu !r r'i
- irocul.rc cu acc sau soluii conraninare:
. pcncrarea organGmutLi cu oc.zia $ndajcior urirarc, inubariet oror,heate. imjziitor

dLPOViNF o!a

l.: lrnirLl i nruL'r'n. dr \upr.'tcch r\i,uq'roldinr'i'iilor

lcnm r nrdntrr. in{turiiLc lnmizoacd.nrlri;i i1.di.rc ii.nntL i. .rd.x rtr,c subcotr[o
irrlccr i. if rtrnl L9r0 ccn.rh ltfku c.ntroLr'l h.lilo.ltr p,hlLr trtr ltrtril.rc Jcr]Lir I
.ri.So

d.0ro..dtr'L

d.lTolrr

R...rnxMiriLc

rdu!e'.a prlccduilor i,,utiler

uhLi/rrcr p!,r.dtrr LnDrx/tretu unrrirledeingi ne ftirni:
x ixlinLrl
!r'dr.xrro ,iirDitrLi' ii!r'rLlo' ]rrblctri
'c/islcrri
i,r xntrl l9st.cnrc. lr.ntL onb.hrl boliLl)r \i pR!enlic rL lntrodus prc.rtrftrfile rfireAx.
fri', caE sc rc!oD.odi pc$onalului nedical si loinc cchipdcnfuld. rnncctic fonflL. .r1tr..
posihllir.r...oDr.cn'lu, (ncd cn sitrlclc:i rlrc tlLrid. nro\cdn. d. ll 0]ri.rii
in r9t6 c.rrcL. pcrru.oDf.h'llxrLiLr |rr.ric xu itutud's f.cnuL Lril. {rnda'd.x hx/i x
'
]\r lnn rdatrlar prf/ari
f, vi'(la r.I cili dc conLrnrlnxr si f'orocorL.tc
(
{xiddrl. s(oprl p(\cni'Litr,tr L.'iih.li"Jtrl pxcicllilor. $rirrr trlui sj \izrdrrLltr
prczcnr in r[rc lpnrleLe r\nLr Dqid]rnenrul dc Supnr.ghnc \i (ort.l I hrlacf to
brtuJr [lccsr ca$ colcd.aza d.r. p1n iM cthadcL. rnh.foa\e $ safiNr.n r.'lonxlL'lur rn
r'u rizciza rlonn.tii /niid rn.unlc por. rirlc l-unrr sxr r trrsrrxL rt.c r 5.rn. Lnon.x/r

ir

iplr trLL'i\.rh

nr

Drisr idc rklir

l l

\idccoDrrftr.i i.!{.ri'r1cftr

: |.1

PoirLr. \ prlccrlLilr dc corrol tt l.diiLr trcbule \, tie clxr. ri crr.s. r tc id'.-!ul

Nr{irl tr'cdirxl P.nLn r rn,! {'b coDfll iDtcciiilc shr dlootribt! N[r Nnrcc
!ccontuninxr.x. rufuenir. de/ ilcc! I !lanrisepsi..

ii tm.hcr nrldicrLi. \e rdrr.r7. !rrl'sn nr{cmLulu n d.r !j se rDLici

nar.n.lcLttr ert (supDrni.. Nn,.Nlc)
cx sdor dilnilNrrm ru inrt r d.
nrinoor-lxnnnre ir utc d. crrih.c. t,'orcj.,{ pcAoftlulLi
^rc d. o c.ntaDifuto iin{xDcd. d. t.
irlx dc F'srnctrl! itr' lLli dc op.rxhi) \i ri[rca niJcmi'iri micrtffsri nn!]or h ncdn,t
(1'riitenia.s. r.riuer !a'e !0,,$a in ind.Fnrtor nrurdiirici ls|iL ca podclcli'. $LDrltirclor
Drr0nt,mirarca.

'-l '
rc
in

itr'.

1.,i,pi'r

..1r, r

\'

,ct.,,t.,

dcziitaclmri iiarnr. dr r n rpihr.,dr;ihr.drsiingc' \ccr!lii.'L'

rtrn
d. )
l)ezinfccti..k rpeatir *'r \c r|Li.i nr nr ir nrnr. D./ff..!ia cnc hrprr srtcf..,ti I
dcconh.rfirir \i sc .0lici fuiui pc nd.rialc sn sunnlir. curore Nu \s n!7i icrli/i dcctr
sotutic

rer i/rle itr a.c..tr on.nlic p. . np.1lra. Jrbnd uttizitLii

p,od \rlorJNludleni!/dczinlcclic Curo c...r. drdi tle/i'ni.ri. ifto ii{. nerilizxn Mri
obled. .r rcbri.. in n$d mp..arn :li se il.i i'i r li'nf $pa tr (cuirtrc rpor dc/inridic)

I LtrrL.ril \i J.rii,li.li) rul ti

anris{ri, cnr. ficlLnlii dc Ninx[c,. i n icLici.aft se xplica l. nivenL r urior

. i'n lr]k sxL dNn.rinJ m,cnrlnnnnrclc pre/eirc nr Nom.rtulde.u]ilil|i.ccdtr.ir.

vLi.

MONTORULOFICIALALROMAN

Decontaminarca,

trc.i rn
lgicna

.
.
1,3

.sc

.u

cnia. dczintulia concuri aseDsia ca.c rcprczin{i un a.sanbtu dc misui

n-Fli.".nroou.oercn.n'o

t ngf trJ'5r'i.r

un msamblu dc pnncipii !t praclici carc vizcazi xhd|orarca

s:lnftilij si pru$phc:

lu!rca La co.osinrt (infomir.a);

m cohpo a'nenthdividu.l Jicolecri!:
o

lilo/ofie sio momla:

un ansrnrblu dorcguli dc munci

Chiddc pr.rulii univ.rsalc

Ordinul Di.isrului siniriiii Dr 916/2006 p vind aprohrea Nofreto! dc suptuv.gh.r.

pEvcnirc ,si contnl al inlicliilor nosoconialc in uniriilc santurc (Anck nr.J) denD.n.
con..nruldc..prccluriluiivcrelcisiyabil.+cmodatirarcadcapLi.!rcaaccjon
Corccp(ul dc prdatrrii universale se rclera lai
- ma$dlc carc se aplioi nr vcdcrcr flevennii

hnsnritcii HIV. ViIB. vH(.n al| tr!.mi

.r'. 1o(' i ., 'e Llc
ri| n. .tr1h-' r'd rdt
!inge, altc iudc bnt.gice i lcsubrilc tuluror prci.n!ilor se consideri a li por$rirl inridrr
cu Hlv,vIIB.VHCl !i Jlfi 4cnii inicmbicni c! calc deransnitcrcDrrcrtcmti Ganquini):
to! pacienliisc considcrr porcntial intcchri cu HlV, \rIlB. VHC sau ctr ahi rsen! mi.obre,i
.rc,I Jc LI -N.b sd : dco.a.. rci . quh'J' -._1r,.,,1elr\'rlB\Ij..
.'1" p nr i.c-ootra' dnr$'ntr,', i. .i
r'1u..To|x.r..o..to

'r.

Scopol4li.nrii precauiiitor univds r (pU)

Scopul aplicirli precaulilor uilveEale csic trcvciina
ldcul dc
.l p.*onalului.

rmnsm rcr

' 'nr<hilff

p!

!J. ;ne

ni h

'nunca

Regull dc brzi in rplicrrdN prrcruliitor unircbrlo

I C .ns ideri toii pa cicnl n pdrcnri al in lccrari:
2. (lonsidqa ca singcl.. alre flui{Gbioloei.e.\i!csuturitc sunr.onramiDrc cu HtV.HC\'. HC\ l
l. Clonsidcta cr acclc si dlrc oblectefolosirc in p.acric. N.dicdli suDr conraminatc dtrpr uriti/are:
Conlaclul rcgunenrelorqi rucoasetorcu unnarorrulc prodlsc rrcburc considcftro h nscl

'

ichid amnioli0. lichid pcricardic, lichid pernorc0t. tichjJ plcuEl lichid sirovtxt. lichid
spcnnd j secEtii vasinalel

oiicc rlre fluidco icc vizibil conrami'rotc cu sdnge.

mpl.n.rtlrc! Dre., uliild r un ivcrsr re

L Uritiarcdechipomenlului dc pr.recfic!d.cvdl, cdbpldr, corccri

2 Spehrc.niinllor!l arLtorpi4i olcrcsmc clorl
3. Prclcnndi accidenlclo!sia alior lipui dc expunere piofesion ii
4. Penomlintict .uHrV:
5 FraluaNr risculri pc caregorli dc locui de Dunca si .clivirad pEsare & I.mon.tul
ncdi.o sanibrn,

fuDclie dc conta.rulcu sangc

iirlto

lichidc biologi.e.

MON TORULOF C ALAL ROMAN E

Rr$msndiii nrivind uliliare{ echin!meDtelor

-

dc Droicctic

ii (intul rutrcr rdivn

ilor d tr

onililo

mcdicrLe

fortrri, bluc nnpcnncabi lc.

oc

hclar d c

comnlctrli

Don0l

lal.rclf.runci

cdnd sc

,nticjpc!za produ.o.a de *ropi. liiciluri.

jcturi cu pr.dFc hnnogicc Dorcnti.l
contrnrnlte. ir scctli c! ptulil clirursicrl.
sc.vi. i dc tr'8ci1r. l$ontr rre
i'nervcnrii carc nnpli.i cdnrrtol cu r.EnDi
ale lorpului in tu)d n.rnral sic'ilc
.b.rd \2{u rr p.i,r Dun.lic
contr.rul cu rcsnNcitr'l pacr$rulLi dre
i soll(ii d. oonrintrilde (nlis0
- Mnipulxrcr m.r D reLialc porcnrirl

r.zi

conrrnimn ne{eilc.nrrr.

,lez!hnr!;fl dr n11!nr nc.i ro' r,

mrnipularcr d. Dnnrnal. coDrxrnimrc

- ctrriitcf ic.
- colcdxrc

ndcpinrrca

de produse

bxnoqi.c

mate.irh.oikmrnrd.

cu.ili.clidcco nrcirrnun.nrft.

Miru\ilc fu sunr nn strb$itu ncnrtr

diin,lor. prin Lm,oLc niiille rchuic
dlpa ir depanmc. xce$m
rcrlvitili .rrc ni!n'pm conruimrc
nmDir! cu dilc c nuideorlaii.e

sau

silr dc op.riric. in rlnrpul tuxilruli ii

r nJ'.nr

ui

lc\rlnlrl

cortrclul cu Dlc ctr! cr mcni'isira vimli \au

bad.rixra. or TBC ptrhnonara cxre sunr BK
conhcfu I cu |Ecicnli cxre tuscsc
aspnarca secrqnlor rn hco hrcniccpc
- ingrilnca

pligiloi

suptrrdrc

prcgiiiEaNrli'ziitorcLchn odanrcc
Drclalircx lrccinuriLor pcnh rdnri'risnalc
di2oL\'rcr Dulberilor h.n izarc
Miri c tcbuic sa iic de rit ulrru si si lic binc

vo\rTocur orr

rA' Ar

RovAlE

igidr, prdiccrir $i sccurir.ica pcrsornci ti . modillli siu, prcvcnind

ltutrrnircrca gcnnenil purtai pc nl1ni, resDonsabili dc o mdc pane dinrc intecriite
nosocdniale. E$c o sarcini anr.nonr. asnrcntul mcdic0l cac rsponsabit ditoct peniru
Spil0rca h6injlor dsigrd

-tipuri

dc

sDilare, neinilor

Lrlajul rinplu clinin Uord tmnzitoic lomuri din orcrobacdii. lirusuri, lcyui. ciqrcrct Dul
nnr sdr nni purin FrogeDe ti care nu se nultitli.i. l. se .Limirt h roulna[ dupa o spil.rc

mcliduloasi$ coDtactul cu m a$iscpric

Lrvrjul igie c sau .miscpri. elimini in totoliralc fioh rdibie si difrinudr/i flom
roncn .L, sau ETidenii. adici gcnncnii opontrdii .m sd gisesc i. nod natlral nc pictc
Ghnbc.culaudu dc cxqnplu) corc sc mutripli*i anonnat in rbseni. nr$LnLordc jgictri !idrc
ln

scidcu rczistcnlci

organismtrlui.

Frictiunea igidnici cu un Fddtri hidm,lcoolic clinina

Lnvnjul

rhi

rgicrl

lDdicaliilc spnlirii

se pnoticd

fl.rr

haDzi!.ric si dhinu.azi flora

in sililc dc operalii, siliLc dc ndsorc sittte dc pxisxrnente

niinilor

- hi

rarcdsila lcsim din scRiciu:

i.dimc sidupituhtunrc. manuiilorsau

oricnrultip dc cchiphrentdc prorecric:

dupa oricc gest contrnrinantj

duDi a.or!arca nrgrijirildr 1!i0ni.c dc conlon san hotclie' s.

cu oorzid insijinbr nei'rv!,ive (injcctii. recottarc ljc sansc. pu.re! uno
En.lnreDrului sondaiului linar. etc.):
c dcnrcnrmrea !idistribuirca 0timcnrctor si a ncdicamcmctortcr osi
duDi lolosirca loalclci.

ulpao
- imi

ingnj;M Lnul paoie imunodcpresivsru

cuocazi.mLizirii unei proccduri iNrzivcl
dtrp,

punator al

so

e sasticc.

mciinfeodii

uu.Jzi snrJrrr..""1"' r' -ora'. .rpr.!J. , d.-n"

dupi dolt sccvcnle de jngrijnc cu nsc de conrairiraN '.ta acctari pacihr sau n rc doi

SoLuia hldturlclolici- sa! eclul. Int ulilizdc pdnrru a subshui Laujul andscpric i,r oaat
oiinilorcurrtc dir Nnc. dc vcdcrc nrros.opic
ficliurca cu $l!ti0 hldr.alcoolici sau ctr eet sc aptic, pc hiinilc !arc nu prcr'ne umc virhitc
murdiiric sa!pulben. in cuoontuarsc rccurge h spaLorc!ctr ap, si srpun.
'lc
cu o.arr unor prcccduri cu rhc inoLr dc inltcrii (caiereiynut cennat, Nnorix
&enajul plcuml. clc )l

loibari.

MONIIORUL OFICIAL AL ROMANIE

'
-

ncntu inrercntiilc .hirueicalc la blocul opcr.lor sau in seflicnrt de adiotosic

in alrc scnloii de lnve$igaEr

pcntfl anearcx

nNbnlf.

slipnn lichidcu dhnibuitor:

Drcsoapc ic unjcil lolorinli indisdbdori

sanun lichid rtrriscpric sdu soh4ic spudorst .nriscntici du disrributrorl

pbs.dpc Jc unici folosi|li in disiribuilol

solulic sau g.l nr

.
-

dislribdorsd

r_n

anbalajul dc ptozdni!rc

dhiuveri cL n,hi'ric cr sci7.n:

api conhtd ri brc(erio log ic:
solulic spumarli.ntiscprici cLr spcch larg (clorlExidind dc cxcnrplul:
polnLr:i s(nli dc uici loloin!i lmprcgndi cu solulicnniiscttica sprtranri:
nnliie sau Ccl hjdroalcoolic in disdbuito.l

p0bclc cu

scnrri (neartionatcmnual)

R.Nlizarer proccdurii Lrvajul sinplu

sedescopcEmdinilcsis cb lclcl
i sc .. c
"-dip.n.,7;brr '
' ",
rc udimAinilc$.niculxliilemiinilorl
sc arlici o lioza dc sipun:
sc snoli fi.cam ftint pnn ffcri.narer

'
-

i"

- r" .' /h

l.

.$inrisl5inspatiilcinrcrdigihte,injurulunghiitor,hcrtumnatcadceeretor.Lapoticcril,
n$iietclc Dain ilori penh n ecare dir lccslc ngiuni sc cxecuta ciro J nriscirti
sD sprLi din abundcnli rir. si hsrm si clryi srpun pe o zoni deja chrnr:
sc r$rci prin ramponare cu $eNelclc dc liici folorjlF hr. { rcvhi $npn trnei zorc dcja
selnchide robinetul (daci nu csic

. r' tr r.. si(.J.,

Lptrbrli l;

!ulondic).u ulrinu leNclcl

."e ur'Dcl.,. r n in"

i rr

de

mijni0!itizdri

Ntr sc acrgc chiuvera dupA spalarc. m,rilor! manev.a va murd*i din nou
sc spalimainilc inainrc dc a inbricr n1lnusilc dcunic. tuLosinlr.

niitut..

MONIORUL OFICIAL AL ROMAN E

Rexl

iz*or proced u.ii Lav.j u I igi enic sau $opric

sculi bine rdinilc ii tialatiilc:

- slplici o dozi d. sipun antjscpti.l

' $ sprlt ficcaE mdni nDsand:

jnjurul unghiilor, l. cxtdhihrea dcgdckr de ta licc!rc

nini carc sc ficlcd. Dc raDd in po'lu p{lmci oprs. cxccurtrd 5 Di$crril
sc spali pc rinJ, rsp..rtnd ..ftgula 5-(cinci D(.fui cicularcl pdli.cl. si rpoi
,niculaliile nlinilori
se slatDic din ahmdsnlidinspft virtuI d*crclorsprc rrlicutnriilc'nri'riloli

insnti in

snatiiLe inrerdi-sihle.

dcnridpalmclc dncnhrc in ruslenr'! a clna oncc.onhmirarci

!e uluci or snjt. pnn hnpon.rc o 5crvelele dcurici fnlosifli]
su

sejnchidcFbinctul(docinucNrom.LiclctrulrimulscncreLdemiiniurlliTat:
sc.runcli $dvcrclclc in pubch cu pcddr Eri se adreeD tuboLi cu Drana

TinpulJc spilrre: 2,1

pcrierc
'ninute,lir;
Lavriul anliscptic rrcbuic
cfcctuat .orcd iminte dc rcolizarco inrrililii, uritiTtnd rrsx d. aDi c.a
rr cprop..' ru.eh' l! r r.
J ,i' i tcocgca.Jn'(!..c'r'e)
Se cxcor:l snJlrfta $risepricia nrainilo'in!intc dc { inbric. ninqiledcnnicti fotosinri

llediarq

proc.durii Spnlrq igienicn r nAinilor priD lric{iunc

sc pun rphinaiiv 2
de solulie in scobirura miinii
si $ cteci@aza iii.trmea
'n p.lnclc lini la dcgclc !!oiuscarc
rinl de 30 secuDdc licciind
insisdnd in spatiil. jnre.djeitatc

'

sc
de

lreri nccarc policcin irlcriorul mtinn inchtse, inoi cxftm

h licc c mara in nod(l pdlm.i dpusc.

irfti tc dcsclclor itoprc unde

Rcalnjren procodurii Ldv,jul chirurgical

Nuccsn, punarcr uneinretd.calotc tiutilizaredde 5crcfclc slcdlc pcnrru uscarc, nainilor
Sc ph inp allhil na$a ti caloi..
Sd pEparn/prcgatcJrc nond impregnali cu solufn sptrma.fi h&epti.a.

'
.

minlilc, inicu aliile. stebFlclc nlini h coatci

sc rplici o dozl dc sapun anriscntic tisc irc spuma di. abundenF nnn ,nasaiut cicctrrr
J"ld.\rttr'J. lgaeu p, ,l,.ao.r.'hp k I n' L'i
se mcriir nrtinilc doa$rpra.oarclorin rimpul acc*ci oneritii;
sc clircsc din dhunder!i manib, antcul4iile. antcblatclci
sc ud:r

sc psic unghiile

tiide

."rl:'c..dinJL',Je J

'

scun cu Dcria
naioile.

r.hc'ctu

inci odozi dc sapun ontiscptic

antcbr4cLc, anoi sc cliilcscr
sc ia

sldili
'

inprcgnatn cu soturie sDumanli amis+rici

r J eo' dcl

tlsc tuscrzi dnp

&

I ninur

mainjLc, inchcictunh.

se

u$Ei. prir r.mpon.rc scrlclclc s.nlc ficcxr.

..ate s menrnind

mtinilcr

rnenrbnL-

irccpind dc

dcsclc spru

icate

l)"l)ii

? orc cIc ncccsur r.litcc(r isictrci rii'nlor.

L:rajLLl chinryical poalc fi conulchr ctr lrlcrilri chnuBiclle cu soh'hi hidoalcoolicc sru

Dcnndnc dcrcnrnkrc dc trrlLi^rcd pLodusclor riscprrc sipun liohid bhnd (doux).

liclid anhi$hc, soluric rpunrrli anriscprici: in r.$ 0rz. cstc rccohxtuLnl si 1.
rcduci sru si se interuDr udli/Nr podusului rcspcdiv si si, \e r|rlicc..rcnri
hidrd.nra dupa liccarc spiloLc a rniinilor.
lonnr.cr uDci pcliculc ulennse, Liticiorsc priri utilizdco
a soturiilitrr.scluilor
'cpclrri
hid..rlcooLi..: sc rcconrndi spiLa.cr ru rpi di| .hul.ila a iiinilor
Usratoxri n aicrpirliip nicpinrc, grisi'minrml. r reguncntuhir sc r.c.mrnlti
clirn ctr rpi din rhmdcnlll \irpLicarer, dupi u\cxE. a uncicrcnre em.lictricd. triiirri
cxrt si nudete'ioE/c D,inu!ile de cauciuc nrc.dl in crr. ac.nea khui. Du'1 c
saipld

l.: Pt.crurn dr p'!r,n"r r inlrrn'l r'rn\mi\cpi !slcacrirnd

'

Aii.tiuric crr! ilccsilr n!lcl

zoo$$dN.minxl:
/otu 7.o{c' Locrlizit lx

dc oruer1n s11:

zona

F.

cnr i

irnuodcprllivr:

plcicrti hhco$onrl/nti

ilitrr dc prccrtrriilc mnJrrd. prcrnr risn ndir.r agcriior palog$i cc sc

&nrlul pin iinul. rusc v.rbn. respmlic.
A.cic pnrurii ncceriri. efecN. o camcri.u trdsnnc ncgrtiv,,. cu Lsi inctiisi_ pcnhr.
n ntinc o t,rsiurc adc$"n . .lJulLi intc.an.ra dc iz.lrr \ihol
P(\iLrerrcg jvi.rdultriJircxrnende Tolarc. trla'ic
ixr aerutrrcbrie d;ijri i'l
'noriroriari
ertcriofl I cLidini sru tihot imintc dc rcciclarc
trotccrir respnaro c irchuic uriliz r dc ci[! roarc pdAo]ncle carc nrr in raDrch GuDr idcdc
\r|]aratcl.c c tuLo$sc l,lrn dcacr).
P&icrlll va prnr in alara cameRi (riuncicirt r. rtobur s. ti.iscarcii pcnrn cfccuarea uDor
pro.rdd.i) mr\ca chiruryicala a$zara pc$c glri s n
lcc*c

trnnnir

f'c.au1i .
D. cdlcd

s. u t.c! i to c mdd rl.lc fc.csrtu rcspccriii

tan nlsc pccrlc n ipcunciruc,or. in anric$reF.
cancli ncntu usrcrnrercide

irc rt:

prccruliilor dc [ey.Di.c

irl.clijLor

6nuti dc unici lolosin ril

naleriale Dc ru isicna melnilor.
hr la tc,

1.6

nr

pacicrtoup.cidtii (n.xlm 2 pa.icnri) inlr-o csncri cu prcstunc negativi. cu

llta inchisiljrevizuri cu anticlnrcri sau hol:
5e vorcxplica prccaulillcdo izolfo pdcidrLluit a familici a.enuia:
sc vdr nc.tinc inchirc ror timDul atal nt. canereicir tiut!lrlccdmc iFnruancilinc
prcsiuns negltivd a acnlniii pcnrru rnurispardi alcniip.ldgcni di'r aer
sc vor afi$i pe nla camcrci prccauliilc spccifi.c provcnini iEnsnircrti infecliitor lc .atc
reriani pcnrru a fi cnitc dc oricD pcNodni cxrt inrri in comcra dc izoLarc:
sc insrui$lc pacicntulsi si acop.ft nasul ti gun cu $rveletdc hdnicdruncicind rulesrc
sc nlasev-n

\e plascaza uniccipimr Gac) pe unadin lotcmlclc polrl pcmru capacjcmutsi coL.ctcz.

matcrialclc rolosire (lerelele. coDprcsc):
5e thilcazd mobilizarca pdcicntul0iin afara ra'neEi:
d.g, tcbuic rt ptriscrsci cameB pcntfl divene pruccduli, pdcicnrlt v0 pun. o n.s.i
lhiru rgica li iar $efrlo iul de iNsrigatii/rrahme nl va fi anun td I d.sprc nrcaulii lc de i70 Larc
nabilire pentn cr rcnca s:l fic nentnrutc ri ncoto St pcntu cr pacicntut si tic adus nr
c nera dc izolxrc cir mi repede posibil.

Prcc tii dcpr.venire

nfstiilor Irrnsnise prin picnorilc

Flugge

llolilu !a6 ncccsni a{lel de precaulii su :

fncunionia hcmothiLusinflenTrdctiDb:

Scarlatinalacopiiifrici:
Paroridi ri ep idem ici:
lnlcclia N adchovitusun bcopii.

prcc.miile. in accslc cauri, ru nacsirt in

obligarriu clDrcrc dc izotre cu prcsjund
'nod
nesativi !i cu sislcm d. inchiddc auro'nati anjiii
rcspocrma acc{or p'eoautii prcvirc rispindnco ilicc(i]lorcc sc ransnn pri,r picntuiitc hi
Pulgge (slopi dc salivr rhptndiii in acr prjn tLNc. srinut. rorbit): accn pic un,
inoircaic cn gcfteni patogeli. cad !c podca si sc 6ucn, rftnsformind0-s. in Draful
bactcnrn crre cstc lDoi irlDiatl
ratcriolclc ncocsdm aplicini accsior prccautii vdr fi pestmlc pc un cincjor in llaE

prciclrtul\o fi

Falif gila slrupto.o.ici;

Pncononiilc hrcrerienci

p asar

ifu-ocdmcd pmvrzuri

ou toale.i

completutila!.i

vo\

oP

rorrr{ a

FoviNr

prcicoillDoatc i'npi4icanrcm cn Ln all bolna\.clrc arc acccasi.iccrnbci

sc lor crpll.a pa.icntuhn$diliciptuccduril. dc izoldsi
sc lor ati$ prcoutiilc dc izolar pe usa ca.sci pcotfl a intumra, in prcalaul,

Dc

orici[c

Nairih nroirtc ri dupa icsnca dif caNn dc izoldrc.ir si lrc prrcu$u

inr$vontilor d$prx pacicnl0luii
se ra ixa nasca pe fa!d. Drin/ind o ntrmride irefun in dnpul maninulrni:
se ftsiaicfc lacieDtulsi utlll/e/. s.rvelele dehinie.comprcsc Dcnr .{iacopfi gun i
Msul atunci ciird tuicstc, srrinuii ;i si lc colcclczc in rccificrtul dc ld pdri
riznaMii lor li inntoirisi podnc brlar. si diej p. cdr lc ror nrocum din auron.tutcu
cchiDarnenb de proretric $ sa pistczc disranrd dc ccllUrln un melru liti dc prcienr:
dri ldcientul rRb ie si prrisc.sca cnm.ra ncnro invcnigrlii. va puna o msci ficiali
bire firari pe guri )i nrs irr scrvrciul respectiv lr fi inlrii'rlrt dcsprc procauliunilc d.
sc vor sD6b

.
.
.
1,?

lr.cnuiii de prlrdire n infediilor trrnsnile prin coni|rt direct cu sc$chilc siu

Sc

\or tftgili mrlerlalele

necesxre

rplicirii [ecrnliikn de.orhd p.

cin'cnn

if llin

hrldrc. ni$ chidrsi.rl.i

n,inu$l de unici lilosinF:
ars.j pontucamera de i,llxEi
ec1 rru pungi dc

plaiic

explicr pacicnt'lui/liDrillciFo.cduil.dc i,o atu:

sc vordfie pc trs, aucvc pto.adiiponhr inlbnrardi
sc vor spila mii'rilcinrinre
dlpi ie!re! dh c.mDia. si duni nrdcpdnarca nfmsitr:
probclc biologicc iccokatc lor li pl.rde in curii iDpcrnclbic. cri.hcrare oorer sj s. v.r
tinile lmedirt la hborito.
sc vo' ak\r pc pdn* cxrcrn, a.rniilorin(n'ctilnide mancu.rc prudcntdl
vzna(orii vor n ln$ruirl si poarre Darusi i1 hntdc nc rot tlrarsrt vizrci !i ri ti spclc
mainilc drpa indcFtrarc. cchip.ncn tr' lui de Folcclic:
l.r1e obiccrclc carc au rcnn ir .otrrad cu picicntul \or fi tlasatc inr. sinSud purga
iotcmcabild ri sc vor m nlirdlc trc.csdc pcnr indLTinaEa sau penru dczinlickrcd
sc vor

- sr vor uriliza matciale scparilc pedn tlc.arc Fcicnr in panc (lcnnon.rcj rensiomctuc.
. i
s.'. c..i,cr 'c
i h,. r n.'_r'.dc
'u ".J1 ' 'l"n.r
'
- $ limirca?'i mobili^r.api!icnulul
hrfa.rcxncrci:
. in cazul dcplasirii pacieniului la diL re seFic n dc invc$igrlii i i toranc n!. sc vdr dcopcri
lreil dnile

dacb cxisa. iar

scriciilc rcsncdive

r.r fi

informalc

dcsp

ptucaulitle de

MoNToRULoFrc]ALALRoMANIE

!c lor schinba ninnsilc dupi lic.rE prcccduri cticruar; prcienrnluj g

n$i.ilc dupi indepi

l.S

lrrautii

rrea

fic.irui dnd

se

vor spito

dc mintrsi.

dopreveniru, infecliilor Ir p&inti cu trutroponic

Acc{c preclulii suntindi. c pmrtu prorectirpacicntilorcu:

. SindtunrullrunodcficicrbiDohindilci
boll inLcriorse cu eDplie ycziculrlil

rni!'nentcimunosuprcso.rc.

Anlicrrer accslor Drccaulii variaza dc td m spirdt ta

atruL,

tiind influeniat

ETisicnr6 a olgani$nuluj pacicnrulli;

Accstc prcc.trlii paniculaizarc in lundiic de paroloei. pacidtrLLuisunt:

ri

dc lradtrl dc

. rlz ed p(rc'tu|,n ..ng inh- r, ne' d. r/. d! (. pcrLF.pJ rq\J Il.nr i tnr
na iculcbana[ii suspensie s, se dcpure sau si liD sodds. afira din cancr.ij
' limitEailaicului ircnnrmdcizolfci
- tunotur haldrclor dcpmlccric. ntririlorsi rninutitor de citrc ticadnalltde hArijnc si de
. urili/G! dc lcilcnc iriti ii de cchip0mcnr .omplcr de pmtc.rie in clat ingrijnii
pxcieDtnhi cato. n'leriiun trnslla dcoltmi
. \$larcr nriinilor in mrimtrhc ctdpcpdrn decodani.aRi
triarcd lpidctuiologici prin coDroatc rigurorse {cxudar nno&ringir., examcn
ridiogr"ii. pulfomri) a pcsoanclorcarc ingrrjesc tactentut, pcfrru a
li idcn ri fi crli punatorii sinftoiii
elirara pio.cdurile inuziac la plcicntii cu nculbpcDic ntrtucir accsrco prczimi un i$
crcscur p.ntupacicnlll { imunilalc sot^tri;
peBonllul dc cur:ircnic va fi in(ruirsn,t puni hrLare. misri Sinrnusinraific si innc ir
coprupardznologic.

Mlrerialclc necesarc vor li DislmtD

ntnltide

r_n

.nticdncri lre

unica tblosimii

acopunorj pcntu incil!!mi'nei

se

Dlascun nacicnlulsinxurint-o

crh.di

un cSrucior

specilt.

MONITORLLOF CALAL ROUAN]E

s.

r\rlici

nrrl.nruhLirfxmiLi.i prccruliunlLe de izorre pcnrto x i drnnnfa afxLcucn si

$iDnla cootcnr.i cu.clita dc iilriir:

r \o. rfin Nnn.tnD lc0c u\rcrnrc.c:

sr\o'spaLirilhilcctrtrtrxlcrdfriscp(irn(i'ncsidtr0,ir.|turaLcrlninonlfnrecr si
rr rrcu'nLl rudtu il inqritinlor
s.vorpun.h.lxrclcdcprorc!licsirl.nr\iL...nfti.nnrtcxuriL'ni.r{r dxnli
v.rtiirtcrzis.!i7rlc1r. \orrcl{r curorc i..xllii,dbon\csrtrnrticIrc:
drortc rrci.ntr'i m r. o bot'Li conhun*i nur.rirleLe sau obi.d.le crre Fisr\!
unda dc to re Du nrr!\iLll FccxuliunlspeciaLe ni rlaftr.l.riiidNnr

'
l-9

f-i

ltilizrrcx.chipimtntului

dc iTolarc

prcrcnncr rnniniLrrii inl..rnlor dc h p.Aornx

N{,nrlu uine irg,irire lr Drcirnri:

ira..L!i hr(ip.ciunri sxrdc

Lr

n.nh

rcdNdcarn.uhLiiifc.rinini.crlilttr.tri rfrtrre\.i7uri

lclc cch ipalrntrLl izohror n, lnNr. dc \!,r:

rorte coNpo0cDr.lc..hlp.lncnn,lui Llc nrorc.i.lhrxl rf-! cn
|

Dti!f kn'!i $ \n.rl\rtr

tcuorr.nirnn.Drini.ochcl.ridc|li(t.roc.hond.)srs.r.i/rid.D.lirtrrorlt ni
DdcrixLr irr tufcLie de rr)cedun cxre unn.xTii
\ctrgt.n.^m(.1!.r' ! cf.r,cLr. bctrziizolxlorr
d. nixni. Nfl ! cN/irxu Dncrnrlclor tblosirc

\r.in.

tLL.n'

inb$$&
\e +,ila Niinilc.u m rgrnr de ctr.itrrc rrF.fri( pcdn I
mLcroorg.rlmc or i'r e.tunLL inu\i1..

rNrir rnrn..tr.

r:lerlunru pmc.durii dr

prc\cni d.^okrrer

inihm.. h. rtul iri sr irjliisoxn dcrtrtrl imllreiutrlclrprlrr pere uojtamr !bijrurii,.

c rn o N!P.r. .onlplrl:
sc lcrui bi'r ) rcntrilc rtr sc r.!c htuorru s rp.i s. tcxll b.idcL! halrtutur irr jLn
sc

.ai.rcbr

l]cft nrs si !u.i ri rc l.xg:i )lrentritc nrini ir r.! trica

or.ifnrLi. {ir.i!dr dcsrs( sa I ilLftc.:
(lr(ll snr rc$srri ocl,.lxri d! tror.cric.
$'b n]rrgifex dc los a
se .r.azri mr\cr conn)nlbil

inantr!ilc se x,r nurc

r{tiLi'rit

si r.oNrc nrrsnrilc rnindcilorhrtatLt idc|nrcclrc

indrpirh(i.chipinre tuluideprolerrir
schrc$rmrJcIintLLd:iFrrllee\rem..lcrdripafl.nr'lu dc ]rt{..!! \unr rotrkrjimr.i
cuniinr donrn.nLi inrninuvrii \eind.F rxTa nriid0si dc pc mria n.dornrnlnti mti' irl
sc

iftlcprncui

sj miitrtr\r d. p. matir

ioniin.

inroducird nnt.r' dou,

JNgtre

1 ,, i i I ' J
i .
'p.
ni !m lindqrinirii iifusilr nu \c \i ir! nicr.. o prn.r c\reM a x.ci..a:
\crntr'c.ut nLrn,v.rl\NcirlNr[ cchirrn]cDro.ofilDn.arc.

prr

MONITORLJL OF C AL AL ROMANIE

.
-

se dczlcaen masca lnand-o numi dc lireruri

sc dqjorteudj de $cn6e4 h sa l
pcnlru cchipanmrc conhmin el
daca pacientul arc o bo.h.c sc rispind.itc tc crlca.cnLlui. $a$ scv. indepinalhimr:
sc dczlede'i hahtul din j!ru| situluii
sc prindc halalul do pancd cxrcdi dinre une Si sc tr.g. de pe mdncc i idorendu- t pe dos
pc nrsura cc csc scos de pe coaj perm a cvirdconraminorcal
se jnrc h.latul nrorccror ci1
deplrtc dc utritormr. sc impiturcilc pe dos ri rc
dcno/nerl.iin recipicntuL pcniru ccbitamcnlc conrhninatcj
5c stala mliinilc si .mcbratclc cu sipun $i agenl lnliscl)lic inainrc dc a icsi din camera
(da.5 chnNcb sc alliin.mcD pacienrului)i
!c inchide rcbinctul (dac. nu c$c aubmrtic) inlosind un pro$p de irAric cc sc rtunci in

n.i

acfioncazi clonF
pcnlru a o dcschld.. rol$ind un alr pr.sop dc hdnic djnr:
'\sii, pc dimfari. cu ne.a ncprotcjdtl
lsa c.ncd,
daci dhiuvera esic in anccarn$a. sc vor srita miinitc St dnrcbialete cu satnn \i rgenl
mliscpric d.p:l pirisned camerei de izolorci
dupi ficcorc trocc'l(i. cinrcioruld.luctu vr fi oldrar. dczintecrat :i dokr .0 oacnrtcte
ncccsorc unci {lrc procoduri:
.dmcn dc izolatu M fi complet curitaia si dcTinfedrlt ljupi c\rcmdrca p,cientuhi
se

sc va jnohjdc