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Definition of Terms (2)
Disease: impairment of normal functioning, manifested by
signs and symptoms
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DEFINITIONS
• Infection control – the set of methods used to control and prevent the
spread of disease
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DEFINITIONS
Mode of transmission – the way germs are passed from one person
to another
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Types of Infections
Types of Infections
Infection
• invasion of the body by microorganisms
• invading microorganisms:
• use the host’s resources to multiply
• interfere with normal function
• 3rd leading cause of death in the U. S.
Types of Infections
Local infection
• only a specific portion of the body is infected
• pain
• redness
• heat at the site
• swelling
• pus
• foul smelling drainage
Types of Infections
Systemic infection
• affects the entire body
• fever
• aches
• chills
• nausea
• vomiting
• weakness
Types of Infections
• Opportunistic infections
• Infections that occur when the body’s defenses
are weakened
Disease Causation
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Disease Transmission
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Mode of Transmission
Route Example Disease
Direct contact Kissing, sexual contact, skin-to-skin contact STDs, skin infections, scabies
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Infection Control
Route Example Control Measures
Direct Kissing, sexual contact, skin-to-skin Use of barrier (condom,
contact contact clothing, dressing)
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Infection Control
Protecting staff from infection
• Staphylococcus aureus
• MRSA - Methicillin-resistant Staphylococcus aureus
• Clostridium difficile
• Tuberculosis
• Norovirus or winter vomiting disease
• Influenza
• Hepatitis and HIV
Infection Prevention
Education and Training
Hygiene
Sanitation
Follow public health recommendations – food
preparation, isolation and quarantine
Vaccination
Keep up to date
Medicine
Prophylactic antibiotics – meningitis, pertussis
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Special precautions
Droplet precautions
• Droplet transmission occurs when there is adequate contact between the
mucus membranes of the nose, mouth or conjunctivae of a susceptible
person and large particle droplets.
• These are usually generated from the infected person during coughing,
sneezing, talking or when healthcare workers undertake procedures such as
tracheal suctioning.
• Diseases which are transmitted by this route include pneumonias, pertussis,
diphtheria, influenza type B, mumps and meningitis. The following
precautions should be taken:
implement standard precautions
place patient in a single room or in a room with another patient infected
by
the same pathogen
wear a surgical mask when working within 1-2 metres of the patient
place a surgical mask on the patient if transport is necessary
special air handling and ventilation are not required to prevent droplet
transmission of infection.
Contact precautions
Colonisation or infection with multiple antibiotic resistant organisms,
enteric infections and skin infections can be transmitted by contact
with an infected patient.
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MODES OF TRANSMISSION
Body fluids – tears, saliva, sputum (mucus coughed up), urine, feces,
semen, vaginal secretions, pus or other wound drainage, blood
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PORTALS OF ENTRY
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WHO IS AT RISK??
Anyone whose resistance to disease decreases
Elderly are hospitalized more often, increasing the chance for hospital-
acquired infections
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UNIVERSAL PRECAUTIONS
Universal precautions are infection control guidelines designed to
protect workers from exposure to diseases spread by blood and
certain body fluids.
Always treat blood, body fluids, broken skin and mucous membranes
as if they were infected
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UNIVERSAL PRECAUTIONS
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UNIVERSAL PRECAUTIONS
• Wear gloves if you may come in contact with blood, body fluids,
secretions and excretions, broken or open skin, human tissue of
mucous membranes
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WHAT CAN I DO??
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WHAT CAN I DO??
• Cover your nose and mouth with a tissue every time you cough or
sneeze
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HAND WASHING
• Remove any jewelry or watch
• Wet hands with warm, running water
• Add soap
• Rub hands vigorously for 20 seconds, washing all surfaces (about the
time it takes to sing “Happy Birthday” twice)
• Rinse, keeping fingers pointing down
• Dry with paper or clean cloth towel
• Turn off faucet with towel and open door with towel
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WATERLESS HAND SANITIZER
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HAND HYGIENE VIDEO
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WHEN SHOULD I USE GLOVES ?
• When you may come in contact with blood or any body fluids, open
wounds, or mucous membranes
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WHEN SHOULD I USE GLOVES ?
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WHEN SHOULD I CHANGE GLOVES?
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GENERAL GUIDELINES
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GENERAL GUIDELINES
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PUTTING ON GLOVES
• 1. Remove any sharp jewelry
• 2. Remove glove from box. Gloves come in small, medium and large.
Most are rubber latex and are pre-powdered. Those who are allergic to
latex should use vinyl gloves.
• 3. Hold glove with your thumb and forefinger and insert hand into
gloves
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PUTTING ON GLOVES - VIDEO
• http://www.uams.edu/csc/programs/orientation/gloves/glovesOn.mov
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REMOVING GLOVES WITHOUT
CONTAMINATING YOUR HANDS
• 1. Pinch the palm of one glove and pull away from the palm.
• 2. Push the fingers of the pinching hand up inside the other glove,
stretching the material of the glove towards the cuff of the other glove
until it emerges by the wrist.
• 3. Pull the fold down until the glove is almost off (you will be pulling the
glove inside-out).
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REMOVING GLOVES WITHOUT
CONTAMINATING YOUR HANDS
• 4. DO NOT take the glove completely off.
• 5. Hook the ungloved thumb between the wrist and the skin of the
other gloved hand and pull down, pulling both gloves off. (Both gloves
will now be inside out.)
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REMOVING CONTAMINATED GLOVES -
VIDEO
• Click for video instruction for removing contaminated gloves:
http://www.hse.gov.uk/mvr/myths/video/video9.htm
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Personal Respiratory Protection
• Face/surgical masks do
not protect against inhalation
of microscopic TB particles
Masks and Respirators
Face/surgical mask
Personal Respiratory Protection
• TB “isolation” rooms
• http://www.cdc.gov/niosh/npptl/topics/respirators/factsheets/respfact.html
Thank You