Manual of Infection Control Procedures, Volume 4Cambridge University Press, 2003 - 333 pagine The prevention of infection in the health care setting remains a key goal for all health care personnel. All healthcare establishments also have a need to continually improve the quality of care they provide and ensure a safe working environment. Health care associated infections lengthen patients' hospital stays and increase both morbidity and mortality. In addition, diagnosing and treating these infections is a costly process and places intense pressure on limited health care resources. The new, updated and significantly expanded edition of the Manual of Infection Control Procedures provides a comprehensive overview of the main aspects of infection control, and gives practical, evidence-based recommendations and easy-to-follow advice on strategies to prevent infection in all care facilities. |
Sommario
Principles of Infection Control | 1 |
Bodys defense mechanisms | 6 |
Strategies to control health care associated infection | 7 |
Administrative Arrangements | 9 |
Infection Control Nurse | 10 |
Infection Control Team | 11 |
Infection control link nurse | 12 |
Policies and procedures manual | 13 |
RABIES | 179 |
INFESTATIONS WITH ECTOPARASITES | 180 |
Bloodborne Hepatitis and Human Immunodeficiency Virus HIV Infections | 185 |
HIV infection | 188 |
Routes of transmission | 190 |
Occupational risks to HCWs | 192 |
Responsibility of HCWs | 193 |
Exposureprone procedures | 194 |
Risk management in infection control | 14 |
Design and Maintenance of Health Care Facilities | 17 |
Infection control risk assessment | 18 |
Patients accommodations | 19 |
Hand washing facilities | 20 |
Operating theatres | 22 |
Ventilation and airconditioning | 23 |
Construction renovation and demolition | 24 |
Surveillance and Outbreak Control | 27 |
Surveillance of nosocomial infection | 28 |
Methods of surveillance | 29 |
Management of an outbreak | 30 |
Look back investigations | 35 |
Epidemiology and Biostatistics | 39 |
Casecontrol studies | 40 |
Crosssectional prevalence surveys | 41 |
Measures of disease frequency | 42 |
Measures of association | 43 |
Bias and confounders | 44 |
Confounders | 45 |
BIOSTATISTICS | 46 |
Measures of dispersion | 48 |
Hypothesis testing | 49 |
The P value | 50 |
Sensitivity and specificity | 51 |
Disinfection and Sterilization | 55 |
Risks of infection from equipment | 57 |
Chemical disinfectants | 58 |
Chemical disinfectants and antiseptics | 59 |
Disinfection of flexible fibreoptic endoscopes | 69 |
Environmental cleaning | 73 |
Management of infectious spills | 78 |
Isolation Precautions | 95 |
Source isolation | 96 |
Protective isolation | 98 |
APPENDIX I | 114 |
Prevention of Infections Caused by Multiresistant Organisms | 119 |
METHICILLINRESISTANT Staph aureus MRSA | 121 |
VANCOMYCINRESISTANT ENTEROCOCCI VRE | 130 |
MULTIRESISTANT GRAMNEGATIVE BACILLI | 134 |
Prevention of Infection Caused by Specific Pathogens | 137 |
Clostridium difficile INFECTION | 147 |
LEGIONNAIRES DISEASE | 151 |
GASTROINTESTINAL INFECTIONS AND FOOD POISONING | 155 |
MENINGOCOCCAL INFECTIONS | 160 |
VARICELLA ZOSTER VIRUS VZV | 165 |
CREUTZFELDTJAKOB DISEASE CJD | 169 |
VIRAL HAEMORRHAGIC FEVERS VHFs | 175 |
Protection of the newborn | 198 |
Procedure after death | 199 |
Protection for Health Care Workers | 203 |
Measures to protect HCWs | 204 |
Management of sharps injury | 205 |
Protection against tuberculosis | 213 |
Pregnant HCWs | 215 |
Hand Hygiene and Personal Protective Equipment | 227 |
PERSONAL PROTECTIVE EQUIPMENT | 235 |
Prevention of Surgical Site Infections | 245 |
Microbiology | 248 |
Operative factors | 252 |
Postoperative factors | 256 |
Environmental cleaning of operating theatre | 257 |
Prevention of Infection Associated with Intravenous Therapy | 261 |
Pathogenesis of infection | 262 |
Education and training | 263 |
Intravascular catheters and parenteral solutions | 264 |
Selection of insertion site | 265 |
Catheter site dressing regimens | 268 |
Antimicrobial prophylaxis | 269 |
Guidewire exchange | 270 |
Prevention of Infections Associated with Urinary Catheterization | 273 |
Maintenance of catheter | 274 |
Removal of catheter | 278 |
Policy and staff training | 279 |
Prevention of Nosocomial Pneumonia | 283 |
Strategy for prevention | 285 |
Hospital Support Services | 291 |
Staff healthhygiene | 292 |
Texture modified products | 293 |
Refrigerators | 294 |
Ward kitchens | 295 |
LINEN AND LAUNDRY SERVICE | 298 |
Laundry process | 299 |
Microbiological sampling | 300 |
Mattresses and pillows | 301 |
MANAGEMENT OF CLINICAL WASTE | 303 |
Methods for safe handling of clinical waste | 304 |
Methods for safe use handling and disposal of sharps | 305 |
Management and disposal of clinical waste | 308 |
PEST CONTROL | 312 |
315 | |
317 | |
COMPUTER SOFTWARE | 321 |
323 | |
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