transmission based precaution Isolation precaution

1. DONE BY: AYA FAWZY

2. DONE BY: AYA FAWZY
TRANSMISSION BASED PRECAUTIONS (ISOLATION
PRECAUTIONS):
 Based on the mode of transmission of the disease (Contact, Droplet,
Airborne).
 Aims at Isolation of the pathogen in form of patient isolation to minimize
Morbidity and Mortality.
 Applied in addition to Standard precautions and Not instead of them.
‫انتقال‬ ‫طريقة‬ ‫علي‬ ‫مبنية‬ ‫احتياطات‬‫العدوي‬
‫ا‬ ‫اوإحداث‬ ‫االنتشار‬ ‫على‬ ‫قدره‬ ‫له‬ ‫الذي‬ ‫المرض‬ ‫انتقال‬ ‫طريقه‬ ‫معرفه‬ ‫على‬ ‫المبنيه‬ ‫االحتياطات‬ ‫هي‬‫لوفيات‬
‫كالهما‬ ‫او‬(Morbidity & Mortality)‫بد‬ ‫وليست‬ ‫القياسيه‬ ‫االحتياطات‬ ‫الى‬ ‫باالضافه‬ ‫وتطبق‬‫يال‬
‫عنها‬
‫الهو‬ ‫طريق‬ ‫عن‬ ‫او‬ ‫بالرذاذ‬ ‫او‬ ‫بالتالمس‬ ‫اما‬ ‫انتقاله‬ ‫يكون‬ ‫الذي‬ ‫الميكروب‬ ‫الحتواء‬ ‫عزل‬ ‫اجراءات‬ ‫وهي‬‫اء‬
‫الطرق‬ ‫تلك‬ ‫من‬ ‫بخليط‬ ‫او‬.

3. DONE BY: AYA FAWZY
HOST
VECTOR
AIR BORNE
DROBLET
CONTACT

4. DONE BY: AYA FAWZY

5. DONE BY: AYA FAWZY

6. DONE BY: AYA FAWZY
• Multi-drug resistant microorganisms
(MDRO’s)[VRE,MRSA, ESBL] colonized or infected.
• RSV infection in infants, young children and
immunocompromised patients
• Clostridium defficile enterocolitis
• Diarrhea in children ( HAV, Norovirus)
• Viral conjunctivitis (Adenovirus)
• Scabies
• Disseminated Herpes Simplex
• E.Coli 0175
DISEASE UNDER CONTACT ISOLATION

7. DONE BY: AYA FAWZY
‫ألمراض‬ ‫أمثلة‬‫التالمس‬ ‫طريق‬ ‫عن‬ ‫تنتقل‬

8. DONE BY: AYA FAWZY

9. DONE BY: AYA FAWZY
•‫خاصة‬ ‫حجرة‬‫خاصة‬ ‫مياه‬ ‫دورة‬ ‫و‬ ‫أيدي‬ ‫غسل‬ ‫بحوض‬ ‫مزودة‬‫الغلق‬ ‫ذاتي‬ ‫وباب‬(‫التجميع‬ ‫يجوز‬
‫ثالث‬ ‫الى‬ ‫متر‬ ‫بمسافة‬ ‫الحاالت‬ ‫بين‬ ‫مادي‬ ‫بفاصل‬ ‫الفصل‬ ‫شرط‬ ‫والميكروب‬ ‫المرض‬ ‫لنفس‬‫امتار‬ ‫ة‬.)
•‫للتهوية‬ ‫معينة‬ ‫مواصفات‬ ‫توجد‬ ‫ال‬(‫ضغط‬ ‫فروق‬)‫بشف‬ ‫ومزودة‬ ‫التهوية‬ ‫جيدة‬ ‫نكون‬ ‫أن‬ ‫علي‬‫اطات‬
‫المنشأة‬ ‫لخارج‬ ‫هواء‬ ‫سحب‬
•‫المرضي‬ ‫رعاية‬ ‫أماكن‬ ‫بقية‬ ‫عن‬ ‫نسبيا‬ ‫بعيد‬ ‫مكان‬ ‫في‬
•‫أمامية‬ ‫غرفة‬ ‫بها‬ ‫ملحق‬ ‫يكون‬ ‫أن‬ ‫يفضل‬(Ante-room.)
•‫فاصل‬ ‫وضع‬ ‫مع‬ ‫العنبر‬ ‫آخر‬ ‫في‬ ‫المريض‬ ‫وضع‬ ‫يمكن‬ ‫فردية‬ ‫حجرة‬ ‫توفير‬ ‫تعذر‬ ‫حالة‬ ‫في‬‫مادي‬
(‫حاجز‬ ‫أو‬ ‫ستارة‬)‫مترين‬ ‫عن‬ ‫تقل‬ ‫ال‬ ‫بمسافة‬ ‫المرضي‬ ‫بقية‬ ‫عن‬ ‫يفصله‬.
•‫ح‬ ‫وفى‬ ‫اسبوع‬ ‫وكل‬ ‫المرضى‬ ‫بين‬ ‫تغييره‬ ‫يتم‬ ‫والتطهير‬ ‫للنظافة‬ ‫قابل‬ ‫يكون‬ ‫والفاصل‬‫تلوثه‬ ‫الة‬
‫ظاهر‬ ‫تلوث‬
•‫يحتو‬ ‫دهان‬ ‫او‬ ‫للغبار‬ ‫طاردة‬ ‫او‬ ‫والتطهير‬ ‫للنظافة‬ ‫قابله‬ ‫مادة‬ ‫ومن‬ ‫ملساء‬ ‫واالرضيه‬ ‫الحوائط‬‫ى‬
‫بالغرفة‬ ‫اثاث‬ ‫وجود‬ ‫يفضل‬ ‫ال‬ ‫النحاس‬ ‫ايونات‬ ‫على‬
•‫بالمريض‬ ‫خاص‬ ‫ضغط‬ ‫وجهاز‬ ‫ترمومتر‬ ‫وجود‬ ‫يجب‬
‫العزل‬ ‫شروط‬:

10. DONE BY: AYA FAWZY
• A special room with a hand wash Station, a private toilet and a self-closing
door (the same disease and microorganism may be cohort together with a
physical separation between the cases (one to three meters).
• There are no specific ventilation requirement (pressure differentials, but
should be well ventilated and air suction to outside the facility
• In a place relatively far from the rest of the patients' care
• Preferably to be provided with a front room (Ante-room).
• If an individual room can not be provided, the patient may be placed at the end
of the unit with a physical separation (curtain or barrier) separated from the
rest of the patients with a distance of not less than two meters.
• The separation is made from cleanable and disinfectable material& is changed
between patients and every week and in the case of visibly contaminated.
• The walls and floors are smooth, easily cleanable, dust repellent or paint
containing copper ions.
• There must be a thermometer and a patient‘s blood pressure monitor.
Isolation requirements

11. DONE BY: AYA FAWZY

12. DONE BY: AYA FAWZY

13. DONE BY: AYA FAWZY

14. DONE BY: AYA FAWZY

15. DONE BY: AYA FAWZY

16. DONE BY: AYA FAWZY

17. DONE BY: AYA FAWZY
DISEASE UNDER DROPLET ISOLATION
• Meningococcal meningitis
• MRSA induced Pneumonia
• Pertussis
• Whooping cough
• German measles
• Influenza type A or B
• pneumonia, epiglottis and sepsis
• Streptococcal (group A) pharyngitis
• Scarlet fever in infants and young children
• Influenza, Mumps
• MERS-CoV

18. DONE BY: AYA FAWZY
‫ألمراض‬ ‫أمثلة‬‫طريق‬ ‫عن‬ ‫تنتقل‬‫الرذاذ‬

19. DONE BY: AYA FAWZY

20. DONE BY: AYA FAWZY
•‫خاصة‬ ‫حجرة‬‫خاصة‬ ‫مياه‬ ‫دورة‬ ‫و‬ ‫أيدي‬ ‫غسل‬ ‫بحوض‬ ‫مزودة‬‫الغلق‬ ‫ذاتي‬ ‫وباب‬(‫التجميع‬ ‫يجوز‬
‫ثالث‬ ‫الى‬ ‫متر‬ ‫بمسافة‬ ‫الحاالت‬ ‫بين‬ ‫مادي‬ ‫بفاصل‬ ‫الفصل‬ ‫شرط‬ ‫والميكروب‬ ‫المرض‬ ‫لنفس‬‫امتار‬ ‫ة‬.)
•‫للتهوية‬ ‫معينة‬ ‫مواصفات‬ ‫توجد‬ ‫ال‬(‫ضغط‬ ‫فروق‬)‫أن‬ ‫علي‬‫تكون‬‫بش‬ ‫ومزودة‬ ‫التهوية‬ ‫جيدة‬‫فاطات‬
‫المنشأة‬ ‫لخارج‬ ‫هواء‬ ‫سحب‬
•‫المرضي‬ ‫رعاية‬ ‫أماكن‬ ‫بقية‬ ‫عن‬ ‫نسبيا‬ ‫بعيد‬ ‫مكان‬ ‫في‬
•‫أمامية‬ ‫غرفة‬ ‫بها‬ ‫ملحق‬ ‫يكون‬ ‫أن‬ ‫يفضل‬(Ante-room.)
•‫فاصل‬ ‫وضع‬ ‫مع‬ ‫العنبر‬ ‫آخر‬ ‫في‬ ‫المريض‬ ‫وضع‬ ‫يمكن‬ ‫فردية‬ ‫حجرة‬ ‫توفير‬ ‫تعذر‬ ‫حالة‬ ‫في‬‫مادي‬
(‫حاجز‬ ‫أو‬ ‫ستارة‬)‫مترين‬ ‫عن‬ ‫تقل‬ ‫ال‬ ‫بمسافة‬ ‫المرضي‬ ‫بقية‬ ‫عن‬ ‫يفصله‬.
•‫ح‬ ‫وفى‬ ‫اسبوع‬ ‫وكل‬ ‫المرضى‬ ‫بين‬ ‫تغييره‬ ‫يتم‬ ‫والتطهير‬ ‫للنظافة‬ ‫قابل‬ ‫يكون‬ ‫والفاصل‬‫تلوثه‬ ‫الة‬
‫ظاهر‬ ‫تلوث‬
•‫يحتو‬ ‫دهان‬ ‫او‬ ‫للغبار‬ ‫طاردة‬ ‫او‬ ‫والتطهير‬ ‫للنظافة‬ ‫قابله‬ ‫مادة‬ ‫ومن‬ ‫ملساء‬ ‫واالرضيه‬ ‫الحوائط‬‫ى‬
‫بالغرفة‬ ‫اثاث‬ ‫وجود‬ ‫يفضل‬ ‫ال‬ ‫النحاس‬ ‫ايونات‬ ‫على‬
•‫بالمريض‬ ‫خاص‬ ‫ضغط‬ ‫وجهاز‬ ‫ترمومتر‬ ‫وجود‬ ‫يجب‬
‫العزل‬ ‫شروط‬:

21. DONE BY: AYA FAWZY
• A special room with a hand wash basin, a private toilet and a self-closing door
(the same disease and microorganism may be cohort together with a physical
separation between the cases (one to three meters).
• There are no specific ventilation requirement (pressure differentials, but
should be well ventilated and air suction to outside the facility
• In a place relatively far from the rest of the patients' care
• Preferably to be provided with a front room (Ante-room).
• If an individual room can not be provided, the patient may be placed at the end
of the ward with a physical separation (curtain or barrier) separated from the
rest of the patients with a distance not less than two meters.
• The separation is made from cleanable and disinfectable material& is changed
between patients and every week and in the case of visibly contaminated.
• The walls and floors are smooth, easily cleanable, dust repellent or paint
containing copper ions.
• There must be a thermometer and a patient‘s blood pressure monitor.
Isolation requirements

22. DONE BY: AYA FAWZY

23. DONE BY: AYA FAWZY

24. DONE BY: AYA FAWZY

25. DONE BY: AYA FAWZY

26. DONE BY: AYA FAWZY

27. DONE BY: AYA FAWZY

28. DONE BY: AYA FAWZY
DISEASE UNDER AIRBORNE ISOLATION
• TB
• Measles
• Varicella
‫ألمراض‬ ‫أمثلة‬‫طريق‬ ‫عن‬ ‫تنتقل‬‫الهواء‬
•‫الدرن‬
•‫الحصبة‬
•‫المائي‬ ‫الجديري‬

29. DONE BY: AYA FAWZY

30. DONE BY: AYA FAWZY

31. DONE BY: AYA FAWZY
•‫خاصة‬ ‫حجرة‬‫خاصة‬ ‫مياه‬ ‫دورة‬ ‫و‬ ‫أيدي‬ ‫غسل‬ ‫بحوض‬ ‫مزودة‬‫الغلق‬ ‫ذاتي‬ ‫وباب‬.
•‫عن‬ ‫يقل‬ ‫ال‬ ‫الهواء‬ ‫تغيير‬ ‫مرات‬ ‫عدد‬ ‫و‬ ‫الضغط‬ ‫سالبة‬12‫مرة‬/‫سحب‬ ‫بشفاطات‬ ‫مزودة‬ ‫ساعة‬
‫الكفاءة‬ ‫عالية‬ ‫بفالتر‬ ‫تزويدها‬ ‫يلزم‬ ‫وقد‬ ‫المنشأة‬ ‫لخارج‬ ‫الهواء‬.
•‫في‬‫المرضي‬ ‫رعاية‬ ‫أماكن‬ ‫بقية‬ ‫عن‬ ‫نسبيا‬ ‫بعيد‬ ‫مكان‬
•‫يجب‬‫أمامية‬ ‫غرفة‬ ‫بها‬ ‫ملحق‬ ‫يكون‬ ‫أن‬(Ante-room)‫غسل‬ ‫بحوض‬ ‫مزودة‬‫دوالب‬ ‫و‬
‫مستلزمات‬.
•‫توفير‬ ‫تعذر‬ ‫حالة‬ ‫في‬‫اإلشتراطات‬ ‫هذه‬‫المريض‬ ‫وضع‬ ‫يمكن‬‫ت‬ ‫نافذة‬ ‫لها‬ ‫فردية‬ ‫حجرة‬ ‫في‬‫علب‬ ‫طل‬
‫يكو‬ ‫أن‬ ‫علي‬ ‫مفتوحة‬ ‫والنافذة‬ ‫مغلق‬ ‫بالباب‬ ‫اإلحتفاظ‬ ‫مع‬ ‫المرضي‬ ‫عنابر‬ ‫عن‬ ‫بعيد‬ ‫منطقة‬‫اتجاه‬
‫الغ‬ ‫من‬ ‫الهواء‬ ‫سحب‬ ‫علي‬ ‫يعمل‬ ‫هواء‬ ‫بشفاط‬ ‫اإلستعانة‬ ‫يمكن‬ ‫و‬ ‫النافذة‬ ‫إلي‬ ‫الباب‬ ‫من‬ ‫الهواء‬‫رفة‬
‫ا‬ ‫بجوار‬ ‫المريض‬ ‫سرير‬ ‫وضع‬ ‫ويفضل‬ ‫وحركتهم‬ ‫المرضي‬ ‫عنابر‬ ‫عن‬ ‫البعيدة‬ ‫المنطقة‬ ‫إلي‬‫لنافذة‬.
•‫الحوائط‬‫يحتو‬ ‫دهان‬ ‫او‬ ‫للغبار‬ ‫طاردة‬ ‫او‬ ‫والتطهير‬ ‫للنظافة‬ ‫قابله‬ ‫مادة‬ ‫ومن‬ ‫ملساء‬ ‫واالرضيه‬‫ى‬
‫بالغرفة‬ ‫اثاث‬ ‫وجود‬ ‫يفضل‬ ‫ال‬ ‫النحاس‬ ‫ايونات‬ ‫على‬
•‫بالمريض‬ ‫خاص‬ ‫ضغط‬ ‫وجهاز‬ ‫ترمومتر‬ ‫وجود‬ ‫يجب‬‫العزل‬ ‫بغرفة‬ ‫خاصة‬ ‫نظافة‬ ‫وأدوات‬.
‫العزل‬ ‫شروط‬:

32. DONE BY: AYA FAWZY
• A private room with a hand wash basin, a private toilet and a self-closing door.
• Negative Pressure and air change per hour at least 6-12 times / hour with air suction
outside the facility and may require high-efficiency air filters (HEPA filter).
• In a place relatively far from the rest of the patients' care
• must be provided with an Ante-room with a hand wash basin and requirement
station.
• In can not be provided, the patient should be placed in a single room with a window
overlooking the outside area away from the patients' rooms, while keeping the door
closed and the window is open. The air direction from the door to the window [air
suction could be used to secure the air direction away from the patients’ wards]
,preferable to place the patient's bed next to the window.
• The walls and floors are smooth, easily cleanable, dust repellent or paint containing
copper ions.
• There should be a thermometer, a patient's blood pressure monitor and cleaning
tools for the isolation room.
Isolation requirements

33. DONE BY: AYA FAWZY

34. DONE BY: AYA FAWZY

35. DONE BY:AYA FAWZY
 Airborne protection
 It must be perfectly sealed fitted mask and
tested through the fit test.
HIGH EFFICIENCY MASK:
‫الكفاء‬ ‫عالية‬ ‫الماسكات‬‫ة‬:
‫الهواء‬ ‫طريق‬ ‫عن‬ ‫تنتقل‬ ‫التي‬ ‫االمراض‬ ‫من‬ ‫للحماية‬
‫واحكام‬ ‫مالءمة‬ ‫اختبار‬ ‫اجراء‬ ‫ويجب‬(fit test)‫لالقنعة‬
‫خدمة‬ ‫مقدم‬ ‫لكل‬ ‫المناسب‬ ‫والمقاس‬ ‫النوع‬ ‫الختيار‬,‫ي‬ ‫ان‬ ‫علي‬‫تم‬
‫االس‬ ‫قبل‬ ‫المستخدم‬ ‫قبل‬ ‫من‬ ‫للمالءمة‬ ‫تأكيد‬ ‫اختبار‬ ‫اجراء‬‫تخدام‬
‫مباشرة‬.

36. DONE BY:AYA FAWZY

37. DONE BY:AYA FAWZY

38. DONE BY: AYA FAWZY

39. DONE BY: AYA FAWZY

40. DONE BY: AYA FAWZY

41. DONE BY: AYA FAWZY

42. DONE BY: AYA FAWZY

43. DONE BY: AYA FAWZY

44. DONE BY: AYA FAWZY

45. DONE BY: AYA FAWZY

46. DONE BY: AYA FAWZY

47. DONE BY: AYA FAWZY

48. DONE BY: AYA FAWZY

49. DONE BY: AYA FAWZYDONE BY: AYA FAWZY

50. DONE BY: AYA FAWZY
•‫الغلق‬ ‫ذاتي‬ ‫محكم‬ ‫وباب‬ ‫داخلية‬ ‫مياه‬ ‫بدورة‬ ‫مزودة‬ ‫فردية‬ ‫غرفة‬(‫والكهربا‬ ‫الماء‬ ‫ومداخل‬ ‫والشباك‬ ‫الباب‬‫ء‬
‫للهواء‬ ‫منفذه‬ ‫غير‬–Perfectly sealed.)
•‫أمامية‬ ‫غرفة‬ ‫بها‬ ‫ملحق‬
•‫ب‬ ‫األمامية‬ ‫للغرفة‬ ‫بالنسبة‬ ‫الضغط‬ ‫موجبة‬8‫باسكال‬.
•‫من‬ ‫أكثر‬ ‫الهواء‬ ‫تغيير‬ ‫معدل‬12‫مرة‬/‫كل‬ ‫مرة‬ ‫الغرفة‬ ‫لهواء‬ ‫كامل‬ ‫تغيير‬ ‫بمعدل‬ ‫ساعة‬5‫دقايق‬.
•‫الكفاءة‬ ‫عالي‬ ‫هواء‬ ‫بفلتر‬ ‫العزل‬ ‫غرفة‬ ‫مداخل‬ ‫تزويد‬ ‫يتم‬ ‫للمنشأة‬ ‫المركزية‬ ‫التهوية‬ ‫حالة‬ ‫في‬(HEPA
Filter.)
•‫متنقلة‬ ‫وحدات‬ ‫استخدام‬ ‫يتم‬ ‫مركزية‬ ‫غير‬ ‫التهوية‬ ‫حالة‬ ‫في‬(Portable HEPA filter)‫غرف‬ ‫داخل‬
‫الوقائي‬ ‫العزل‬.
•‫زجاجى‬ ‫حاجز‬ ‫خالل‬ ‫ومن‬ ‫الزائر‬ ‫فحص‬ ‫بعد‬ ‫الزيارة‬.
•‫الكفاءة‬ ‫عالى‬ ‫ماسك‬ ‫ارتداء‬ ‫بعد‬ ‫المريض‬ ‫خروج‬N95,FFP2
•‫التنظيف‬‫والغبار‬ ‫التراب‬ ‫اثارة‬ ‫والفلترلتجنب‬ ‫الرطب‬ ‫بالشفط‬ ‫والتطهير‬
•‫الحوائط‬‫ا‬ ‫على‬ ‫يحتوى‬ ‫دهان‬ ‫او‬ ‫للغبار‬ ‫طاردة‬ ‫او‬ ‫والتطهير‬ ‫للنظافة‬ ‫قابله‬ ‫مادة‬ ‫ومن‬ ‫ملساء‬ ‫واالرضيه‬‫يونات‬
‫بالغرفة‬ ‫اثاث‬ ‫وجود‬ ‫يفضل‬ ‫ال‬ ‫النحاس‬
‫العزل‬ ‫شروط‬:

51. DONE BY: AYA FAWZY
• Single room with a private toilet and self-closing door (door, grilles, water and electricity
outlets - Perfectly sealed).
• Provided with an Ante-room
• Positive pressure for the Ante-room with 8 Pascal.
• The air change rate is more than 12 times / hour with a full change of room air once every 5
minutes.
• In the case of central ventilation of the facility, the entrances to the isolation room should be
provided with a high-efficiency filter (HEPA Filter).
• In the case of no centralized ventilation, portable units (HEPA filter) should be used in
protective isolation rooms.
• visiting after the visitor screen and through a glass barrier.
• In case of patient transportation, patient should wear a high efficiency N95, FFP2
• Cleaning and disinfecting with wet suction and filter to avoid dust
• The walls and floors are smooth, easily cleanable, dust repellent or paint containing copper
ions.
Isolation requirements

52. DONE BY: AYA FAWZY

53. DONE BY: AYA FAWZY

54. DONE BY: AYA FAWZY

55. DONE BY: AYA FAWZY