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INFECTION PREVENTION
AND CONTROL
INTRODUCTION
Infection is one of the leading causes of preventable
death in hospitals every year. The center of Disease
Control and Prevention estimated that there are
approximately 2 million preventable infections in
hospital every year, leading to 90,000 unnecessary
deaths. Regardless of the work area, preventing
the transmission of organism is concern of all
nurses.
Infection
 The invasion of bodily
tissue by pathogenic
microorganisms that
proliferate, resulting in
tissue injury that can
progress to disease.
Infection Prevention
Infection prevention refers to
policies and procedures used to
minimize the risk of spreading
infections, especially in hospital
and human or animal health care
facilities.
Infectious Disease
Infectious diseases are caused by
pathogenic microorganisms, such as
bacteria, viruses, parasites or fungi; the
diseases can be spread, directly or
indirectly, from one person to another.
Zoonotic diseases are infectious
diseases of animals that can cause
disease when transmitted to
humans.(WHO)
INFECTION PREVENTION
1. Standard Precautions
2. Personal Protective Equipment (PPE)
3. Transmission Based Precautions
• Contact Precautions
• Droplet Precautions
• Airborne Precautions
4. Multi Drug Resistant Organisms (MDRO)
5. A safe Environment
• Cleaning and Disinfection
• Blood and Body Fluid Exposure (BBFE)
Standard Precaution is Defined as “A set of
Precautionary measures including good hand
hygiene practices and use of protective barriers
during routine patient care carried out by health care
workers(HCW).”
1. Standard Precaution
5 Moments of Hand Hygiene
2. Personal protective equipment
The Personal Protective equipment
consists of garments placed to
protect the health care workers or
any other persons to get infected.
These usually consist of standard
precautions: gloves, mask, gown.
Cont.
If it is blood or airborne high infections, will
include:
Face protection, goggles and mask or faceshield,
gloves, gown or coverall, head cover, rubber
boots. (WHO)
3. Transmission Based Precautions
 When Standard Precautions are not quite
enough
• Contact Precautions
• Droplet Precautions
• Airborne Precautions
 Used in addition to standard Precaution
• Contact Precautions
 Used when in direct contact with
patient or their environment
e.g. Scabies, MRSA, Diarrhoea
• Droplet Precautions
 Used for diseases which generate
large droplets which travel approx.
1-2 m then fall to the floor.
e.g. Influenza
• Airborne Precautions
Used for diseases which
carried on small droplet
nuclei suspended in the
air.
e.g. Pulmonary TB,
Chickenpox, Measles
4. Multi Drug Resistant Organisms
(MDRO)
 ESBL- Producing Enterobacteriaceae
• E. Coli and Klebsiella pneumoniae most
common
 VRE
• Vancomycin- resistant E. faecium & E.
Faecalis
 MRSA
• Methicillin- resistant staphylococcus
aureus
 MDR-GNB
• MDR Acinetobacter baumanii
Cleaning and Disinfection
5. A safe Environment
Blood and Body Fluid Exposure (BBFE)
• Report all BBFE
• BBFE Packs in clinical areas
• Pink reporting form
• Hepatitis B immunization
INFECTION CONTROL
Infection Control Measures practiced by health care
personnel to prevent spread, transmission &
acquisition of infection between clients, from health
care providers to clients & from clients to healthcare
provider.
STRATEGY TO ACHIEVE INFECTION
CONTROL
 Appropriate diagnosis, treatment and
prevention of nosocomial infections
 Hand Hygiene
 Decontamination
 Following standard precautions
 Environmental Sanitation
 Appropriate Donning & Doffing of the
PPE’s.
 Biomedical Waste Management
STAFF TRAINING
 Health Care Workers are at risk of acquiring infection, they can also
transmit infection to patients and other employee.
 Employee health history must be reviewed, immunizations
recommendations to be considered.
 Release from work if sick, occupation injury must be notified.
 Continuous education to improve practice, better performance of
new techniques.
 Master institutional infection control orientation and in service
education program-for all level staff.
 Wards/departmental in service training program.
 Infection control seminar/workshops and symposia.
04 infection prevention and control

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04 infection prevention and control

  • 2. INTRODUCTION Infection is one of the leading causes of preventable death in hospitals every year. The center of Disease Control and Prevention estimated that there are approximately 2 million preventable infections in hospital every year, leading to 90,000 unnecessary deaths. Regardless of the work area, preventing the transmission of organism is concern of all nurses.
  • 3. Infection  The invasion of bodily tissue by pathogenic microorganisms that proliferate, resulting in tissue injury that can progress to disease.
  • 4. Infection Prevention Infection prevention refers to policies and procedures used to minimize the risk of spreading infections, especially in hospital and human or animal health care facilities.
  • 5. Infectious Disease Infectious diseases are caused by pathogenic microorganisms, such as bacteria, viruses, parasites or fungi; the diseases can be spread, directly or indirectly, from one person to another. Zoonotic diseases are infectious diseases of animals that can cause disease when transmitted to humans.(WHO)
  • 6. INFECTION PREVENTION 1. Standard Precautions 2. Personal Protective Equipment (PPE) 3. Transmission Based Precautions • Contact Precautions • Droplet Precautions • Airborne Precautions 4. Multi Drug Resistant Organisms (MDRO) 5. A safe Environment • Cleaning and Disinfection • Blood and Body Fluid Exposure (BBFE)
  • 7. Standard Precaution is Defined as “A set of Precautionary measures including good hand hygiene practices and use of protective barriers during routine patient care carried out by health care workers(HCW).” 1. Standard Precaution
  • 8.
  • 9. 5 Moments of Hand Hygiene
  • 10. 2. Personal protective equipment The Personal Protective equipment consists of garments placed to protect the health care workers or any other persons to get infected. These usually consist of standard precautions: gloves, mask, gown.
  • 11. Cont. If it is blood or airborne high infections, will include: Face protection, goggles and mask or faceshield, gloves, gown or coverall, head cover, rubber boots. (WHO)
  • 12. 3. Transmission Based Precautions  When Standard Precautions are not quite enough • Contact Precautions • Droplet Precautions • Airborne Precautions  Used in addition to standard Precaution
  • 13. • Contact Precautions  Used when in direct contact with patient or their environment e.g. Scabies, MRSA, Diarrhoea
  • 14. • Droplet Precautions  Used for diseases which generate large droplets which travel approx. 1-2 m then fall to the floor. e.g. Influenza
  • 15. • Airborne Precautions Used for diseases which carried on small droplet nuclei suspended in the air. e.g. Pulmonary TB, Chickenpox, Measles
  • 16. 4. Multi Drug Resistant Organisms (MDRO)  ESBL- Producing Enterobacteriaceae • E. Coli and Klebsiella pneumoniae most common  VRE • Vancomycin- resistant E. faecium & E. Faecalis  MRSA • Methicillin- resistant staphylococcus aureus  MDR-GNB • MDR Acinetobacter baumanii
  • 17. Cleaning and Disinfection 5. A safe Environment
  • 18. Blood and Body Fluid Exposure (BBFE) • Report all BBFE • BBFE Packs in clinical areas • Pink reporting form • Hepatitis B immunization
  • 19. INFECTION CONTROL Infection Control Measures practiced by health care personnel to prevent spread, transmission & acquisition of infection between clients, from health care providers to clients & from clients to healthcare provider.
  • 20. STRATEGY TO ACHIEVE INFECTION CONTROL  Appropriate diagnosis, treatment and prevention of nosocomial infections  Hand Hygiene  Decontamination  Following standard precautions  Environmental Sanitation  Appropriate Donning & Doffing of the PPE’s.  Biomedical Waste Management
  • 21. STAFF TRAINING  Health Care Workers are at risk of acquiring infection, they can also transmit infection to patients and other employee.  Employee health history must be reviewed, immunizations recommendations to be considered.  Release from work if sick, occupation injury must be notified.  Continuous education to improve practice, better performance of new techniques.  Master institutional infection control orientation and in service education program-for all level staff.  Wards/departmental in service training program.  Infection control seminar/workshops and symposia.