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isolation

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isolation

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isolation

  1. 1. The separation of a person with infectious disease from contact with other human beings for the period of communicability
  2. 2. Of all the links in the chain of infection, the mode of transmission is the easiest to break
  3. 3. Airborne Precautions Droplet Precautions Contact Precautions
  4. 4. Causative agents of diseases under airborne precaution are less than 5 μm, thus can be carried away by air currents
  5. 5. • Measles • Tuberculosis (Pulmonary/Laryngeal) • Varicella
  6. 6. • Single room with negative air pressure • 6-12 air exchanges per hour • Room door closed
  7. 7. Testing Negative Pressure •Automatic pressure monitors The smoke tube
  8. 8. Applay Standard Precautions N95 respirator will be used as PPE
  9. 9.  Limit patient movement  the patient should wear a surgical mask outside the isolation room
  10. 10. SEAL CHECK • Every time you wear the 95 mask ,you should make Sure that it is well sealed over Your face featueres
  11. 11. Sealed testing Respiratory Protection • N95 respirator Airborne Precautions
  12. 12. TUBERCULOSIS • Laryngeal/Pulmonary TB with positive smear sputum sample for acid fast bacilli is transmitted by airborne. • After 2 weeks from starting effective treatment, 3 sputum samples (with 8 hours in between & at least one morning sample) should be negative to discontinue the isolation.
  13. 13. MERS CoV • Suspected or confirmed cases of MERS-COV will be under AIRBORNE and CONTACT PRECAUTION. • For positive cases we can discontinue isolation 48hrs after S/S disappearance with at least one negative lab result.
  14. 14. Causative agents of diseases under droplet precaution are greater than 5 μm. They can travel up to 3 feet (1 meter) before falling to the ground
  15. 15. • Haemophilus influenzae type B disease, including meningitis, pneumonia, epiglottis and sepsis • Streptococcal (group A) pharyngitis, scarlet fever in infants and young children • Influenza, Mumps
  16. 16. Patient placement •Private room •Cohort nursing •Maintain special separation of at least 3 feet (1 meter) in between
  17. 17. Protection for HCW • Standard precautions • Surgical mask if working within 3 feet of the patient Patient Transport • Limit movement • Mask the patient with surgical mask
  18. 18. Use In addition to standard precaution, for patients known or suspected to have serious illness transmitted through contact
  19. 19. Direct Contact Transmission In-Direct Contact Transmission
  20. 20. • Multi-drug resistant microorganisms (MDRO’s), VRE, MRSA, ESBL, B.cepacia • RSV infection in infants, young childrena nd immunocompromised patients • Clostridium defficile enterocolitis
  21. 21. Patient placement • Private room • Cohort nursing
  22. 22. Protection for HCW • Handwashing • Gloves • Gown Patient Transport • Limit movement
  23. 23. MDRO • All Colonization/Infection patients with MDRO should be under Contact Isolation. • Isolation can be discontinued after receiving 3 negative lab result 48hrs after antimicrobial discontinuation.
  24. 24. • The risk of infection transmission may be highest before a definitive diagnosis can be reached • Therefore, patients with certain clinical syndromes should be isolated empirically until we have a definitive diagnosis.
  25. 25. Example Patient with chronic cough more than 2 weeks, fever, weight loss, and night sweat. The patient should be under empiric airborne Isolation until sputum sample AFB lab result is received If positive continu isolation. If 3 negative , D/C isolation
  26. 26. PROTECTIVE ISOLATION • It is implemented for immunocompromised patient. • Patient is placed in positive pressure room. With HEPA-FILTER for air supply. • Sick people are not allowed to visit the patient. • Pets and plants are also not allowed.
  27. 27. •CARD

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