This document discusses infection control in the neonatal intensive care unit (NICU). It identifies various types of infections that can affect newborns, including bacterial, viral, fungal and parasitic. It also outlines different modes of transmission such as contact, droplet and airborne. The document provides recommendations for infection control in the NICU, including staff precautions like hand hygiene and PPE, environmental cleaning, equipment cleaning, and visitor restrictions. The overall aim is to provide a clean and safe environment for newborns in the NICU.
Important points in the organization of a NICU. The Aims and Objectives, Main components of NICU eg., physical facilities, personnel, equipment, laboratory facilities, procedure manual, transport of sick child and levels or grades of neonatal care.
Organization, Transportation, Setting and Management of Neonatal Intensive Ca...Lipi Mondal
Neonatal Intensive Care Unit is a specialized are where newborn care is to be given as per need of the babies where each and every aspect is important in neonate's heath care management.
kindly give your suggestion if you like this. Newborn care and safety are the activities and precautions recommended for new parents or caregivers. It is also an educational goal of many hospitals. it helpful for the students also for educative purpose.
Important points in the organization of a NICU. The Aims and Objectives, Main components of NICU eg., physical facilities, personnel, equipment, laboratory facilities, procedure manual, transport of sick child and levels or grades of neonatal care.
Organization, Transportation, Setting and Management of Neonatal Intensive Ca...Lipi Mondal
Neonatal Intensive Care Unit is a specialized are where newborn care is to be given as per need of the babies where each and every aspect is important in neonate's heath care management.
kindly give your suggestion if you like this. Newborn care and safety are the activities and precautions recommended for new parents or caregivers. It is also an educational goal of many hospitals. it helpful for the students also for educative purpose.
Measures practiced by health care personnel to prevent spread, transmission and acquisition of infection between clients, from health care providers to client and from client to health care providers.
-definition
-why is infection control important in health care facilities
-nosocomial infection
-standard precaution
-additional precaution
-role of infection control nurse
- donning of Ppe kit
- doffing of ppe kit
All these are explained in details with images
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
3. Introduction
Newborn babies who need intensive medical attention
are often admitted
into a special area of the hospital called the Neonatal
Intensive Care Unit
(NICU). The NICU combines advanced technology and
trained health
care professionals to provide specialized care for the
tiniest patients.
NICUs may also have intermediate or continuing care
areas for babies
who are not as sick but do need specialized nursing
care
Some newborn babies will require care in a NICU, and
giving birth to a
sick or premature baby can be quite unexpected for any
4. Host risk factors for infection in newborns include
Low birth weigh-
Acuity of underlying illness-
Immature immune system-
Permeable skin-
5. Some studies have shown, type of infection in newborn
1- Bacterial infection
**Gram positive infections
Staphylococcus aureus-
Strepto pyogenes-
**Gram negative infections
E.coli-
Pseudomonas-
Neisseria meningitides-
7. According to provincial infectious diseases advisory
committee (PIDAC)
The types of infection transmission are:
1-contact transmission
*Direct contact: occurs through touching the patient ex,
colonized or
infected microorganism from staff.
*Indirect contact: occurs when microorganism
transferred from patient to
patient via contaminated objects or the contaminated
hands of health care
provider.
8. 2-Droplet transmission
wborns known or suspected of having an infection that can
mitted by large respiratory droplets such as cough or sneez
travels for up to two meters
le of microorganisms transmitted by droplet transmission in
atory tract viruses (e.g. Adenovirus, influenza and Para influ
ses, rhinovirus, RSV), rubella, mumps and Bordetella pertu
9. 3-Airborne transmission
Airborne transmission occurs when airborne particles
remain suspended
in the air, travel on air currents and are then inhaled by
others who are
nearby or who may be some distance away from
newborns or if there have been insufficient air exchange.
The only microorganisms transmitted by the airborne
rout are
Mycobacterium tuberculosis (TB), varicella virus
(chickenpox virus) and
measles virus.
10. Aims
This paper is aimed to:
- Control and prevention nosocomial
infection in neonatal intensive care unit
(NICU).
-Provide and identify hospital and health
care facilities policy information.
11. infection control precaution
*staff precaution:
1-Hand hygiene:
Removal of visible soil and microorganism.
Five moments for hand hygiene:
- before touching the patient.
- before clean/aseptic procedure.
- after body fluid exposure risk.
- after touching the patient.
- after touching the patient surroundings.
15. 2- Personal protective equipment "PPE"
- gloves
- gowns
- facial protection
- caps
- boots
Personal protective equipment (PPE) is worn to prevent
transmission of
microorganisms from patient to patient and from patient
to staff or from
staff to patient.
To protect newborns health unit care staff should take
necessary
vaccinations that effect them (measles ,mumps
,rubella, pertussis
,varicella , hepatitis B and influenza vaccine).
16.
17. *Environmental precautions:
Observe cleaning in unit care environment
is important to newborns
safety ,staff and visitors.
Daily cleaning and disinfection the
environment surface should be in
frequent period.
18. *Equipment precautions:
The medical equipment should be
clean and sterilized.
The cleaning and disinfection of the
equipment on consistent basis
following with cleaning methods and
instructions for equipment.
19. *visitor precautions:
For safe visit to the newborns and spending time or
checking on them
should occur depending on some considerations:
- Limiting number of visitors.
- visitors or family members should not visit if they have
signs and
symptoms of being ill or unwell, such as:
•Fever
•cough or influenza
•runny nose
•vomiting or diarrhea
•rash
•conjunctivitis.
- hand hygiene before and after visiting.
- the visitor should be wearing personal protective
20. *Patient precautions:
- neonatal skin care :
Bathing
- management of central venous catheters
- management of peripheral arterial
catheters
- management of umbilical artery and vein
catheters
- prevention of ventilator associated
pneumonia
21. Recommendations
To provide a clean and safe neonatal intensive care unit
Along with hospital infection control policy reviewed for
newborn babies
this paper recommended that :
*for staff:
Staff have infection illness should be excluded from
work.
Hand hygiene including : hand washing , hand rub.-
Personal protective equipment including : gloves,
gowns, boots, caps,-
masks.
22. .
*for Environment:
- clean neonatal intensive care unit at
least twice per day and additionally as
required.
- clean isolettes / warmers according to
schedule and additionally as required.
- terminally clean neonatal intensive
care unit isolette / warmer and
environment on discharge of the
newborn.
- terminally clean transport equipment
after each newborn transport.
Frequent audits of practice should be
included as part of the
23. *for equipment:
Reusable medical equipment must
be cleanable and be to able to be
disinfected or sterilized.
*for visitor:
Family members and others should
not visit if they are unwell.