This document discusses modes of cross-contamination of infectious diseases in operating rooms. It outlines that anesthesia providers can transmit bacteria through air, direct contact, and indirect contact. Direct contact involves physical contact between individuals, while indirect contact involves transmission through contaminated intermediate objects. Improving hand hygiene and using protective equipment like gloves can significantly reduce contamination and healthcare-associated infections. Accidental needlesticks also pose a risk of transmitting bloodborne pathogens. The document recommends various measures to prevent infection transmission in operating rooms, like proper cleaning of equipment between uses and adherence to hand washing and personal protective equipment guidelines.
NOSOCOMIAL INFECTION OR HOSPITAL ACQUIRED INFECTION
OR HEALTHCARE ASSOCIATED INTECTION CAN BE DEFINED AS THE INFECTION ACQUIRED IN THE HOSPITAL BY A PATIENT:
WHO WAS ADMITTED FOR A REASON OTHER THAT INFECTION
FACTORS AFFECTING HAIS
SOURCES OF INFECTION
MICRORGANISMS RESPONSIBLE FOR INFECTION
TYPES OF HAIS
MODE OF TRANSMISSION
PREVENTION OF HAIS
Lecture By:
Dr. Ahmed Qureshi, MS, FACS, MBA, PCIC
Head, Infection Prevention & Control Department,
Arar Central Hospital, Arar, KSA
Regional Coordinator , IP & C, North Zone , KSA
this presentation is help to the student for the getting information regarding the sorces, types, & mode of infection spread in the hospital sector, it help firstd year student student gain the information regarding through this ppt
NOSOCOMIAL INFECTION OR HOSPITAL ACQUIRED INFECTION
OR HEALTHCARE ASSOCIATED INTECTION CAN BE DEFINED AS THE INFECTION ACQUIRED IN THE HOSPITAL BY A PATIENT:
WHO WAS ADMITTED FOR A REASON OTHER THAT INFECTION
FACTORS AFFECTING HAIS
SOURCES OF INFECTION
MICRORGANISMS RESPONSIBLE FOR INFECTION
TYPES OF HAIS
MODE OF TRANSMISSION
PREVENTION OF HAIS
Lecture By:
Dr. Ahmed Qureshi, MS, FACS, MBA, PCIC
Head, Infection Prevention & Control Department,
Arar Central Hospital, Arar, KSA
Regional Coordinator , IP & C, North Zone , KSA
this presentation is help to the student for the getting information regarding the sorces, types, & mode of infection spread in the hospital sector, it help firstd year student student gain the information regarding through this ppt
Infection control in dentistry / /certified fixed orthodontic courses by Indi...Indian dental academy
Welcome to Indian Dental Academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy has a unique training program & curriculum that provides students with exceptional clinical skills and enabling them to return to their office with high level confidence and start treating patients
State of the art comprehensive training-Faculty of world wide repute &Very affordable.
any infection developing in a patient after
two days of hospitalization can be labelled as healthcare-associated infection (HAI)or hospital Aquired infection . Among them, there are four
major types which are commonly encountered and
therefore need to be discussed in detail. These are also the
HAIs for which surveillance is recommended.
1. Catheter-associated urinary tract infection (CAUTI)
2. Catheter-related bloodstream infection (CRBSI)
3. Ventilator-associated pneumonia (VAP)
4. Surgical site infection (SSI).
Out of these, the first three (CAUTI, CRBSI, VAP) are
together called as device associated infections (DAIs).
Infection occurring in a patient in a hospital or other health care facility in whom the infection was not present or incubating at the time of admission.
Hospital Aquired Infection also called Nosocomial infection.This type of infection is common infection of the world by the contaminated environment of hospital.I hope this slides atleast give a basic level of knowledge for infection.
Infection prevention & control general orientation [compatibility mode]drnahla
Infection prevention & control general orientation
Dr. Nahla Abdel Kader, MD, PhD.
Infection Control Consultant, MOH
Infection Control CBAHI Surveyor
Infection Prevention Control Director
KKH.
Infection control in dentistry / /certified fixed orthodontic courses by Indi...Indian dental academy
Welcome to Indian Dental Academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy has a unique training program & curriculum that provides students with exceptional clinical skills and enabling them to return to their office with high level confidence and start treating patients
State of the art comprehensive training-Faculty of world wide repute &Very affordable.
any infection developing in a patient after
two days of hospitalization can be labelled as healthcare-associated infection (HAI)or hospital Aquired infection . Among them, there are four
major types which are commonly encountered and
therefore need to be discussed in detail. These are also the
HAIs for which surveillance is recommended.
1. Catheter-associated urinary tract infection (CAUTI)
2. Catheter-related bloodstream infection (CRBSI)
3. Ventilator-associated pneumonia (VAP)
4. Surgical site infection (SSI).
Out of these, the first three (CAUTI, CRBSI, VAP) are
together called as device associated infections (DAIs).
Infection occurring in a patient in a hospital or other health care facility in whom the infection was not present or incubating at the time of admission.
Hospital Aquired Infection also called Nosocomial infection.This type of infection is common infection of the world by the contaminated environment of hospital.I hope this slides atleast give a basic level of knowledge for infection.
Infection prevention & control general orientation [compatibility mode]drnahla
Infection prevention & control general orientation
Dr. Nahla Abdel Kader, MD, PhD.
Infection Control Consultant, MOH
Infection Control CBAHI Surveyor
Infection Prevention Control Director
KKH.
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.
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We specializes in exporting high quality Research chemical, medical intermediate, Pharmaceutical chemicals and so on. Products are exported to USA, Canada, France, Korea, Japan,Russia, Southeast Asia and other countries.
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
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...
understanding th mode of cross contamination.ppt
1. Understanding mode of cross
contamination of infections
disease
University of Gondar
College of medicine and health science
department of anesthesia
Misganaw M (MSc)
1
2. INTRODUCTION
Anesthesiologists have long been patient safety advocates.
It is not surprising that anesthesia providers in the 21st century have
taken on increasing responsibility for preventing health care
associated infections (HAIs), including surgical site infections
(SSIs)
Anesthesia providers practice in a nonsterile environment within the
operating room (OR) and frequently contact areas of the patient
known to have a high rate of contamination such as the axilla,
nares, and pharynx. 2
3. INTRODUCTION
Anesthesia providers have an impact on bacterial
transmission and infection rates.
Specifically, anesthesiologists are known to
contaminate their work environment within the OR.
Contamination of the work environment includes
contamination of intravenous (IV) access ports. And
anesthesiologists perform hand hygiene less frequently
than once per hour during a case, but with reminders, the
rate of hand hygiene is more
frequent.
3
4. CONT.…
Improved hand hygiene reduces contamination of the
work area and IV access ports from 32% to 8%, which in
turn significantly reduces HAIs.
The transmission of infection depends on the presence of
three interconnected elements:
a causative agent,
a source, and
a mode of transmission
4
5. There has always been concern about the transmission of
infectious agents to the patient from the
anesthesiologist and vice versa .
cont.…
5
6. Microorganisms are transmitted in the hospital
environment through a number of different routes; the
same microorganism may also be transmitted via more
than one route.
In the OR, the three main routes of transmission are
through
air
direct and
indirect contact.
Methods of Transmission
6
8. DROPLETS
Droplet contamination is considered a direct
transmission of organisms because there is a direct transfer
of microorganisms from the colonized or infected person to
the host.
This generally occurs with particles whose diameters are
greater than 5 µm that are expelled from an individual’s
mouth or nose, mainly during
sneezing, coughing, talking, or during procedures such as
suction, laryngoscopy, and bronchoscopy 8
9. Examples of droplet-borne diseases include
influenza, respiratory syncytial virus (RSV), severe acute
respiratory syndrome (SARS), diphtheria, Haemophilus
influenzae, Neisseria
meningitides, mumps, pertussis, rhinovirus, rubella, and
Ebola
9
10. TRANSMISSION
o Direct and indirect contacts are the most significant and frequent
omethods of hospital infection transmission.
o Direct Contact
oThis type of disease transmission involves direct physical contact
obetween two individuals. The physical transfer of
microorganisms from an infected or colonized person to a
susceptible host may occur from patient to health care provider or
from healthcare provider to patient during professional practice
(e.g., venous cannulation, laryngoscopy, burn care, or suction of
secretions).
10
11. DIRECT CONTACT
oHealth care providers working in the OR may be exposed to skin
ocontamination by body fluids.
oThis is an issue of grave concern because of the potential exposure
of health care providers to patients with unrecognized infections,
especially hepatitis B virus(HBV), hepatitis C virus (HCV), and
human immunodeficiency virus (HIV).
11
12. DIRECT CONTACT
Hepatitis B is a highly infectious virus that requires
oa small amount of blood to transmit the disease.
oThe incidence of skin contamination of anesthesiologists
and related personnel by blood and saliva is substantial
12
13. DIRECT CONTACT
One study examined 270 anesthetic procedures during 7
consecutive days.
The blood of 35 patients (14%) contaminated the skin of 65
anesthesiologists in 46 incidents.
Of these contamination events, (61%) occurred during
venous cannulation.
Of anesthesiologists who had been contaminated by blood, 5
of 65 (8%) had cuts in the skin of their hands.
13
14. DIRECT CONTACT
Meticulous hand washing before and after every patient
contact and routine use of barriers such as gloves and
eye protection are
essential basic methods for protecting ourselves even
during routine procedures such as starting an IV line or
performing laryngoscopy
14
15. INDIRECT CONTACT
Indirect contact involves the transmission of
microorganisms from a source (animate or inanimate) to a
susceptible host by means
of a vehicle (e.g., an intermediary object) contaminated by
body fluids.
The vehicle for transmission may be the hands of a health
care provider who is not wearing gloves or a provider who
fails to wash his or her hands after providing care to a
patient.
15
16. INDIRECT CONTACT
This type of contact can also come from health care
providers who touch (with or without gloves) contaminated
monitoring or other patient care devices (e.g., blood
pressure cuffs, stethoscopes, electrocardiographic cables, or
ventilation systems [respirators, corrugated tubes, Y-pieces,
valves]) that are used without proper cleaning or
disinfection between each use.
16
17. Knowledge about the transmission of the spread of bacteria
from patients to HCWs’ hands and to the hospital
environment
(has driven many interventions that have reduced patient
risks for developing HAIs .
Patients
Health care worker hands Hospital environment
17
18. INDIRECT CONTACT
There are also reports of equipment, fomites, and drugs (mainly
propofol) that have resulted in hospital-acquired infections.
This hypnotic agent is a nutrient-rich drug. It is hypothesized
that propofol increases bacterial contamination of IV stopcocks
and may compromise safety of IV tubing sets when continued
to be used after propofol anesthesia.
18
19. INDIRECT CONTACT
Propofol may increase the risk for postoperative infection
because of bacterial growth in IV stopcock dead spaces
19
20. INDIRECT CONTACT
Other facets that may also contribute to infection include the
following:
■ Up to 40% of anesthetic equipment in direct or indirect
contact with patient (blood pressure cuffs, cables, oximeters,
laryngoscopes, monitors, respirator settings, and horizontal
and vertical surfaces) may be contaminated with blood
because of inadequate cleansing procedures between uses.
20
21. INDIRECT CONTACT
Contamination of syringe contents has occurred with glass
particles during ampule opening,
which in turn may compromise the sterility of the contents,
presumably because of the passage
of bacteria contained on glass particles into the solution.
IV tubing has both blood contamination as well as
contamination by blood from syringes used to inject
medications.
21
22. INDIRECT CONTACT
This can occur with the absence of visible blood reflux
in the tubing or syringe.
Simply replacing the needle on a syringe that will
be reused is ineffective in preventing cross-infection; it
is essential to not use the same syringe in multiple
patients
22
23. Reflling both glass and plastic syringes several times has
also been shown to result in contamination of the contents;
single use is therefore recommended.
Thus great care should be given to aseptic technique when
transferring drugs from the vial to a syringe and to use the
contents of the syringe within 4 hours.
23
24. INDIRECT CONTACT
Propofol vials should not be used for multiple patients
because of concerns for cross-contamination,
particularly since not all countries have added
antimicrobials to the propofol emulsion.
Violations of contemporary guidelines for preventing
infections(e.g., hand washing, wearing gloves, surgical
masks, ocular protection, scrubs, or syringe reuse) by
anesthesiologists are
frequent
24
25. Anesthesia staff are aware that they work in a
potentially infectious environment, but they commonly
do not adopt appropriate protective measures to
reduce infections in both themselves and their
patients.
25
26. ACCIDENTS WITH CUTTING OR PIERCING
DEVICE
Percutaneous contamination from a cutting or piercing
accident is the most effective means to transmit bloodborne
pathogens.
Evidence suggests that this is the main route of HIV, HBV,
and HCV infection especially if the injury is caused by
hollow-bore needles that were used to draw blood or
establish IV access
26
27. The risk of infection after an exposure depends on a number
of variables and appears to be greater with exposure to a
larger quantity of blood or other infectious fluid; prolonged or
extensive exposure of nonintact skin or
exposure to the blood of a patient in an advanced disease
stage or with a higher HIV viral load and a deep percutaneous
injury.
27
28. A procedure where in the sharp was in the vein or artery of
an infected source patient; an injury with a hollow-bore,
blood-flled needle; and limited or delayed access to
postexposure prophylaxis
28
29. After exposure, the risk of infection varies for specifc
bloodborne pathogens. For HBV, if the source patient has
active HBV and the HCP do not already have immunity, the
risk for infection after percutaneous injury is between 1% and
30%.
If the source patient has active HCV, the risk of hepatitis C
transmission is approximately 1.8% (range 0%–7%) after a
percutaneous injury.
29
30. If the source patient has HIV infection, the risk of HIV
transmission
is approximately 0.3% after a percutaneous exposure and
0.09% after a mucous membrane exposure.
30
31. MEASURES FOR PREVENTION OF INFECTION
TRANSMISSION IN THE OPERATING ROOM
Reading assignment
31