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Dr Hatem El Bitar
01005684344
Lecturer in gms academy
Infection
control
diploma
‫الرحيم‬ ‫الرحمن‬ ‫هللا‬ ‫بسم‬
At the end of this session, the participants will be
able to know:
1-definitions related to infection control
2-modes of transmission of infections
3-portals of entry of bacteria
4-Explain universal precautions
5-Explain the worker’s role in preventing spread of infections
6-Demonstrate proper hand washing techniques, application and removal of
gloves
7-Describe appropriate techniques for cleaning up tools
OBJECTIVES
8-difference between pandemic and epidemic
9-noscomial infection
10- protocols of infection control in child care
11- protocols of infection control in
ophthalmology departments
12- protocols of infection control in endoscopes
13- protocols of infection control in respiratory
tract infection
OBJECTIVES
14- protocols of infection control in dentistry
15- protocols of infection control in icu
16- protocols of infection control in nicu
17- protocols of infection control in kidney dialysis
units
18- protocols of infection control in urinary tract
departments
19- protocols of infection control in surgical site
infection
20 international infection control standards for
health care facilities
OBJECTIVES
Introduction
Before we start studying this
branch of medicine we should
ask ourselves why I select it to
study? and what I expect
before I study this diploma?
(first assignment)
-why you select this diploma to study?
-Write about your job in the hospital
- If you work in this field, what is your
tasks in the committee/department?
Infection control
And prevention
Epidemiology
Public health
Science concerned with preventing
all types of microorganisms from
infecting health workers and
patients also preventing nosocomial
or healthcare-associated infection
Infection control
- Infection control and hospital epidemiology are related to
public health practice
-Infection control addresses factors related to the spread of
infections within the health-care setting
(-whether patient-to-patient,
-from patients to staff and
- from staff to patients, or among staff), including prevention
(via hand hygiene, cleaning , disinfection , sterilization,
vaccination, surveillance)
Infection control
- Surveillance: includes
monitoring, investigation of
demonstrated or suspected
spread of infection within a
particular health-care system and
demand further investigations
Infection control
The need for strict infection
prevention and control measures
in medical facilities has much more
importance to the general public
and to the medical community .
Infection control
-as well as events related to inadequate
sterilization and disinfection of medical
equipment, still occur
-the Idea that every person is subjected to
infection if proper safeguards(precautions) are not
in place to prevent the transmission of infection.
Infection control
Epidemiology
The science of epidemiology was
founded by John Snow's
identification of a polluted public
water.
As well as the source of cholera
outbreak in London in 1854 .
Epidemiology
Dr. Snow believed in the germ
theory of disease which is
opposed to the miasma
theory. (it believes that diseases is
a result of poor sanitation)
Epidemiology
-in 1680 Anton van
Leeuwenhoek's observations
of Microorganisms,
(which are now known to
cause many of the most
common infectious diseases)
Epidemiology
the modern era of public
health did not begin until the
1880s
- Louis Pasteur's germ theory and
production of artificial vaccines
Epidemiology
-In the U.S., the role of public health nurse began in Los Angeles
in 1898,
-by 1924 there were 12,000 public health nurses, half of them in
the 100 largest cities.
-Public health nurses handled
tuberculosis and other
communicable diseases.
Epidemiology
- With the onset of the epidemiological
transition and as the prevalence of infectious
diseases decreased through the 20th century,
-public health began to put more focus on
chronic diseases such as cancer and heart
disease.
Epidemiology
During the 20th century and early in the next, the
dramatic increase in average life span is widely credited
to public health achievements, such as vaccination
programs
and control of many infectious
diseases including polio, diphtheria, yellow fever and
smallpox
From the beginnings of human
civilization, it was recognized that 1-
polluted water
2- lack of proper waste disposal are
responsible for spread of
communicable diseases
Public health
“History”
Early religions attempted to regulate
behavior that specifically related to
health, from types of food eaten, to
regulating certain human behaviors,
such as drinking alcohol or hygienic
actions.
Public health
The establishment of governments placed
responsibility to :
1-develop public health policies and
programs in order to gain some
understanding of the causes of disease
2- ensure social stability and maintain
order.
Public health
The old term "healthy city" used by
today's public health experts which
reflects the ongoing challenges for
creating healthy , physical well-being
and noncrowded conditions.
Public health
"the science and art of preventing disease,
prolonging life and promoting health through the
organized efforts and informed choices of society,
organizations( public and private) communities and
individuals.
Public health
-also, It is concerned with threats to health based on
general health analysis.
-United Nations/ who definition of public health "a
state of complete physical, mental and social well-
being and not merely the absence of disease "
Public health
Public health include the following approaches :
-community health
-Environmental health
-epidemiology
-biostatistics
-behavioral health
-occupational health
Public health
improve health and quality of life through
the prevention and treatment of disease
and other physical and mental health
conditions
through :
focus of public health
1- surveillance of cases and health
indicators, and through the promotion of
healthy behaviors.
2- Promotion of hand washing and
breastfeeding, delivery of vaccinations are
examples of common public health
measures.
Public health
Modern public health practice requires
multidisciplinary teams of professionals
including:
1-physicians specializing in public
health/community
2-medicine/infectious disease,
3-epidemiologists
Public health
4-biostatisticians
5- public health nurses
6- medical microbiologists
7-environmental health officers
8-public health inspectors
Public health
9-pharmacists
10- dental hygienists
11- dietitians and nutritionists,
12-public health engineers
13-communications
experts
Public health
- Objectives
1-The focus of a public health intervention is to
prevent and manage diseases, injuries and other
health conditions through surveillance of cases and
the promotion of healthy behaviors, communities
and environments.
Public health
2-Many diseases are preventable through simple,
non-medical methods. For example, research has
shown that the simple act of hand washing with soap
can prevent many contagious diseases.
Public health
3-treating a disease or controlling a pathogen can be
vital to preventing its spread to others, such as during
an outbreak of infectious disease, or contamination
of food or water supplies.
Public health
4-Public health communications
programs, vaccination programs, are
examples of common public health
measures. such as these Measures have
contributed greatly to the health of
populations and increases in life
expectancy.
Public health
5-Public health plays an important role
in disease prevention efforts in both
the developing world and developed
countries,
through local health systems and
non-governmental
organizations.
Public health
The World Health
Organization (WHO) is the
international agency that
coordinates and acts on
global public health
issues.
Public health
Most countries have their own
government public health
agencies, sometimes known as
ministries of health, to respond
to domestic health issues.
Public health
For example in the United States, the
front line of public health initiatives are
state and local health departments.
The United States Public Health Service
(PHS), led by the Centers for Disease
Control and Prevention.
Public health
In the developing world, public health
infrastructuresare still forming.
There may not be enough trained health
workers or financial resources to provide
even a basic level of medical care and
disease/infection prevention.
Public health
As a result, a large majority of
infectious diseases and mortality in
the developing world results from
and contributes to extreme poverty.
For example, many African
governments spend less than 10$
US dollars per person per year on
health care.
Public health
while, in the United States, the
federal government spent
approximately 4,500$ US dollars per
person per year in 2000. However,
expenditures on health care should
not be confused with spending on
public health.
Public health
Public health measures may not generally
be considered "health care" in the strictest
sense. For example, mandating the use of
seat belts in cars can save countless lives
and contribute to the health of a
population, but typically money spent
enforcing this rule would not count as
money spent on health care.
Public health
Pre 1800: Early efforts at wound prophylaxis
1800-1940: Semmelweis, Pasteur findings
1940-1960: Antibiotic era begins,
Staph. aureus nursery outbreaks, begin of hygiene
focus
History of infection control and hospital epidemiology
1960-1970’s: Documenting need for infection
control programs, surveillance begins
1980’s: focus on patient care practices, intensive
care units, resistant organisms, HIV
History of infection control and hospital epidemiology
1990’s: Hospital Epidemiology
= Infection control, quality
improvement and economics
2000’s: Healthcare system
epidemiology
History of infection control and hospital epidemiology
What is Hospital Epidemiology good
for?
Infection control
Quality improvement
Controlling costs
An effective hospital epidemiology program can help
achieve all three goals
According to the Public Hospitals
Act, medical institutions must
have an Infection Control
Committee, and a proper
infection control infrastructure is
required to meet hospital
accreditation standards.
In contrast, most of
these requirements has not
consistently been realized in office
practices in many countries.
The science of infection control is
rapidly changing with new infections
being described
Some of
newly known
infections
Ebola virus
an example, incapacitate their victims
extremely quickly and kill them soon after.
As a result, the victims of this disease do
not have the opportunity to travel very far
from the initial infection zone.
The human strains of Ebola virus
Also, this virus must spread through
skin lesions or permeable membranes
such as the eye.
Thus, the initial stage of Ebola is not
very contagious since its victims
experience only internal hemorrhaging.
The human strains of Ebola virus
As a result of the above features, the spread
of Ebola is very rapid and usually stays within
a relatively confined geographical area.
In contrast, the Human Immunodeficiency
Virus (HIV) kills its victims very slowly by
attacking their immune system.
The human strains of Ebola virus
As a result, many of its victims transmit the
virus to other individuals before even
realizing that they are carrying the disease.
Also, the incubation period about 21days
so the patient can be source of infection
without any signs of the virus and
considered highly contagious
Get educated and involved
Be aware of your rights
To be a part of the decision
Process for your medical
care
THANK YOU

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infection control dr hatem elbitar01005684344.pdf

  • 1. Dr Hatem El Bitar 01005684344 Lecturer in gms academy Infection control diploma ‫الرحيم‬ ‫الرحمن‬ ‫هللا‬ ‫بسم‬
  • 2. At the end of this session, the participants will be able to know: 1-definitions related to infection control 2-modes of transmission of infections 3-portals of entry of bacteria 4-Explain universal precautions 5-Explain the worker’s role in preventing spread of infections 6-Demonstrate proper hand washing techniques, application and removal of gloves 7-Describe appropriate techniques for cleaning up tools OBJECTIVES
  • 3. 8-difference between pandemic and epidemic 9-noscomial infection 10- protocols of infection control in child care 11- protocols of infection control in ophthalmology departments 12- protocols of infection control in endoscopes 13- protocols of infection control in respiratory tract infection OBJECTIVES
  • 4. 14- protocols of infection control in dentistry 15- protocols of infection control in icu 16- protocols of infection control in nicu 17- protocols of infection control in kidney dialysis units 18- protocols of infection control in urinary tract departments 19- protocols of infection control in surgical site infection 20 international infection control standards for health care facilities OBJECTIVES
  • 5. Introduction Before we start studying this branch of medicine we should ask ourselves why I select it to study? and what I expect before I study this diploma?
  • 6. (first assignment) -why you select this diploma to study? -Write about your job in the hospital - If you work in this field, what is your tasks in the committee/department?
  • 8. Science concerned with preventing all types of microorganisms from infecting health workers and patients also preventing nosocomial or healthcare-associated infection Infection control
  • 9. - Infection control and hospital epidemiology are related to public health practice -Infection control addresses factors related to the spread of infections within the health-care setting (-whether patient-to-patient, -from patients to staff and - from staff to patients, or among staff), including prevention (via hand hygiene, cleaning , disinfection , sterilization, vaccination, surveillance) Infection control
  • 10. - Surveillance: includes monitoring, investigation of demonstrated or suspected spread of infection within a particular health-care system and demand further investigations Infection control
  • 11. The need for strict infection prevention and control measures in medical facilities has much more importance to the general public and to the medical community . Infection control
  • 12. -as well as events related to inadequate sterilization and disinfection of medical equipment, still occur -the Idea that every person is subjected to infection if proper safeguards(precautions) are not in place to prevent the transmission of infection. Infection control
  • 13. Epidemiology The science of epidemiology was founded by John Snow's identification of a polluted public water. As well as the source of cholera outbreak in London in 1854 .
  • 14. Epidemiology Dr. Snow believed in the germ theory of disease which is opposed to the miasma theory. (it believes that diseases is a result of poor sanitation)
  • 15. Epidemiology -in 1680 Anton van Leeuwenhoek's observations of Microorganisms, (which are now known to cause many of the most common infectious diseases)
  • 16. Epidemiology the modern era of public health did not begin until the 1880s - Louis Pasteur's germ theory and production of artificial vaccines
  • 17. Epidemiology -In the U.S., the role of public health nurse began in Los Angeles in 1898, -by 1924 there were 12,000 public health nurses, half of them in the 100 largest cities. -Public health nurses handled tuberculosis and other communicable diseases.
  • 18. Epidemiology - With the onset of the epidemiological transition and as the prevalence of infectious diseases decreased through the 20th century, -public health began to put more focus on chronic diseases such as cancer and heart disease.
  • 19. Epidemiology During the 20th century and early in the next, the dramatic increase in average life span is widely credited to public health achievements, such as vaccination programs and control of many infectious diseases including polio, diphtheria, yellow fever and smallpox
  • 20. From the beginnings of human civilization, it was recognized that 1- polluted water 2- lack of proper waste disposal are responsible for spread of communicable diseases Public health “History”
  • 21. Early religions attempted to regulate behavior that specifically related to health, from types of food eaten, to regulating certain human behaviors, such as drinking alcohol or hygienic actions. Public health
  • 22. The establishment of governments placed responsibility to : 1-develop public health policies and programs in order to gain some understanding of the causes of disease 2- ensure social stability and maintain order. Public health
  • 23. The old term "healthy city" used by today's public health experts which reflects the ongoing challenges for creating healthy , physical well-being and noncrowded conditions. Public health
  • 24. "the science and art of preventing disease, prolonging life and promoting health through the organized efforts and informed choices of society, organizations( public and private) communities and individuals. Public health
  • 25. -also, It is concerned with threats to health based on general health analysis. -United Nations/ who definition of public health "a state of complete physical, mental and social well- being and not merely the absence of disease " Public health
  • 26. Public health include the following approaches : -community health -Environmental health -epidemiology -biostatistics -behavioral health -occupational health Public health
  • 27. improve health and quality of life through the prevention and treatment of disease and other physical and mental health conditions through : focus of public health
  • 28. 1- surveillance of cases and health indicators, and through the promotion of healthy behaviors. 2- Promotion of hand washing and breastfeeding, delivery of vaccinations are examples of common public health measures. Public health
  • 29. Modern public health practice requires multidisciplinary teams of professionals including: 1-physicians specializing in public health/community 2-medicine/infectious disease, 3-epidemiologists Public health
  • 30. 4-biostatisticians 5- public health nurses 6- medical microbiologists 7-environmental health officers 8-public health inspectors Public health
  • 31. 9-pharmacists 10- dental hygienists 11- dietitians and nutritionists, 12-public health engineers 13-communications experts Public health
  • 32. - Objectives 1-The focus of a public health intervention is to prevent and manage diseases, injuries and other health conditions through surveillance of cases and the promotion of healthy behaviors, communities and environments. Public health
  • 33. 2-Many diseases are preventable through simple, non-medical methods. For example, research has shown that the simple act of hand washing with soap can prevent many contagious diseases. Public health
  • 34. 3-treating a disease or controlling a pathogen can be vital to preventing its spread to others, such as during an outbreak of infectious disease, or contamination of food or water supplies. Public health
  • 35. 4-Public health communications programs, vaccination programs, are examples of common public health measures. such as these Measures have contributed greatly to the health of populations and increases in life expectancy. Public health
  • 36. 5-Public health plays an important role in disease prevention efforts in both the developing world and developed countries, through local health systems and non-governmental organizations. Public health
  • 37. The World Health Organization (WHO) is the international agency that coordinates and acts on global public health issues. Public health
  • 38. Most countries have their own government public health agencies, sometimes known as ministries of health, to respond to domestic health issues. Public health
  • 39. For example in the United States, the front line of public health initiatives are state and local health departments. The United States Public Health Service (PHS), led by the Centers for Disease Control and Prevention. Public health
  • 40. In the developing world, public health infrastructuresare still forming. There may not be enough trained health workers or financial resources to provide even a basic level of medical care and disease/infection prevention. Public health
  • 41. As a result, a large majority of infectious diseases and mortality in the developing world results from and contributes to extreme poverty. For example, many African governments spend less than 10$ US dollars per person per year on health care. Public health
  • 42. while, in the United States, the federal government spent approximately 4,500$ US dollars per person per year in 2000. However, expenditures on health care should not be confused with spending on public health. Public health
  • 43. Public health measures may not generally be considered "health care" in the strictest sense. For example, mandating the use of seat belts in cars can save countless lives and contribute to the health of a population, but typically money spent enforcing this rule would not count as money spent on health care. Public health
  • 44. Pre 1800: Early efforts at wound prophylaxis 1800-1940: Semmelweis, Pasteur findings 1940-1960: Antibiotic era begins, Staph. aureus nursery outbreaks, begin of hygiene focus History of infection control and hospital epidemiology
  • 45. 1960-1970’s: Documenting need for infection control programs, surveillance begins 1980’s: focus on patient care practices, intensive care units, resistant organisms, HIV History of infection control and hospital epidemiology
  • 46. 1990’s: Hospital Epidemiology = Infection control, quality improvement and economics 2000’s: Healthcare system epidemiology History of infection control and hospital epidemiology
  • 47. What is Hospital Epidemiology good for? Infection control Quality improvement Controlling costs An effective hospital epidemiology program can help achieve all three goals
  • 48. According to the Public Hospitals Act, medical institutions must have an Infection Control Committee, and a proper infection control infrastructure is required to meet hospital accreditation standards.
  • 49. In contrast, most of these requirements has not consistently been realized in office practices in many countries. The science of infection control is rapidly changing with new infections being described
  • 50.
  • 52. Ebola virus an example, incapacitate their victims extremely quickly and kill them soon after. As a result, the victims of this disease do not have the opportunity to travel very far from the initial infection zone.
  • 53. The human strains of Ebola virus Also, this virus must spread through skin lesions or permeable membranes such as the eye. Thus, the initial stage of Ebola is not very contagious since its victims experience only internal hemorrhaging.
  • 54. The human strains of Ebola virus As a result of the above features, the spread of Ebola is very rapid and usually stays within a relatively confined geographical area. In contrast, the Human Immunodeficiency Virus (HIV) kills its victims very slowly by attacking their immune system.
  • 55. The human strains of Ebola virus As a result, many of its victims transmit the virus to other individuals before even realizing that they are carrying the disease. Also, the incubation period about 21days so the patient can be source of infection without any signs of the virus and considered highly contagious
  • 56. Get educated and involved Be aware of your rights To be a part of the decision Process for your medical care