NOSOCOMIAL RESPIRATORY INFECTION<br />Compiled by R<br />
RISKS FACTORS<br />Extremes of age<br />Severe underlying disease<br />Immunosuppression<br />Depressed sensorium<br />Car...
PREVENT OF PERSON-TO-PERSON TRANSMISSION OF BACTERIA<br />
PREVENT OF PERSON-TO-PERSON TRANSMISSION OF BACTERIA<br />
Precautions for prevention of aspiration<br />
Precautions for prevention of aspiration<br />
Prevention of postoperative Pneumonia in high risk group<br />Age ≥ 60 years<br />History of chronic lung disease or smoki...
Prevention of postoperative Pneumonia in high risk group<br />General anesthesia<br />Upper abdominal or thoracic surgery<...
Assist patient in breathing exercise<br />
Sterilization or disinfection and maintenance of respiratory equipment and devices<br />Refer policy and procedure of noso...
Change more frequently than every 48 hours an HME that is in use on a patient. </li></ul>Change when it malfunctions mecha...
cont<br />Change of ventilator breathing circuit when visibly soiled<br />Change the oxygen delivery system (tubing, nasal...
cont<br />Use sterile water to fill bubble-through humidifiers<br />Clean, disinfect, rinse with sterile water and dry neb...
cont<br />Use only sterile fluid for nebulization, and dispense the fluid into the nebulizer aseptically. Use aerosolized ...
cont<br />Between uses on different patients, clean reusable components of the anesthetic breathing system, inspiratory an...
cont<br />A bacterial-viral filter placed between the y-piece and the mask or endotracheal tube serves to protect the pate...
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Nosocomial respiratory infection

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Nosocomial respiratory infection

  1. 1. NOSOCOMIAL RESPIRATORY INFECTION<br />Compiled by R<br />
  2. 2. RISKS FACTORS<br />Extremes of age<br />Severe underlying disease<br />Immunosuppression<br />Depressed sensorium<br />Cardiopulmonary disease<br />Post thoraco-abdominal surgery<br />Mechanically ventilated – ventilated associated pneumonia<br />
  3. 3. PREVENT OF PERSON-TO-PERSON TRANSMISSION OF BACTERIA<br />
  4. 4. PREVENT OF PERSON-TO-PERSON TRANSMISSION OF BACTERIA<br />
  5. 5. Precautions for prevention of aspiration<br />
  6. 6. Precautions for prevention of aspiration<br />
  7. 7. Prevention of postoperative Pneumonia in high risk group<br />Age ≥ 60 years<br />History of chronic lung disease or smoking<br />On steroids for chronic conditions<br />History of chronic alcohol consumption<br />Impaired sensorium<br />History of cerebrovascular accident with residual neurologic deficit <br />
  8. 8. Prevention of postoperative Pneumonia in high risk group<br />General anesthesia<br />Upper abdominal or thoracic surgery<br />Emergency surgery<br />Obesity<br />
  9. 9. Assist patient in breathing exercise<br />
  10. 10. Sterilization or disinfection and maintenance of respiratory equipment and devices<br />Refer policy and procedure of nosocomial infection in GICU<br />Non routine sterilization and disinfection of <br /><ul><li>Internal machinery of mechanical ventilators
  11. 11. Change more frequently than every 48 hours an HME that is in use on a patient. </li></ul>Change when it malfunctions mechanically or becomes visibly soiled<br />
  12. 12. cont<br />Change of ventilator breathing circuit when visibly soiled<br />Change the oxygen delivery system (tubing, nasal prongs or mask) that is in use on one patient when it malfunctions or becomes visibly contaminated or between uses on different patients<br />Drain and discard periodically any condensate in the circuit. Take precautions not to allow the condensate to drain towards the patient<br />
  13. 13. cont<br />Use sterile water to fill bubble-through humidifiers<br />Clean, disinfect, rinse with sterile water and dry nebulizers between treatments on the same patient. Replace nebulizers with those that have undergone sterilization or high-level disinfection between uses on different patients<br />
  14. 14. cont<br />Use only sterile fluid for nebulization, and dispense the fluid into the nebulizer aseptically. Use aerosolized medications in single dose vial whenever possible.<br />Change the mouthpiece of a peak flow mrter or the mouthpiece and filter of a spirometer between uses on different patients<br />Change entire length of suction-collection tubing and canisters between uses on different patients<br />
  15. 15. cont<br />Between uses on different patients, clean reusable components of the anesthetic breathing system, inspiratory and expiratory breathing tubing, y-piece, reservoir bag, humidifier, and tubing, and then sterilize or subject them to high-level liquid chemical disinfection or pasteurization in accordance with the device manufacturers’ instructions. <br />
  16. 16. cont<br />A bacterial-viral filter placed between the y-piece and the mask or endotracheal tube serves to protect the pateint and the anaesthesia delivery system from contamination. <br />
  17. 17. CONCLUSION IN CARE OF EQUIPMENTS<br />Equipments<br /><ul><li>Individualize
  18. 18. Bacteria filter
  19. 19. If reusable for other patient, disinfection properly otherwise use once only
  20. 20. Clean if visibly soiled or contaminated
  21. 21. Dry after clean</li></ul>Rinsing / nebulization<br /><ul><li>Sterile water</li>

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