Manual of Infection Control Procedures

Front Cover
Cambridge University Press, Jan 2, 2003 - Medical - 364 pages
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The prevention of infection in the health care setting remains a key goal for all health care personnel. All health care establishments also have a need to continually improve the quality of care they provide and ensure a safe working environment. Health care-associated infections lengthen patients' hospital stays and increase both morbidity and mortality. In addition, diagnosing and treating these infections is a costly process and places intense pressure on limited health care resources. The new, updated and significantly expanded edition of the Manual of Infection Control Procedures provides a comprehensive overview of the main aspects of infection control, and gives practical, evidence-based recommendations and easy-to-follow advice on strategies to prevent infection in all health care facilities.
 

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Contents

Principles of Infection Control
1
Bodys Defense Mechanisms
6
Strategies to Control Health Care Associated Infection
7
Administrative Arrangements
9
Infection Control Nurse
10
Infection Control Team
11
Infection Control Link Nurse
12
Policies and Procedures Manual
13
Rabies
179
Infestations with Ectoparasites
180
Bloodborne Hepatitis and Human Immunodeficiency Virus HIV Infections
185
HIV Infection
188
Routes of Transmission
190
Occupational Risks to HCWs
192
Responsibility of HCWs
193
ExposureProne Procedures
194

Risk Management in Infection Control
14
Design and Maintenance of Health Care Facilities
17
Infection Control Risk Assessment
18
Patients Accommodations
19
Hand Washing Facilities
20
Operating Theatres
22
Ventilation and AirConditioning
23
Construction Renovation and Demolition
24
Surveillance and Outbreak Control
27
Surveillance of Nosocomial Infection
28
Methods of Surveillance
29
Management of an Outbreak
30
Look Back Investigations
35
Epidemiology and Biostatistics
39
CaseControl Studies
40
CrossSectional Prevalence Surveys
41
Measures of Disease Frequency
42
Measures of Association
43
Bias and Confounders
44
Confounders
45
Biostatistics
46
Measures of Dispersion
48
Hypothesis Testing
49
The P Value
50
Sensitivity and Specificity
51
Disinfection and Sterilization
55
Risks of Infection from Equipment
57
Chemical Disinfectants
58
Chemical Disinfectants and Antiseptics
59
Disinfection of Flexible Fibreoptic Endoscopes
69
Environmental Cleaning
73
Management of Infectious Spills
78
Isolation Precautions
95
Source Isolation
96
Protective Isolation
98
Appendix I
114
Prevention of Infections Caused by Multiresistant Organisms
119
Methicillin Resistant Staph aureus
121
Vancomycin Resistant Enterococci VRE
130
Multiresistant Gramnegative Bacilli
134
Prevention of Infection Caused by Specific Pathogens
137
Clostridium difficile Infection
147
Legionnaires Disease
151
Gastrointestinal Infections and Food Poisoning
155
Meningococcal Infections
160
Varicella zoster Virus VZV
165
CreutzfeldtJakob Disease CJD
169
Viral Haemorrhagic Fevers VHFs
175
Protection of the Newborn
198
Procedure after Death
199
Protection for Health Care Workers
203
Measures to protect HCWs
204
Management of Sharps Injury
205
Protection Against Tuberculosis
213
Pregnant HCWs
215
Hand Hygiene and Personal Protective Equipment
227
Personal Protective Equipment
235
Prevention of Surgical Site Infections
245
Microbiology
248
Operative Factors
252
Postoperative Factors
256
Environmental Cleaning of Operating Theatre
257
Prevention of Infection Associated with Intravenous Therapy
261
Pathogenesis of Infection
262
Education and Training
263
Intravascular Catheters and Parenteral Solutions
264
Selection of Insertion Site
265
Catheter Site Dressing Regimens
268
Antimicrobial Prophylaxis
269
Guidewire Exchange
270
Prevention of Infections Associated with Urinary Catheterization
273
Maintenance of Catheter
274
Removal of Catheter
278
Policy and Staff Training
279
Prevention of Nosocomial Pneumonia
283
Strategy for Prevention
285
Hospital Support Services
291
Staff HealthHygiene
292
Texture Modified Products
293
Refrigerators
294
Ward Kitchens
295
Linen and Laundry Service
298
Laundry Process
299
Microbiological Sampling
300
Mattresses and Pillows
301
Management of Clinical Waste
303
Methods for Safe Handling of Clinical Waste
304
Methods for Safe Use Handling and Disposal of Sharps
305
Management and Disposal of Clinical Waste
308
Pest Control
312
Infection Control Information Resources
315
Books
317
Computer Software
321
Index
323
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