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Abdirahman Dahir Waiz (MPH, ANESTHETIST)
 At the end of this session, the participants will
be able to:
 Verbalize definitions related to infection control
 List modes of transmission of infections and portals
of entry of bacteria
 Explain universal precautions
 Explain the workers role in preventing spread of
infections
 Demonstrate proper hand washing techniques,
application of gloves
WAIZ
01/09/2009
Infection control practices that reduces or
eliminate source of transmission of infection
helps to protect clients and health care
providers from disease.
Dentistry are in a position to influence
positively others behavior and to change their
own behavior through health education.
 Infection control  the set of methods used to
control and prevent the spread of disease
 Infections - are caused by pathogens (germs)
 Communicable disease  disease spread from
one person to another
 Infectious disease  disease caused by a
pathogen (germ or bacteria)
WAIZ
 Contaminated  means dirty, soiled, unclean
 Disinfection  cleaning so that germs
(pathogens) are destroyed
 Mode of transmission  the way germs are
passed from one person to another
 Mucous membranes  membranes that line
body cavities that open to the outside of the
body
WAIZ
7
Definition of Terms
7
Host: living animal or plant
Agent: something that produces or is capable of
producing an effect, i.e. infection
Vector: an organism (as an insect) that transmits
an agent from one organism or source to another
Vehicle: inanimate object (food, water, etc) that
can carry an agent from one organism to another
Disease: impairment of normal functioning,
manifested by signs and symptoms
Infection: the state produced by the establishment
of an infective agent in or on a suitable host , host
may or may not have signs or symptoms
Carrier: individual harbors the agent but does not
have symptoms. Person can infect others.
Reservoir: habitat (man, animal, etc.) in which the
agent normally lives, grows, and multiplies
8
01/09/2009
01/09/2009
01/09/2009
 Person to person via hands of health-care
providers, patients, and visitors
 Personal clothing and equipment (e.g.
Stethoscopes, flashlights etc.)
 Environmental contamination
 Airborne transmission
 Hospital staff who are carriers
 Rare common-source outbreaks
Patient to
Worker
Visitor
Patient
Worker to
Worker
Visitor
Patient
Visitor to
Worker
Visitor
Patient
01/09/2009
15
HOST
Characteristics
Types of AGENTS ENVIRONMENTAL
Factors
Age Biologic  bacteria, virus,
molds
Housing  crowding,
noise
Gender Chemical  poison, alcohol Air  temperature,
humidity
Occupation Physical - trauma, fire Water , food
Route Example Disease
Direct
contact
Kissing, sexual contact, skin-to-skin
contact
STDs, skin infections, scabies
Droplet Organism on large respiratory droplets
that people sneeze, cough, drip, or
exhale. Disease spread when people are
close to each other (usually <3 feet) and
inhale droplet.
Mumps, pertussis (whooping
cough), common cold, strep
throat, meningitis
Indirect
contact
Contact with contaminated surfaces,
clothing, etc
Skin infections, diarrheal
disease
Vector Bite from disease-carrying ticks, fleas,
mosquitoes
Lyme disease, LaCrosse
encephalitis
Vehicle Eat/drink contaminated food/beverage,
transfuse infected blood, fomites
(bedding, infected tatoo needle)
Some diarrheal disease,
hepatitis b/c
Airborne Organism on dust particles or small
respiratory droplets that may become
aerosolized when people sneeze, cough,
laugh, or exhale
Chickenpox, Tuberculosis,
Smallpox, corona virus.
16
 Body fluids  tears, saliva, sputum (mucus
coughed up), urine, feces, semen, vaginal
secretions, pus or other wound drainage, blood
 Touching the infected person or their
secretions
 Touching something contaminated by the
infected person.
 Droplets  coughing, sneezing, laughing,
spitting, talking
WAIZ
01/09/2009
 Any body opening of an uninfected person
which allows pathogens to enter
 Nose, mouth, eyes, rectum, genitals and other
mucous membranes
 Cuts, abrasions or breaks in the skin
WAIZ
 Anyone whose resistance to disease decreases
 Reasons for lowered resistance: age, existing
illnesses, fatigue and stress
 The elderly have weaker immune systems and a
lower resistance to pathogens
 Elderly are hospitalized more often, increasing the
chance for hospital-acquired infections
 Recovery longer in the elderly
WAIZ
01/09/2009
 Universal precautions are infection control
guidelines designed to protect workers from
exposure to diseases spread by blood and
certain body fluids.
 Always treat blood, body fluids, broken skin
and mucous membranes as if they were
infected
 Always follow Universal Precautions because
you cannot tell by looking at a person whether
they have a contagious disease
WAIZ
 Use practical, common sense
 Wash your hands before putting on gloves and
immediately after removing gloves
 Do not touch clean objects with contaminated
gloves
WAIZ
 Wear gloves if you may come in contact with
blood, body fluids, secretions and excretions,
broken or open skin, human tissue of mucous
membranes
 Bag all disposable contaminated supplies
 Clean all surfaces that may be contaminated
with infectious waste, such as beds,
wheelchairs and shower chairs
WAIZ
 Gloves,, gowns, eye protection, and face masks
 Health care workers should wear a face mask,
eye protection and a gown if there is the
potential for blood or other bodily fluids to
splash.
01/09/2009
 Masks should be worn
 if an airborne infection is suspected or
confirmed
 to protect an immune compromised patient.
01/09/2009
01/09/2009
 Good hand washing is the most effective
method to prevent the spread of infection
 May use an alcohol-based hand cleaner in
place of washing with soap and water
 Avoid touching eyes, nose or mouth
WAIZ
 Cover your nose and mouth with a tissue every
time you cough or sneeze
 Throw used tissue in a wastebasket
 If you dont have a tissue, sneeze or cough into
your sleeve
 Always clean your hands after coughing or
sneezing
WAIZ
 Before patient contact
 Before an aseptic task
 After body fluid exposure even if wearing gloves!
 After patient contact
 After contact with patient surroundings
infection control basic health information.ppt
 Remove any jewelry or watch
 Wet hands with warm, running water
 Add soap
 Rub hands vigorously for 20 seconds, washing
all surfaces
 Dry with paper or clean cloth towel
WAIZ
infection control basic health information.ppt
01/09/2009
infection control basic health information.ppt
 Make sure all visible dirt is removed from your
hands
 Apply a dime sized amount of waterless hand
sanitizer to the palm of one hand or use a
waterless hand sanitizer wipe
 Rub hands together covering all surfaces of
hands and fingers
 Rub until waterless hand sanitizer is absorbed
 Remember, waterless sanitizers are not
effective if dirt is visible on your hands
WAIZ
 When you may come in contact with blood or
any body fluids, open wounds, or mucous
membranes
 Performing or helping with mouth care
 Performing or helping touth care
 Performing care on a consumer who has
broken skin
WAIZ
 When you have open sores or cuts on your
hands
 When disposing of soiled bed linens, gowns,
dressings and pads
WAIZ
 When touching surfaces that may be
contaminated
 Right before contact with mucous membranes
or broken skin
 Immediately if they become wet, worn, soiled
WAIZ
01/09/2009
Education and Training
 Hygiene
 Sanitation
 Follow public health recommendations  food
preparation, isolation and quarantine
Vaccination
 Keep up to date
Medicine
 Prophylactic antibiotics  meningitis, pertussis
43
WAIZ

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infection control basic health information.ppt

  • 1. Abdirahman Dahir Waiz (MPH, ANESTHETIST)
  • 2. At the end of this session, the participants will be able to: Verbalize definitions related to infection control List modes of transmission of infections and portals of entry of bacteria Explain universal precautions Explain the workers role in preventing spread of infections Demonstrate proper hand washing techniques, application of gloves WAIZ
  • 4. Infection control practices that reduces or eliminate source of transmission of infection helps to protect clients and health care providers from disease. Dentistry are in a position to influence positively others behavior and to change their own behavior through health education.
  • 5. Infection control the set of methods used to control and prevent the spread of disease Infections - are caused by pathogens (germs) Communicable disease disease spread from one person to another Infectious disease disease caused by a pathogen (germ or bacteria) WAIZ
  • 6. Contaminated means dirty, soiled, unclean Disinfection cleaning so that germs (pathogens) are destroyed Mode of transmission the way germs are passed from one person to another Mucous membranes membranes that line body cavities that open to the outside of the body WAIZ
  • 7. 7 Definition of Terms 7 Host: living animal or plant Agent: something that produces or is capable of producing an effect, i.e. infection Vector: an organism (as an insect) that transmits an agent from one organism or source to another Vehicle: inanimate object (food, water, etc) that can carry an agent from one organism to another
  • 8. Disease: impairment of normal functioning, manifested by signs and symptoms Infection: the state produced by the establishment of an infective agent in or on a suitable host , host may or may not have signs or symptoms Carrier: individual harbors the agent but does not have symptoms. Person can infect others. Reservoir: habitat (man, animal, etc.) in which the agent normally lives, grows, and multiplies 8
  • 12. Person to person via hands of health-care providers, patients, and visitors Personal clothing and equipment (e.g. Stethoscopes, flashlights etc.) Environmental contamination Airborne transmission Hospital staff who are carriers Rare common-source outbreaks
  • 15. 15 HOST Characteristics Types of AGENTS ENVIRONMENTAL Factors Age Biologic bacteria, virus, molds Housing crowding, noise Gender Chemical poison, alcohol Air temperature, humidity Occupation Physical - trauma, fire Water , food
  • 16. Route Example Disease Direct contact Kissing, sexual contact, skin-to-skin contact STDs, skin infections, scabies Droplet Organism on large respiratory droplets that people sneeze, cough, drip, or exhale. Disease spread when people are close to each other (usually <3 feet) and inhale droplet. Mumps, pertussis (whooping cough), common cold, strep throat, meningitis Indirect contact Contact with contaminated surfaces, clothing, etc Skin infections, diarrheal disease Vector Bite from disease-carrying ticks, fleas, mosquitoes Lyme disease, LaCrosse encephalitis Vehicle Eat/drink contaminated food/beverage, transfuse infected blood, fomites (bedding, infected tatoo needle) Some diarrheal disease, hepatitis b/c Airborne Organism on dust particles or small respiratory droplets that may become aerosolized when people sneeze, cough, laugh, or exhale Chickenpox, Tuberculosis, Smallpox, corona virus. 16
  • 17. Body fluids tears, saliva, sputum (mucus coughed up), urine, feces, semen, vaginal secretions, pus or other wound drainage, blood Touching the infected person or their secretions Touching something contaminated by the infected person. Droplets coughing, sneezing, laughing, spitting, talking WAIZ
  • 19. Any body opening of an uninfected person which allows pathogens to enter Nose, mouth, eyes, rectum, genitals and other mucous membranes Cuts, abrasions or breaks in the skin WAIZ
  • 20. Anyone whose resistance to disease decreases Reasons for lowered resistance: age, existing illnesses, fatigue and stress The elderly have weaker immune systems and a lower resistance to pathogens Elderly are hospitalized more often, increasing the chance for hospital-acquired infections Recovery longer in the elderly WAIZ
  • 22. Universal precautions are infection control guidelines designed to protect workers from exposure to diseases spread by blood and certain body fluids. Always treat blood, body fluids, broken skin and mucous membranes as if they were infected Always follow Universal Precautions because you cannot tell by looking at a person whether they have a contagious disease WAIZ
  • 23. Use practical, common sense Wash your hands before putting on gloves and immediately after removing gloves Do not touch clean objects with contaminated gloves WAIZ
  • 24. Wear gloves if you may come in contact with blood, body fluids, secretions and excretions, broken or open skin, human tissue of mucous membranes Bag all disposable contaminated supplies Clean all surfaces that may be contaminated with infectious waste, such as beds, wheelchairs and shower chairs WAIZ
  • 25. Gloves,, gowns, eye protection, and face masks Health care workers should wear a face mask, eye protection and a gown if there is the potential for blood or other bodily fluids to splash.
  • 27. Masks should be worn if an airborne infection is suspected or confirmed to protect an immune compromised patient.
  • 30. Good hand washing is the most effective method to prevent the spread of infection May use an alcohol-based hand cleaner in place of washing with soap and water Avoid touching eyes, nose or mouth WAIZ
  • 31. Cover your nose and mouth with a tissue every time you cough or sneeze Throw used tissue in a wastebasket If you dont have a tissue, sneeze or cough into your sleeve Always clean your hands after coughing or sneezing WAIZ
  • 32. Before patient contact Before an aseptic task After body fluid exposure even if wearing gloves! After patient contact After contact with patient surroundings
  • 34. Remove any jewelry or watch Wet hands with warm, running water Add soap Rub hands vigorously for 20 seconds, washing all surfaces Dry with paper or clean cloth towel WAIZ
  • 38. Make sure all visible dirt is removed from your hands Apply a dime sized amount of waterless hand sanitizer to the palm of one hand or use a waterless hand sanitizer wipe Rub hands together covering all surfaces of hands and fingers Rub until waterless hand sanitizer is absorbed Remember, waterless sanitizers are not effective if dirt is visible on your hands WAIZ
  • 39. When you may come in contact with blood or any body fluids, open wounds, or mucous membranes Performing or helping with mouth care Performing or helping touth care Performing care on a consumer who has broken skin WAIZ
  • 40. When you have open sores or cuts on your hands When disposing of soiled bed linens, gowns, dressings and pads WAIZ
  • 41. When touching surfaces that may be contaminated Right before contact with mucous membranes or broken skin Immediately if they become wet, worn, soiled WAIZ
  • 43. Education and Training Hygiene Sanitation Follow public health recommendations food preparation, isolation and quarantine Vaccination Keep up to date Medicine Prophylactic antibiotics meningitis, pertussis 43
  • 44. WAIZ

Editor's Notes

  • #12: Health care-associated infections Infections are caused by bacteria, fungi or viruses entering the body through one or more of the following routes. person-person via hands of health-care providers patients and visitors; personal equipment (e.g. stethoscopes, computers) and clothing; environmental contamination; airborne transmission; carriers on the hospital staff; rare common-source outbreaks. Epidemiological evidence suggests that multidrug-resistant organisms are carried from person-to-person by health-care professionals. Carriers are individuals who harbor disease organisms in their body without visible symptoms and may pass the infection to another person. It is possible to carry an organism without being aware of it for example, Typhoid Mary a woman who carried the typhoid bacillus and unknowingly started an epidemic in the US in the 1880s . Outbreak is a term used in epidemiology to describe an occurrence of disease greater than would otherwise be expected in a particular time and place. It may be small and localized group or impact upon thousands of people across an entire continent. Two linked cases of a rare infectious disease may be sufficient to constitute an outbreak. Outbreaks may also refer to epidemics, which affect a region in a country or a group of countries, or pandemics, which describe global disease outbreaks. Common source outbreak Some diseases arise from a single definable source, such as a common water supply. The basic idea is that common source outbreaks are not propagated from individual-to-individual (e.g., person-to-person). Instead, sick individuals typically are propagation dead ends. Yet the disease continues to be endemic and perhaps epidemic as a consequence of contact with some typically geographically well-defined disease reservoir.
  • #13: Keep in Mind that transmission is not one-way and does not discriminate! Patients can Transmit to workers, visitors and other patients and vice versa. Any infectious person puts everyone in her immediate surroundsing s at risk!
  • #15: Interaction between the agent and the susceptible host in an environment that supports transmission of the agent DISEASE
  • #25: Personal protective equipment includes the use of gowns, gloves, aprons, eye protection and face masks. The use of these equipment is usually based on assessment of the risk of micro-organism transmission to the patient or to the carer as well as the risk of contamination of the health-care practitioners clothing and skin by the patients blood, bodily fluids, secretions or excretions.
  • #35: Often people miss areas on there hands.
  • #43: Hygiene do NOT share personal items Handwashing Cover your mouth when you cough or sneeze.