hand hygiene and prevention of infection in

8/18/2019 Hand Hygiene and Prevention of Infection In

1/22

Prevention of

Infections inicu care

DR.T.V.RAO MD


2/22

Health care Associate

Inf ections

Healthcare-associatedinfections aect .!"illion #atients at anyti"e $orld$ide% as

esti"ated &y the 'orldHealth Organi(ation. Inintensive care units% the&urden of healthcare-associated infections is

greatly increased% causingDr.T.V.Rao MD


3/22

Multi Drug Resistant Micro&es &e reduced $ith Hand hygien

Multidrug-re#athoge

co""only invosuch infectio

render etreat"ent challe

Pro#er hand hygthe singl

i"#ortant% si"#leleast e)#ensive

of #revhealthcare-asso

infeDr.T.V.Rao MD


4/22

*D* +ays

According to the *enters for Disease *ontrPrevention and 'orld Health Organi(ationguidelines on hand hygiene in health care%

&ased hand ru& should &e used as the #ref"eans for routine hand antise#sis. Alcohoe)cellent in vitro activity against ,ra"-#oand ,ra"-negative &acteria% including "uresistant #athogens% such as "ethicillin-re

+ta#hylococcus aureus and vanco"ycin-reenterococciDr.T.V.Rao MD


5/22

Our Hands are al$ays*onta"inated $ith

Micro&es

Dr.T.V.Rao MD


6/22

OPTIMA HAD

H/,0I0 *orrect hand hygiene

includes $ashing hands$ith soa# and $ater or

using alcohol-&asedhand saniti(ers1#referred2. Handhygiene #roceduresshould &e #erfor"ed

&efore and after any andall direct atient contactDr.T.V.Rao MD


7/22

OPTIMAL HAND HYGEINE Direct #atie

includes4 e)a"#atient% s#eci"en

and all #rocedushould &e clea

and after conta#atient5s

environ"ente6ui#"ent. Ha

#ractices#erfor"ed &eforeating% snee(ing

and using theDr.T.V.Rao MD


8/22

0very &ed should have

0very &ed should haveattached alcohol&ased anti-"icro&ialinstant hand $ashsolution source% $hichis used &eforecaregiver1doctor7urse7relative7

Para"edical2 handlesDr.T.V.Rao MD


9/22

'ater &asin'ater &asin

&edside h#roven #o#ulasuccessful &eof #oor co"#&y one and aalso for reass#ace constand "ainte

isDr.T.V.Rao MD


10/22

An o#eration roo" style

An o#eration roo" stylesin8 $ith 0l&o$ or footo#erated $ater su##lysyste" $ith running hot

and cold $ater su##ly$ith antise#tic soa#solution source should&e there at a #ointeasily accessi&le andunavoida&le #oint%

$here t$o #eo#le canDr.T.V.Rao MD


11/22

Ho$ you enter a I*9

All ent1Irres#ecti

Doctors or nshould don

and ca# in I*9ideally an a$hich shoure#laced d

Dr.T.V.Rao MD


12/22

o dirty7soiled line

o dirty7soiledlinen7"aterial should&e allo$ed to stay in

I*9 for long ti"es forfear of s#read of &adodour% infection andshould &e dis#osed oas fast as #ossi&le.

Dirty linen should &ere lace re ularl atDr.T.V.Rao MD


13/22

All surrounding to &clean

All surroundof I*9 shoul8e#t a&soluclean and g

if #ossi&lo&vious rea

Dr.T.V.Rao MD


14/22

*are of the *athete

'hile the e#ide"iology of catheter infec$ell descri&ed in $estern literature% dataIndian hos#itals is scarce. Though one st

inter"ediate-ter" central catheters in cre#orts rates of catheter associated&loodstrea" infection of .;7


15/22

*atheters as sourceInfection

The high fre6uency offungal colonisation ofcatheter ti#s andcandide"ia 1a&out!=>2 in a #aediatricstudy is also unusualand re6uires furtherevaluation.

Dr.T.V.Rao MD


16/22

+urveillance of *atheter associInfections

All Instituand intensive

units sh"easure *

rates 1A2 @#ur#os

surveillan?+Is cou

*Dr.T.V.Rao MD


17/22

Indication for culturing ?lo

?lood cultures are to&e dra$n only $hen?+I is clinically

sus#ected 1and#refera&ly &eforeanti&iotics arestarted2 1A2 Routine

cultures of vascularDr.T.V.Rao MD


18/22

I"#le"entation of +tandardO#erating #rocedures

+tan"ethodolog

&lood cuvascular cath

ti# culturecalculati

*A?+I rateencoura

Dr.T.V.Rao MD


19/22

Hand $ashing a gre

#riority Practical a##roaches to#ro"ote hand hygiene inthe intensive care unitinclude #rovision of a

"ini"al nu"&er of handru& dis#ensers #er &ed%"onitoring ofco"#liance% and choiceof the "ost attractive

#roduct. ac8 ofDr.T.V.Rao MD


20/22

Increased use of Alcohol inHealth care

Multidi#rogra"s to

increasalcoholic hand

to an co"#liance of h

$or8erreco""en

hygiene #ractreduced #revnosoco"ial i

Dr.T.V.Rao MD


21/22

,ive everyone a

*lean Hand

Dr.T.V.Rao MD


22/22

Progra" :le *reated &y Dr.T.V.RaoMD for Medical and Para"edical

Professionals for i"#roving thehealth care in Intensive care 9nits Ema!

doctortvraoBg"ail.co"

Dr.T.V.Rao MD

hand hygiene and prevention of infection in

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