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INFECTION CONTROL

INFECTION CONTROL. Linda Henderson CNC Infection Control Royal District Nursing Service & Domiciliary Care SA September 2006 0411 657 054. Objectives. Understand how infection is spread Knowledge of how to prevent the spread of infection through the use of standard precautions

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INFECTION CONTROL

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  1. INFECTION CONTROL Linda Henderson CNC Infection Control Royal District Nursing Service & Domiciliary Care SA September 2006 0411 657 054

  2. Objectives • Understand how infection is spread • Knowledge of how to prevent the spread of infection through the use of standard precautions • Applying the principles of infection control in laundry settings

  3. How? • 5 modes of transmission • Airborne- very small, expelled when coughing, sneezing, remain airborne and can travel some distance (aerolised) • Droplet – larger, travel up to a metre, close contact, larger molecules • Contact – direct contact/indirect contact • Vehicle - contaminated food/water/blood • Vector - insects, animals/rodents

  4. AS/NZS 4146:2000 • Hand washing facilities • Design: dirty clean (prevent cross contamination) • Staff report infections; have I/C knowledge • Provision of PPE • Time, temperature, agitation + detergent • 60° for 30mins kills HIV; 98° for 2mins kills Hep B;

  5. Blood Borne Viruses • Hepatitis B, C & HIV/AIDS • Transmission by direct blood contact – sexual intercourse, sharing needles, needlestick injuries, razors etc. • Standard precautions only • Personal protective equipment when anticipating contact with body fluids • Safe handling of sharps

  6. HBsAg Prevalence ³8% - High 2-7% - Intermediate <2% - Low Geographic Distribution of Chronic HBV Infection

  7. Q Fever • Q fever is a highly infectious disease that is carried by animals and passed to humans • People who work with livestock are at highest risk of the disease and it is very prevalent in Queensland • Vaccine available for people who work with or come into contact with animals

  8. Hepatitis A • Transmission – faecal/oral • Liver virus • Vaccine preventable • Hand hygiene • Wearing of PPE

  9. GEOGRAPHIC DISTRIBUTION OF HEPATITIS A VIRUS INFECTION

  10. Infectious Gastroenteritis Management of Infectious Gastroenteritis in Aged Care Facilities. January 2005 5.9 SOILED LINEN • Ensure minimal handling of soiled linen and clothes to avoid microbial contamination of the air and staff • Soiled linen should be placed in collection bags immediately

  11. ‘Hosing off’ gross soiling from clothing/ linen prior to laundering should be done away from resident facilities and should be performed with extreme care • The wearing of face protection, gowns and gloves is essential for this procedure • Transport used linen in an enclosed bag and place the linen bag in a plastic outer bag if leakage is anticipated • Wash linen as usual in detergent, for the maximum washing cycle and then dry

  12. Immunisation • Hepatitis A • Hepatitis B • Tetanus • Influenza – prevent sick leave, absenteeism

  13. Conclusion • Prevent infections by following Standard Precautions • All blood and body fluids are potentially infectious • Always use PPE when handling soiled/dirty linen prior to cleaning • Education/training for all staff • Immunise for preventable diseases

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