Manual of Infection Prevention and Control

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  • Edition: 3rd
  • Format: Paperback
  • Copyright: 2012-03-21
  • Publisher: Oxford University Press

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It has been estimated that in developed countries up to 10% of hospitalized patients develop infections every year. Not only is there a substantial cost to healthcare systems, but some healthcare associated infections (HCIAs) can be fatal. Since the majority of HCIAs are preventable, reducing HCIAs is now considered to be an integral part of patient safety and quality of care provided by all healthcare institutions worldwide. Unlike other books on infection control, the main strength of this book is to provide clear, up-to-date and practical guidance in infection control in an easy to read format which can act as a quick source of reference on all aspects of HCIA for healthcare workers who are either directly or indirectly involved in prevention and control of HCIAs. Although the book's main audience is infection control practitioners such as doctors, nurses, public health physicians, it is also a valuable reference for environmental health officers, health educators, practice managers in GP surgeries, and health service managers.

Table of Contents

Abbreviationsp. xvii
Glossary of infection control termsp. xix
Basic conceptsp. 1
Human microflorap. 1
Types of microbesp. 3
Pathogenesis of infectious diseasesp. 4
Chain of infectionp. 5
The body's defence mechanismsp. 9
Strategies to control and prevent health care-associated infectionsp. 11
Administrative arrangementp. 17
Impact of health care-associated infectionsp. 17
Responsibilities of health care facilitiesp. 18
Policies and procedures manualp. 19
Reduction of health care-associated infectionsp. 19
Public reporting of health care-associated infection datap. 20
Organization of an infection prevention and control programmep. 20
Surveillancep. 25
Objectives of surveillancep. 25
Incidence of various health care-associated infectionsp. 26
Definitions of health care-associated infectionsp. 26
Data collection for surveillancep. 28
Methods of surveillancep. 28
Types of surveillancep. 31
Learning from the airline industryp. 34
Outbreak managementp. 36
Case definitionsp. 37
Role of microbiology laboratoryp. 37
Is it really an outbreak?p. 38
The epidemic curvep. 39
Outbreak control measuresp. 40
Management of an outbreakp. 41
Communicationp. 43
End of outbreakp. 43
Look-back investigationsp. 44
Epidemiology and biostatisticsp. 46
Epidemiologyp. 46
Biostatisticsp. 52
Disinfection and sterilizationp. 59
Basic conceptsp. 59
Chemical disinfectants and antisepticsp. 64
Decontamination of endoscopesp. 77
Environmental cleaningp. 80
Disinfection procedures for individual items and equipmentp. 89
Isolation precautionsp. 96
Risk assessmentp. 97
Types of isolationp. 97
Practical issues and considerationsp. 100
Type and duration of isolation precautionsp. 106
Incubation periods of infectious diseasesp. 131
Hand hygienep. 135
Microorganisms on the handsp. 135
Hand washing using soap and waterp. 136
Hand hygiene using alcohol hand rubp. 137
Indication and technique of hand hygienep. 139
Hand hygiene compliancep. 140
Issues related to alcohol-based preparationsp. 144
Skin reactions related to hand hygienep. 144
Hand carep. 145
Personal protective equipmentp. 147
Glovesp. 147
Aprons and gownsp. 152
Protective eye/facewearp. 155
Control of multiresistant microorganismsp. 160
Antibiotic stewardshipp. 160
Meticillin-resistant Staphyloccocus aureusp. 169
Vancomycin-resistant enterococcip. 176
Multi-resistant Gram negative bacteriap. 177
Special pathogensp. 183
Clostridium difficile-associated diarrhoeap. 183
Gastrointestinal infectionsp. 188
Blood-borne viral infectionsp. 200
Tuberculosisp. 210
Respiratory viral infectionsp. 218
Respiratory syncytial virusp. 221
Legionnaires' diseasep. 223
Meningococcal infectionsp. 227
Varicella zoster virusp. 231
Viral haemorrhagic feversp. 235
Prion diseasep. 239
Scabies and pediculosisp. 242
Intravascular catheter-related infectionsp. 250
Sources of infectionsp. 250
Education and trainingp. 251
Surveillance of catheter-related infectionp. 252
Pathogenesisp. 254
Prevention strategiesp. 254
Parenteral solutions and administration setsp. 259
Catheter-associated urinary tract infectionsp. 261
Risk factorsp. 261
Pathogenesisp. 262
Microbiologyp. 263
Diagnosisp. 264
Prevention strategiesp. 264
Management of patients with bacteriuria and infectionsp. 269
Prevention of ventilator-associated pneumoniasp. 272
Definition and microbiologyp. 272
Pathogenesisp. 274
Prevention strategiesp. 274
Surgical site infectionsp. 281
Microbiologyp. 281
Risk factorsp. 281
Definitionsp. 284
Surveillancep. 284
Surgical asepsis and the operating theatrep. 286
Measures to prevent surgical site infectionsp. 294
Staff healthp. 301
Role of occupational health departmentsp. 301
Pre-employment assessmentp. 302
Health status of health care workersp. 303
Measures to protect health care workersp. 303
Management of sharps injuriesp. 310
Protection against tuberculosisp. 314
Pregnant health care workersp. 315
Primary and community health care facilitiesp. 321
Management responsibilitiesp. 321
General principles of infection controlp. 323
Special problemsp. 325
Outbreaks of infectionp. 326
Support servicesp. 327
Management of clinical wastep. 327
Kitchen and catering servicesp. 333
Linen and laundry servicesp. 338
Pest controlp. 341
Prevention of infection after deathp. 342
Health estatesp. 348
The general hospital environmentp. 348
Patient accommodationp. 350
Isolation roomsp. 351
Ventilation and air-conditioningp. 353
Construction, renovation, and demolitionp. 353
Operating theatresp. 354
Internet information resourcesp. 359
Evidence-based practicep. 359
Journals and newslettersp. 359
Organizations and regulatory bodiesp. 360
Indexp. 363
Table of Contents provided by Ingram. All Rights Reserved.

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