Prevention of nosocomial infection
I. Measures aimed at the source of infection:
Identification of healthy carriers among staff and patients, their rehabilitation
Honey.inspection and the tank. carrier screening
Isolation of infectious disease patients and carriers
Prevention of nosocomial infection
II. Measures aimed at breaking the mechanism of transmission of the pathogen:
•Hygienic regime of patients
•Hygienic regime of personnel
•Ventilation, air conditioning
•Sanitary regime
•Disinfection and sterilization
Prevention of nosocomial infection
III. Measures aimed at increasing immunity to infection:
•Increased non-specific resistance
•The technique of operations
•Specific prophylaxis
Catering service
Payment system;
Timetable – 4 - x-(6-ti -) one-time meals: Breakfast 8-9 hours. withwins 25-30% daily call. lunch 13-14 hours - 40% daily call.
dinner 17-18 hours - 25% daily call. 2nd dinner 21 hours - 5% daily call.
Power management systems:
A.centralized,
B.decentralized.
Working conditions for doctors
microclimate
air composition
noise
illumination
radiation
working posture
physical and mental strain
responsibility for a person's life, etc.
Occupational hazards of health care workers
1)forced position of the body or tension of individual organs and systems:
operating room and anesthesiology staff,
surgeons and traumatologists,
ophthalmologists and ENT doctors,
pathologists and medical examiners,
dentists, etc.
Occupational hazards of health care workers
2)physical factors:
•roentgen radiation,
•radioactive radiation,
•ultrasound,
•laser radiation,
•noise of apparatuses and devices,
•fields and currents of microwave, UHF, HF,
•increased blood pressure, etc.
Occupational hazards of health care workers
3)chemical:
narcotic,
disinfectant,
preserving,
drug,
acids and alkalis,
organic solvents, etc.
Occupational hazards of health care workers
4)biological factors:
pathogen,
antibiotics,
vaccines,
serums,
biostimulators, etc.
Occupational hazards of health care workers
5)psychogenic factor:
contact with patients (especially with nervous and mental diseases),
psychogenic effect of adverse treatment outcome, etc.
The result of a psychogenic factor is a syndrome of "emotional burnout" (more often in anesthesiologists-resuscitators and psychiatrists).