V. Reference basis of action

Choice of facilities antiseptic depending on the variety of fastening-septic surgical pathology.

Surgeons in the work try to get a maximal effect antiseptic and, as a rule, apply a few types of antiseptic, and sometimes and all arsenal (mixed antiseptic). It relies on the variety of pathology and weight of its motion.

Examples of choice of facilities antiseptic at different pathological states

Pathological process	Facilities of antiseptic, that can be applied
	mechanical	physical	chemical	biological
Clean wound		Drainage OUVCH		Prophylactic antibioticotherapy
Contaminovana wound (accidental)	Deleting of strange bodies. Deleting of blood clots. Deleting of zmert- vilih fabrics and those, that potentially can grow stiff	Drainage. Ultrasound OuF-irradiation Sorbenti Osmotic facilities	Facilities for local application	Local and general antibioticotherapy Facilities of passive and active immunization against a stupor and hydrophobia at the bitten wounds
The Suppurative wound	Deleting of dead fabrics	Drainage. Ultrasound. OuF- irradiation Sorbenti. Osmotic facilities. Laser irradiation	Facilities for local application. Chemotherapy facilities.	Local and general antibioticoterapiya. Proteolitic enzymes. Facilities of passive and active immunization against a stupor and hydrophobia at the bitten wounds
Fastening diseases of skin and hypodermic cellulose in a purulent-necrotic stage	Dissection of abscess. Deleting of dead fabrics	Drainage. Ultrasound. OuF- irradiation. Sorbenti. Osmotic facilities. Laser irradiation	Facilities for local application. Chemotherapy facilities.	Local and general antibioticotherapy. Proteolitic enzymes. Facilities of passive and active immunization

Composition and preparation to application of some facilities antiseptic

Computation of component parts for preparation of working solution of pervomur (S-4)

Initial solution			Working solution
Pergidrol, ml	Ant acid, ml		Water, l
	100%	85%	1,2%	2,4%	4,8%
17,1	6,9	8,1	To 2	To 1	0,5

For preparation of initial solution in a glass retort the proper quantity hydrogen peroxide is poured, and then add ant acid. Shake a retort up and put in the lower area of refrigerator on 1 – 1,5 hours, shaking up a retort each 20-30 min. Initial solution can be saved at a room temperature a 1 day. Working solution also suitable during a 1 day. Thus pervomour it is possible to prepare every 2 days.

Triple solution (Croupenin)

Composition:

Carbolic acid – 0,3%

Formaldehyde – 1,5%

Carbonate of sodium – 2%

Alcoholic solution Lugol

Composition:

Alcohol 96% - 100 ml

To potassium of iodide – 1 g

Clean iodine – 1 g

Water solution Lugol

Composition:

Distilled water - 100 ml

To potassium of iodine – 2 g

Clean iodine – 1 g

Organization of care of patient with an anaerobic infection

A patient with an anaerobic infection creates for surrounding him other patients and medical personal large danger. An anaerobic infection is characterized by the high level of contagious and, if not to apply prophylactic measures, can stagger other patients. Basic by distribution of anaerobic infection is contact, therefore popered all it is necessary to insulate a patient in a separate chamber and organize disinfection and sterilization of facilities of examination, crockery, instruments, and others like that, which contact by the given patient.

1. In the induction centre a patient passes sanitary treatment.

2. For washing of patient soap is applied in the shallow packing.

3. Before hospitalization the bed, stand, floor, a pidcladne ship is processed by a 6% solution hydrogen peroxide with a 0,5% solution SMZ.

4. Cleaning up of chamber is executed 2 times per a day with the use of a 6% solution hydrogen peroxide with a 0,5% solution SMZ.

5. Facilities for cleaning up mark and sterilize in an autoclave after the 1^st mode.

6. The crockery of patient is released from tailings of meal, wet in a 2% solution of soda and boil hours during 1,5.

7. A medical personnel before the entrance in a chamber is changed clothes in the special dressing-gowns and bahili, during the review of patient and bandaging use oilcloth aprons which are processed by a 6% solution hydrogen peroxide.

8. Bandaging material is collected in specially selected bics, autoclave and annihilate.

9. The linen worn and bed next to the skin is collected in cotton or polyethylene sacks, wet in a 2% solution of soda or cleanser, whereupon hours are boiled during 1,5.

10. A mattress, pillow and blanket is added to chamber disinfection in the mode for microorganisms, that form spores.

11. Dip the used tool in a 6% solution hydrogen peroxide with 0,5% SMZ on a 1 hour, then before sterilization preparation and sterilization is conducted.

Utilization of bandaging material muddy by fastening excretions.

Bandaging material, that was in touch with a patient at which a purulent-necrotic process takes place, is added to disinfection (wetting is applied in different chemical facilities antiseptic), the mode of the last relies on used for this mean. After disinfection the worked bandaging material is taken out and must be fire.