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Fundamentals of infection prevention and control : theory and practice / / Debbie Weston
Fundamentals of infection prevention and control : theory and practice / / Debbie Weston
Autore Weston Debbie
Edizione [2nd ed.]
Pubbl/distr/stampa Chichester, West Sussex, U.K., : Wiley-Blackwell, c2013
Descrizione fisica 1 online resource (385 pages) : illustrations
Disciplina 362.196/9
Collana Fundamentals series
Soggetto topico Cross infection - Prevention
Hospitals
ISBN 9781118307717
1118307712
9781118307694
1118307690
9781118307700
1118307704
Classificazione 362.196/9
498.6
WX 167
Formato Materiale a stampa
Livello bibliografico Monografia
Lingua di pubblicazione eng
Nota di contenuto Cover -- Title page -- Copyright page -- Contents -- About the series -- Preface -- How to get the best out of your textbook -- How to use the companion website -- Acknowledgements -- Introduction -- Part One: Introduction to infection prevention and control -- 1: The burden of healthcare-associated infections, and disease threats old and new -- Introduction -- Background -- The problem of HCAIs -- HCAI point prevalence surveys -- The challenge of disease threats old and new -- SARS -- Pandemic influenza -- Changes within the NHS and the provision of healthcare -- Secondary versus primary care: infection control in acute trust and primary care settings -- NHS acute trusts (secondary care) -- References -- 2: The Infection Prevention and Control Team -- Introduction -- The role of the Infection Prevention and Control Team -- The challenges of working as an Infection Prevention and Control (IP& -- C) Specialist Nurse -- The role of Infection Control Link Practitioners -- Responsibility, accountability and duty of care -- Competency -- Documentation -- Avoidable versus unavoidable infections -- The Health and Social Care Act 2008: Code of Practice on the Prevention and Control of Infections and Related Guidance -- Root Cause Analysis (RCA)/Post Infection Review (PIR) -- References -- 3: Audit and surveillance -- Introduction -- Audit -- Surveillance -- Alert organism surveillance -- Alert conditions -- Surveillance of notifiable diseases -- Mandatory and voluntary surveillance -- Surveillance of surgical site infections -- References -- Further reading -- 4: The investigation of clusters, periods of increased incidence and outbreaks of infection -- Introduction -- Recognising a cluster, a period of increased incidence and an outbreak -- Cluster -- Period of increased incidence -- Outbreak -- Look-back exercise.
Arranging a cluster, PII or outbreak control group meeting: who to invite and agenda planning -- Investigating a cluster of ward-acquired MRSA colonisations -- C. difficile - periods of increased incidence or outbreaks -- Legionella: hospital or community acquired (isolated case or outbreak) -- Tuberculosis (smear positive): if the index case is, or was, a hospital in-patient -- At the meeting and after: actions and closure of the incident -- References -- 5: Microbial classification and structure -- Introduction -- Bacteria -- Bacterial structure -- Bacterial classification -- Virulence factors: slime, capsules and biofilm -- Spore formation -- Flagella -- Pili (fimbriae) -- The production of invasive enzymes -- Toxin production -- Plasmids -- Viruses -- Structure -- Replication -- Some medically important viruses -- Prions -- References -- 6: The collection and transportation of specimens -- Introduction -- General points -- Specimens must be collected in the appropriate container -- Taking the correct specimen -- Obtaining a specimen at the correct time -- The labelling of specimens and the specimen request form -- The investigation required -- 'Danger of Infection' labelling -- Prompt delivery to the laboratory -- Commonly requested clinical specimens -- Urine -- Indications for collection -- Obtaining an MSU -- Obtaining a catheter specimen of urine (CSU) -- Sputum -- Obtaining a sputum specimen -- Wounds -- Obtaining a wound swab -- Faeces -- Obtaining a stool specimen -- Rectal swabs -- Throat swabs -- Obtaining a throat swab -- MRSA screen (nose and axillae) -- Blood culture -- Cerebral spinal fluid -- References -- Further reading -- 7: The microbiology laboratory -- Introduction -- Bacterial growth -- Nutrients -- Temperature -- Moisture -- Oxygen -- Cell division -- Bacterial culture -- Culture media -- Inoculation of culture media.
Culturing viruses -- Gramstaining -- Processing specimens -- MRSA -- Mycobacterium tuberculosis -- Clostridium difficile -- Other laboratory techniques -- Polymerase chain reaction (PCR) -- Latex agglutination -- Immunofluorescence -- Serology -- Typing -- Genome sequencing -- References -- 8: Understanding the immune system and the nature and pathogenesis of infection -- Introduction -- The innate, or natural, immune response -- The skin -- Resident body flora -- Defence mechanisms of the respiratory, GI and genito-urinary tracts -- White blood cells -- Cytokines, chemotaxis and phagocytosis -- Macrophages -- The adaptive, or acquired, immune response -- T lymphocytes -- B lymphocytes -- Antibodies -- Complement -- The immune response and allergy -- Hypersensitivity reactions -- Understanding the chain of infection -- Link 1: causative organism -- Link 2: reservoir or source -- Links 3 and 4: portal of exit and portal of entry -- Link 5: mode of transmission -- Link 5: the susceptible patient -- Colonisation, infection and the inflammatory response -- Colonisation -- Infection -- References -- 9: Sepsis -- Introduction -- Sepsis and septicaemia -- Sepsis definitions -- The pathogenesis of septic shock -- Toxin release -- Activation of the complement system -- Systemic effects -- The management of sepsis and septic shock -- Neutropenic sepsis -- Confirming a diagnosis of neutropenic sepsis -- Clinical considerations -- Blood culture and antibiotics -- Admission and isolation -- Clinical practice points: infection control precautions -- References -- 10: Antibiotics and the problem of resistance -- Introduction -- Part A -- The discovery of penicillin -- How antibiotics work -- Antimicrobial resistance -- Factors leading to the emergence of resistance and problems within the healthcare setting -- Antimicrobial stewardship -- Part B.
Specific antibiotic-resistant organisms -- Clinical practice points: the infection control management of patients colonised or infected with an ESBL or carbapenem-resistant organism -- References -- Part Two: The principles of infection prevention and control (standard precautions) -- 11: Isolation and cohort nursing -- Introduction -- Compliance with the Health and Social Care Act 2008 -- Standard precautions -- EPIC and NICE guidelines -- The purpose of isolating patients and different categories of isolation -- Source (standard) isolation -- Protective isolation (see Chapter 9) -- Isolation and risk assessment -- Infection control precautions within specialist areas -- General points regarding the infection control management of infected and colonised patients -- Negative-pressure isolation -- The psychological effects of isolation -- Care of deceased patients -- References -- 12: Hand hygiene -- Introduction -- Ignaz Semmelweis -- The microbial flora of the skin -- Resident skin flora -- Transient skin flora -- How cross-infection via the hands occurs -- Hand hygiene -- Hand washing -- Surgical hand antisepsis -- Alcohol hand rubs -- Hand decontamination at the point of care - the 5 Moments for Hand Hygiene -- My 5 Moments for Hand Hygiene -- The patient zone -- The healthcare zone -- Hand hygiene: patients and the public -- Care of the hands -- References -- 13: Personal protective equipment -- Introduction -- Personal protective equipment: risk assessment -- PPE: common mistakes and important points -- Aprons and gowns -- Respiratory and facial protection: masks, goggles and visors (face shields) -- Masks -- Surgical face masks -- Respiratory protection -- Goggles and visors -- The order of donning and removing PPE -- References -- 14: The safe handling and disposal of sharps -- Introduction -- The incidence of sharps injuries.
Safety devices -- References -- 15: Cleaning -- Introduction -- Cleaning and the Health and Social Care Act 2008 -- Cleaning standards -- Decontaminating beds and commodes -- Beds -- Commodes -- Disinfectant wipes -- The cleaning of equipment -- How clean is clean? -- Cleaning isolation side rooms, and deep cleaning bays and wards -- References -- Part Three: Clinical practice -- 16: The management of vascular access devices and the prevention of bloodstream infections -- Introduction -- Vascular access devices -- Peripheral venous cannulae -- Midline catheter (IV line) -- Peripherally inserted central catheter (PICC line) -- Skin-tunnelled valved central catheter (Groshong® line) -- Skin-tunnelled non-valved central catheter (Hickman®) -- Central venous catheters -- Implanted ports -- Arterial lines -- Intra-osseous (IO) access -- The pathogenesis of VAD-related BSIs (bacteraemia) -- Bacteraemia -- Phlebitis -- Best practice in the prevention of peripheral cannula infection -- Initial considerations -- Skin decontamination -- Hand decontamination -- Early detection of phlebitis -- References -- 17: The prevention and management of catheter-associated urinary tract infections -- Introduction -- The economic burden of catheter-associated urinary tract infections, and the prevalence of urinary catheters in healthcare -- The United Kingdom -- The United States -- The pathogenesis of CAUTIs -- Clinical features of UTIs -- Uncatheterised patients -- Catheterised patients -- Diagnosis -- Clinical considerations: Best practice in the prevention of CAUTIs -- Avoid catheterisation -- Competency -- Prevent trauma -- Prevent contamination -- The use of silver catheters -- References -- 18: The prevention and management of surgical site infections -- Introduction -- The prevalence of surgical site infections.
The prevention of SSIs: Compliance with the Health and Social Care Act 2008.
Record Nr. UNINA-9910967181703321
Weston Debbie  
Chichester, West Sussex, U.K., : Wiley-Blackwell, c2013
Materiale a stampa
Lo trovi qui: Univ. Federico II
Opac: Controlla la disponibilità qui
Introduction to syndemics : a critical systems approach to public and community health / / Merrill Singer
Introduction to syndemics : a critical systems approach to public and community health / / Merrill Singer
Autore Singer Merrill
Edizione [First edition.]
Pubbl/distr/stampa San Francisco, California : , : Jossey-Bass, , c2009
Descrizione fisica 1 online resource (xxi, 274 pages)
Soggetto topico Epidemics
Social medicine
Poor - Health and hygiene
Health Status Disparities
Ecology
Healthcare Disparities
Social Medicine
Systems Theory
ISBN 0470482982
9780470482988
Classificazione 498.6
2009 I-420
WA 300.1
362.1
Formato Materiale a stampa
Livello bibliografico Monografia
Lingua di pubblicazione und
Record Nr. UNINA-9910795974603321
Singer Merrill  
San Francisco, California : , : Jossey-Bass, , c2009
Materiale a stampa
Lo trovi qui: Univ. Federico II
Opac: Controlla la disponibilità qui