Program for Surveillance and Intervention in Specific Problem Areas of Nosocomial Infections

Kallings, Lars Olof

doi:10.1093/clinids/3.4.721

Cited by 7 publications

(4 citation statements)

References 15 publications

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“…They, as well as Hambraeus et al 16 have expressed severe doubts about the importance of floor contamination as a source of airborne microorganisms in a patient room or in an operating room. Railings 4 was unable to demonstrate any increase in bacterial dissemination between ICU patients after discontinuing the use of protective footwear and of surface disinfectants in the daily floor cleaning.…”

Section: Control Of Transmission Of Infection Between Icu Patients Mumentioning

confidence: 95%

“…Smylie et al 3 have demonstrated a reduction of postoperative wound infection rates with about 55% in a surgical ward with controlled ventilation and with 40% of the beds in single-rooms compared to a "Nightingale" type multi-bed ward. Railings 4 and his collaborators were unable to demonstrate dissemination of microorganisms between patients in separate isolation rooms, but were unable to prevent such dissemination between intensive care patients nursed in a common room.…”

Section: Control Of Transmission Of Infection Between Icu Patients Mumentioning

confidence: 99%

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Optimal Design/Personnel for Control of Intensive Care Unit Infection

Nyström¹

1983

Infect. Control

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Apart from the special mechanisms for spread of IV device and respiratory equipment-related infections, the mechanisms for spread of infections in the intensive care unit (ICU) are no different from other areas of the hospital. Control of transmission must emphasize the necessity of blocking the contact and airborne routes of spread.Hand disinfection with an alcoholic preparation and the use of patient-bound gowns for all direct patient contact are efficient measures against contact spread of infections.Airborne spread is best reduced by nursing patients in one-patient rooms with doors closed. A substantial part of the beds should be in such rooms. However, they are of little value if basic barrier nursing techniques are neglected. An ante-room to the one-patient room is practical for hand disinfection, gowning, etc., and if ventilated, offers added protection against airborne spread.Barriers against transmission of microorganisms must be created between patient rooms. Since basic barrier nursing techniques are the determining factors for infection control, the need for adequate numbers of well-trained and well-educated staff cannot be overestimated.

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Section: Control Of Transmission Of Infection Between Icu Patients Mumentioning

confidence: 95%

Section: Control Of Transmission Of Infection Between Icu Patients Mumentioning

confidence: 99%

Optimal Design/Personnel for Control of Intensive Care Unit Infection

Nyström¹

1983

Infect. Control

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“…Während das Händewaschen unmittelbar vor Kontakt mit dem Patienten als die wichtigste Einzelmaßnahme zur Reduktion nosokomialer Infektionen erkannt wurde [21], zeigten weder Überschuhe oder Schuhwechsel [22,23], noch desinfizierende Klebematten einen messbaren Einfluss auf den Kontaminationsgrad der Fußböden [22,24]. Ohnehin schien fragwürdig, ob der bloße Nachweis von Bakterien in der unbelebten Umgebung eine Gefahr für Patienten bedeutet, oder ob nicht andere Infektionswege entscheidend sind [23][24][25]. Ebenso wurde der Sinn eines Umkleidens vor Betreten der Intensivstation in Frage gestellt [26].…”

Section: Begleitende Maßnahmen Zur Keimreduktionunclassified

“…Auch die Fußböden werden in Deutschland in vielen Kliniken noch heute regelmäßig desinfiziert, obwohl dies die Rate nosokomialer Infektionen nicht reduziert [14,23,24,27]. Auch die Fußböden werden in Deutschland in vielen Kliniken noch heute regelmäßig desinfiziert, obwohl dies die Rate nosokomialer Infektionen nicht reduziert [14,23,24,27].…”

Section: Begleitende Maßnahmen Zur Keimreduktionunclassified