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Sterility, Asepsis and Universal Precautions Health Science Technology
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Asepsis: literally, means “free of dirt” In reality, it is the simple method of preventing the spread of undesirable microorganisms (germs) by washing hands and observing other simple hygiene methods. Other methods: cleaning under nails, wearing protective garments and facemasks and eye shields. Cleaning other contact surfaces (fomites) by disinfection.
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Pathogens vs. non-pathogens Microorganisms include bacteria, fungi, spores, ricketsiae, viruses. Disinfection means killing microorganisms on inanimate surfaces (fomites) Antisepsis involves killing microorganisms on living tissues that are either injured or getting surgery
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The autoclave A mechanical pressure cooker that kills all living organisms and their spores by high temperature and high pressure. Either modality alone would not be as effective as the two in combination.
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Bacteria on a Petri dish after incubation
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Mode of transmission/airborne
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Contact transmission
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Fluid exchange bodily fluids
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Injection of microorganisms directly
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Fungi in culture medium (molds, algae, yeasts and fungi)
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Viruses: obligate intracellular parasites that can only replicate in other cells
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Rickettsial diseases carried by ticks, fleas, lice or any insect. Ex. Typhus and Rocky Mtn. spotted fever
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Shapes of Bacteria
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Chemical/cold sterilization
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Ultrasonic sterilization
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Transfer forceps
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Wrapping instruments for autoclaving
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Indicator tape for sterilization
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Hand washing for surgery
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Wound isolation precautions/surgery
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Disposal of medical waste
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Disposal of “sharps”
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Sterile wound changing/suture removal
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MRS MRSA
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strep
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Rheumatic fever and strep in kids
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Staphlococcus; abscess former,pus
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Staph abscess; MRSA!
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Incubators; 98.6 degrees, 24 hours
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Incision and drainage
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I and D with universal precautions
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Culture and sensitivity
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The sensitivity to antibiotics of a C & S Kirby Bauer Method
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I & D then C & S then prescribe the right antibiotic
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Prophylactic use of antibiotics Antibiotics and virus’ Side effects of antibiotics Superinfections Common cold and influenza Vaccines for virus’ to juice up your immune system Antibiotic resistance growing each year
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Nosocomial Infections Those we give to our patients About 400,000 patients without infections enter U.S. hospitals annually and contract an infection there. About ¼ of them die MRSA’s Methicillin resistant stapholococcus aureas most often Breaking the chain of infection
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MRSA
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SUPERBUGS!
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mmrsa
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Methicillin resistent staphlococcus aureus (MRSA’s) one type of superbug Others include klebsiella, pseudomonas, neisseria gonorrhea, salmonella, tuberculosis, E. Coli, clostridium, and new ones every year!!
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The more we use antibiotics, the less they work; bacteria getting smarter!
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Wound isolation/quaratine hosts of superbugs
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Self checking our walls, autoclaves, instruments for superbugs!
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Treatment for MRSA’s Prevention Washing hands of healthcare workers Avoid use of prophylactic antibiosis prior to C & S Destroy medical waste Reduce surgical incision size and time of exposure Autoclave only Select healthier patients or build up resistance first Avoid overuse of immunosuppressanats (cortisone)
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Strep Throat (risk of rheumatic fever)
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Tatoo infections
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Ebola virus epidemic
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