By G. A. J. Ayliffe, E. J. L. Lowbury, A. M. Geddes, J. D. Williams

This up to date version of "The keep watch over of sanatorium an infection" deals sensible suggestion for all those people who are concerned with the keep an eye on of infections. It includes guidance for surgeons, physicians and nurses who deal with sufferers with infections, and in addition for these answerable for working theatres, clinic kitchens and valuable sterile provide departments. The publication is split into seven sections, each one protecting a selected subject, similar to sterilization, disinfection and cleansing, prevention of unfold of an infection, chemotherapy and immunization, and distinct wards and departments. It takes under consideration advances within the box because the prior version.

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Additional resources for Control of Hospital Infection: A Practical Handbook

Sample text

Name of Surgeon performing operation . . . . . . . . . . . . Severity of infected lesions: Mild . . . Moderate . . Classification Clean ......... of operation: Clean/ contaminated ..... Severe ..... Contaminated ..... Has wound been dressed in ward? Number of days since operation ............. Yes/No? . Have antibiotics been given (specify) Probable origin of infection: Theatre . . . . . . . . . . . . . Ward . . . . . . . . . . . . . . N/K ..........................

Bowie-Dick autoclave tape test for high vacuum autoclaves* The principle is very simple. A standard test pack is made up from buckaback towels. In tbe centre is placed a piece of paper to wbich bas been fixed a cross of approved autoclave tape whicb bas been stored according to tbe manufacturer's recommendations. This tape shows a colour cbange when exposed to steam. The test pack is now autoclaved in tbe usual way. It all the air has been removed tbe steam will penetrate rapidly and completely and the tape will show a uniform colour cbange.

Random swabbing of areas of unspecified size will give results which are not comparable with each other or with previous results and are difficult to interpret. The non-quantitative isolation even of known pathogens may also be misleading. Selective and/or indicator media should be used for counting pathogens such as Staphylococcus aureus or Clostridium welchii. Standards for counts on surfaces are rarely valid; numbers of organisms on a surface vary according to the amount of recontamination from the air, and on floors also from shoes and trolleys.

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