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Infection Control

ED Odai (JP, KSC, PHF*)


Consultant Maxillofacial Surgeon & Clinical Pharmacologist
•According to the World Health Organization (WHO),
infection prevention and control (IPC) is a scientific
approach and practical solution designed to prevent
harm caused by infection to patients and health
workers.

•It is a subset of epidemiology, but also serves an


essential function in infectious diseases, social
sciences and global health.
• Effective IPC is a public health issue that is
fundamental in patient safety and health system
strengthening.

• Strengthening IPC is essential to combat hospital


acquired infection (HAI), antimicrobial resistance,
and to respond to disease outbreaks.
Infection Spread in Healthcare Facilities
•Healthcare facilities, whether hospitals or primary care clinics
are an area with an elevated risk of disease transmission due to
the presence and relative ratio of susceptible individuals.
•About one in every ten patients get an infection whilst receiving
care
•effective infection prevention and control reduces healthcare-
associated infections by at least 30%
•In a healthcare setting, the three components required for the
spread of infections are the follow: source, susceptible person
and transmission.
Source
This includes all places where infectious agents survive
(e.g. sinks, hospital equipment, countertops, medical
devices).

Environment - patient care areas, sinks, hospital


equipment, countertops, medical devices.

People - patients, healthcare workers, or visitors.


Susceptible Person
• Someone (Patient, Healthcare Worker, or Visitor) who is
not vaccinated or immune to a particular infectious
disease, or an individual with a compromised immune
system / immunodeficient.

• In addition, susceptibility can be heightened in individuals


due to underlying medical conditions, medications, and
necessary treatments and procedures that increase the
risk of infection (for example, surgery)
Transmission
The way germs are moved to the susceptible person
• Touch, including via medical equipment or a susceptible
person (for example, methicillin resistant Staphylococcus
aureus )
• Sprays or splashes (for example, Pertussis)
• Inhalation of aerosolised particles (for example,
tuberculosis or measles)
• Sharps injuries introducing blood-borne pathogens (for
example, HIV and HBV.
Infection control
• This can be within the community or

• In healthcare facilities.
Infection control within Communities
• Infection control and prevention is a global issue and
there are many protocols and guidelines that can be
followed to minimise the spread of infection between
people, within a population and globally.
• The first step when looking at infection control can
start at the community level by changing behaviour,
including:
Infection control within Communities
• Regular handwashing.
• Appropriate use of face-masks (protect from and prevent spread of
respiratory infections)
• Using insect repellents.
• Ensuring up-to-date routine vaccinations and participating in
immunisation programmes.
• Taking prescribed medications, such as antibiotics, as directed by health
professionals.
• Social/physical? Distancing: avoiding contact with others.
• Using condoms when having sex, especially with a new partner.
Other steps that can be taken to control the spread within
communities include environmental measures such as:
• Modifying environments
• Surveillance of diseases
• Food safety
• Air quality
Other steps that can be taken to control the spread within communities
include environmental measures such as:

• Modifying environments
• Surveillance of diseases
• Food safety
• Air quality
• Medical interventions
• Antibiotics,
• Antivirals,
• Antifungals,
• Vaccinations.
Steps to Improve Infection Control
• There are two tiers of recommended precautions by the Center
of Disease Control and Prevention (CDC)to prevent the spread
of infections in healthcare settings:

i) Standard Precautions

ii)Transmission-Based Precautions
Steps to Improve Infection Control
• There are two tiers of recommended precautions by the Center
of Disease Control and Prevention (CDC)to prevent the spread
of infections in healthcare settings:

i) Standard Precautions

ii)Transmission-Based Precautions
Standard Precautions for All Patient Care
• Perform hand hygiene.
• Use of personal protective equipment to prevent exposure to infection.
• Follow respiratory hygiene/cough etiquette principles.
• Ensure appropriate patient placement and isolation precautions.
• Properly handle, clean, and disinfect patient care equipment and medical
instruments.
• Handle and sterilise textiles and laundry carefully.
• Follow safe injection practices and proper handling of sharps/needles.
Standard Precautions for All Patient Care
• Ensure healthcare worker safety via IPC and post-exposure prophylaxis
• Prevention of intervention-related infections (catheter-associated urinary tract
infections, intravascular catheter-related infections, surgical site infections)
• The implementation of the specific isolation precaution when diagnosing some
syndromes,.
• Improving the communication between health care workers especially when referring
potentially contagious patients.
• In paediatric departments or ambulatory settings, there should be efforts to decrease
infection from contaminated toys.
• Families can be encouraged to bring their own toys.
Transmission-Based Precautions
These are used in addition to Standard Precautions for patients with
infectious disease to prevent transmission:
• Contact precautions
• Droplet precautions
• Airborne precautions
Conclusion
• There is no one solution to controlling the spread of infectious
diseases, and effective IPC indeed requires government
intervention and collaboration between healthcare agencies,
individuals and communities.
• Until certain risk factors are addressed and behaviours modified,
the war against infectious diseases will continue to be a
predominant and costly health issue around the world.
Acknowledgement
• This lecture was adapted from:
• https://www.physio-pedia.com/
Infection_Prevention_and_Control#cite_note-20

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