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Tuesday, July 17, 2012

Avian Influenza Disease



Avian Influenza DiseaseMicroorganisms Cause: HPAIV (Highly Pothogenic Avian Influenza Virus)
Source of infection: The Poultry Community

Mode of transmission:
Contact: Direct and indirect
Transmission occurs on direct contact of the skin of patients to other susceptible host skin, in this case health workers during bathing patients or carrying out other nursing actions.
Indirectly by involving intermediate object, usually inanimate objects such as medical equipment, needles, gauze pads, a hand that is not washed, used gloves.

Droplet:
Although in theory droplet transmission or by sprinkling is another form of contact transmission, but the mechanism of transfer of pathogens from very different pejamunya as direct or indirect contact. Spark generated by the host (with a diameter> 5  m) through coughing, sneezing, talking and during the execution of certain actions such as mucus and suction bronchoscopy. Sparks coming from the host in jerak flying through the air and settles near the body of other susceptible host such as: conjunctiva, nasal mucosa, or mouth.
Because the spark that contain germs are not settled in the air to prevent the further spread is not required special arrangements on the ventilation system, do not be confused with airborne transmission.

Precautions against infection is needed:

Universal Precautions:
Duh treat all blood and body as infectious material, avoid touched with bare hands or contaminated wash immediately if possible
Wash hands (with running water and soap / antiseptic, rubbing for 10 seconds, and wipe dry) as a routine action: before and after touching patients, before wear and after removing gloves
Examination gloves when touching blood and will duh body or other contaminated objects. Change gloves every change of the patient. Remove the gloves immediately after the completion of the action.

Masks, goggles, face shields worn when there is the possibility of splashing of blood, other body duh for any action or patient care.


Additional precautions:
Of transmission through contact and splash (droplet)
In addition to universal precautions
Placement of patients
The patient is placed in a separate room. If there are no separate room can be placed along the patient with the same diagnosis (cohort).

All health workers should always wear protective gear when entering the patient room:
Wear a mask, headgear, protective goggles, gloves, gowns, protective shoes when entering the patient room.
During the performance of the action, change gloves after touching infectious material.
Gown (not necessarily sterile), select the appropriate action to be implemented (waterproof or not).
Remove the gown before leaving the room and make sure no contaminated work clothes.
Remove the gloves before leaving the room and wash hands immediately afterward with antiseptic and make sure not to touch the surface again in the patients who may be contaminated.
Similarly, the other protective equipment.

Patient Transport
Limit the transfer of patients to another room unless absolutely necessary. When the patient was forced to wear a mask on the patient and clean blankets tightly, ensure universal precautions to stay awake to reduce the risk of the spread of microorganisms to other patients and contamination of environmental surfaces or equipment.
Medical devices for patients
If possible allocate special medical equipment to patients or in conjunction with similar patients to avoid the spread between patients. When using a tool for public patients, it is necessary that adequate cleaning and disinfection before being used for another patient

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