ASEPSIS

ASEPSIS

The practice of asepsis is designed to reduce the number of microorganisms present or reduce the risk of transmission from one person to another. It is also known as clean technique

Medical asepsis is the term used to describe the technique of preventing the transfer of disease by stopping the infection at its source or by reducing the number of pathogenic microorganisms after they have left the source

Medical Aseptic Technique Used to Break the Chain of Infection

  • Daily change of patient bed linen
  • Hand washing before and after each procedure
  • Infected patients are separated from the non-infected patients (isolation of the patient)
  • Hospital should be well ventilated
  • Maintenance of general cleanliness of the hospital
  • Safe food and water, water chlorination
  • Safe disposal of excreta and refuse
  • Destruction of rodents and insects
  • Disinfection and sterilization of supplies
  • Immunization – it is the act of creating immunity artificially against a particular disease
  • Maintenance of personal hygiene of the patient
  • Use of mask, gown and gloves in needed cases
  • Keeping toilet articles separate for each person
  • Minimizing the number of visitors
  • Health education to the patient and relatives

METHODS/TYPES OF ISOLATION

Strict isolation: it prevents spread by contact in case of rabies, tetanus, anthrax, scabies, leprosy and venereal diseases, nurses must wash hands frequently and thoroughly use disposable supplies and discard them properly. Send reusable supplies for disinfection and sterilization. Wear gown, mask and gloves

Respiratory isolation: it is indicated in situations where the pathogens are spread on droplets from the respiratory tract. In this type of infection nurses should wear mask and gown while caring for the patient. Use articles should be disinfected avoid the possibility of contamination. Handkerchiefs should be cleaned and disinfected before reuse. Maintain reasonable distance to prevent droplet infection, the diseases are whooping cough, influenza, diphtheria, measles, etc

Enteric isolation: it is indicated when the pathogens are transmitted in feces, for this type isolation, it is not necessary to wear a mask, but it is recommended that gloves and gowns be worn when handling soiled articles. Thorough hand washing should be emphasized both by the patients and nurses. The excreta may be disinfected by adding lime before its disposal. The soiled articles such as linen should be disinfected before sending to laundry

Wound and skin isolation: this type of isolation is for pathogens which are found in wound and can be transmitted by the contact with the wounds. Usually gowns and gloves are worn in this type of infection. Important point to remember is the safe disposal of dressing and discharges from the wounds and disinfection of articles. Strict isolation techniques should be followed when caring for patients with abscesses, boils, infected burns, gag gangrene, anthrax, rabies, etc. all the articles used for these patients should be kept separated

Great care should be taken by the nurses to prevent cuts or abrasions on their hands, frequent and thorough hand washing reduces the chance of infection

Blood isolation: this type of isolation is intended to prevent transmission of pathogens that are found in the blood. Therefore, any equipment that comes in contact with the patient’s blood should be carefully disinfected before touching another object or person. Use of mosquito nets also emphasized to prevent this type of infection.

Following Precautions to be Taken While Caring for Infectious patients

  • Yearly physical examination including chest X-ray
  • Well balanced diet
  • Proper hand washing after elimination, before eating, before and after every procedure
  • Proper immunization
  • Children below 12 years should not be allowed in to the ward
  • As far as possible maintain two bed to avoid cross infection
  • Restrict visitors
  • Proper health education to patient, visitor and relatives

Principle of Surgical Asepsis

Principles

  • Always face the sterile field. Do not turn back or side on a sterile field

Rationale: Sterile objects which are out of vision are considered questionable and their sterility cannot be guaranteed

  • Keep sterile equipment above your waist level or above table level

Rationale: Waist level and table level are considered margins of safety and will promote maximum visibility of the sterile field

  • Do not speak, sneeze and cough over a sterile field

Rationale: To prevent droplet infection

  • Never reach across sterile field

Rationale: when a non-sterile object is held above a sterile object, gravity causes microorganisms to fall into the sterile field

Types of Asepsis

Surgical asepsis: refers to procedures used to keep objects of areas sterile or completely free from all microorganisms. The techniques are used in the operating room and in some treatments where aseptic technique is to be followed

Medical asepsis: refers to all procedures used to protect the patient and his environment from the transmission of diseases producing organisms that can transmit from one patient to another. This involves strict sterilization of some articles and methods to maintain cleanliness of others. Correct hand washing is very important in carrying out medical asepsis

Types of Aseptic Practices

  • Cleaning: it includes dusting, sweeping and moping the unit, rinsing and washing the equipment and patient to remove pathogens
  • Hand washing: cleaning hands to remove pathogens
  • Capping and masking: capping is covering the head and masking is covering the nose and mouth to protect the nurse from inhaling pathogens when disease is air borne
  • Gowning: it means covering the uniform to protect the nurse from contaminating herself and others around her
  • Gloving: it means covering the hands to protect the nurse or patient with poor resistance from pathogens
  • Bagging: it means removing the contaminated materials and supplies in bags from isolation unit

DIFFERENCE BETWEEN MEDICAL AND SURGICAL ASEPSIS

Medical Asepsis

  • A clean technique is used
  • Transmission of pathogenic organisms is prevented, e.g. hair combing, mouthwash
  • Patient and his environment is protected from cross infection

Surgical Asepsis

  • Sterile technique is used
  • Pathogenic and non-pathogenic organisms are totally prevented, e.g. giving injections, dressing
  • Objects or articles are free from pathogenic and non-pathogenic pathogenic organisms
Asepsis - Technique, Methods, Precautions, Principles, Types of Asepsis, Difference
Asepsis – Technique, Methods, Precautions, Principles, Types of Asepsis, Difference

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