communal and labour hygiene department

Lecture on environmental sanitation
for the 5th year
HYGIENE REQUIREMENTS FOR
USE medical institutions.
Lecturer: prof. Iskandarov G.T.
a) the patient;
b) medications;
c) occupational health workers;
d) physical and emotional load.
• Climate.
• Lighting.
• insolation.
• Noise.
• The aesthetic factor.
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• Nosocomial infections - an
infectious disease, getting sick in the
hospital.
• Currently, developed clear
guidelines for the prevention of air,
dropping, contact and exogenous
infection.
antibiotic resistant strains:
• Staphylococcus aureus
• Pseudomonas aeruginosa
• protea
• E. coli
• and other
To do this, carry out the following activities:
• Create specialized purulent surgical department.
• operating and dressings are divided into surgical
departments for pure and purulent operations and
dressings.
• Do not conduct operations in patients with purulent surgical infection in
general surgical operating rooms.
• put into practice the most common method of processing high-quality
field, hands, surgical gloves, sterilization of surgical instruments of a
new wound dressing, surgical linen.
• Introduction of rapid diagnostic sensitivity of microbial flora to
antibiotics.
• Organization in medical institutions of centralized sterilization.
• Organization of a complex sanitary measures in offices, offices, hospitals,
clinics, surgical, guided by the instructions.
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Terms thorough cleaning and disinfection of all
items and equipment in hospitals is important
for aesthetic reasons and to reduce the
microbial contamination of surrounding
surfaces.
Improper handling of medical instruments and
equipment, as well as other health products is a
common cause of hospital-acquired infections.
Decontamination - a general
term which refers to a treatment
process for removal of infectious
agents, whereby the use of the
subject being treated becomes
safe.
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cleaning process remove visible
dust, dirt, organic and other foreign
materials.
usually carried out with water and
soap.
Cleaning must always precede
disinfection and sterilization.
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Disinfection process of destruction of
most pathogens, excluding bacterial
spores.
For biological tissue used the term
"preservative".
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Sterilization process of
destroying all forms of microbial
life including bacteria, viruses,
spores and fungi.
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Sanitization premises of health
facilities is carried out using detergents
or disinfectants with cleaning effect
means.
For sanitizing facilities health facilities
may be used only disinfectant that is
officially authorized the Main Directorate
of Sanitary Inspection Ministry of Health
of the Republic of Uzbekistan
1. ensure the destruction of pathogens of nosocomial infections - bacteria,
viruses, fungi, at room temperature;
2. have cleaning properties, good or combined with detergents;
3. have a relatively low toxicity (4-3 class of danger) and to be environmentally
friendly;
4. be compatible with different types of materials;
5. be stable, non-flammability, easy to handle;
6. not have a locking effect on organic pollution
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Infectious, surgical, obstetric hospitals
procedural lookout dressings, dental surgeries
immunocomprimised department for patients
and intensive care
Children's Department, where there is a risk of
infection due to a high degree of contamination
by micro-organisms or objects increased
susceptibility to infections in indoor contingent.
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rags, towels, sponges, scouring pads,
etc. - After cleaning and processing
facilities are soaked in a disinfectant
solution, after exposure or erase
washed, rinsed with tap water, dried
and stored in a specific location.
First (physiological) obstetric department
includes:
• Reception and transmission unit
• Reception and transmission unit maternity ward
includes a reception room (lobby), filter and viewing
rooms. Sight of the room, there are separately for
physiological and observational units. Each room has an
observation for processing incoming women, toilets,
showers, installation for washing boats. If the nursing
home operates gynecology department, it should have a
separate receiving and transmission unit.
Pregnant or new mother, entering the
reception area, removes the robe and goes
into the filter.
In the filter, the doctor decides whether this
woman to the hospital and hospitalization in
a department (Chamber of pathology, I, or II
obstetrical department).
Maternity unit includes:
• Maternity unit includes
• prenatal Chamber
• intensive care
• Chamber of birth
• room for babies
• Operating unit (large and small operating, preoperative room blood storage, portable
equipment)
• offices and rooms for the medical staff, bathrooms, etc.
THANK YOU FOR
ATTENTION!